Hospice and Palliative Care during Disasters: A Systematic Review

Providing and maintaining hospice and palliative care during disasters poses significant challenges. To understand the impact of disasters on the provision of hospice and palliative care and the disaster preparedness initiatives in the field, a systematic review was undertaken. Eligibility criteria...

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Bibliographic Details
Published inHealthcare (Basel) Vol. 11; no. 17; p. 2382
Main Authors Plagg, Barbara, Ballmann, Julia, Ewers, Michael
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 24.08.2023
MDPI
Subjects
Disasters
Emergency management
Emergency preparedness
Epidemics
Hospice care
Hospices (Terminal care)
Humanitarianism
Medical Subject Headings-MeSH
Methods
Palliative care
Palliative treatment
Pandemics
Qualitative research
Quality of life
Resilience (Psychology)
Review
Safety and security measures
Systematic review
United Kingdom
United States > US
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Summary:Providing and maintaining hospice and palliative care during disasters poses significant challenges. To understand the impact of disasters on the provision of hospice and palliative care and the disaster preparedness initiatives in the field, a systematic review was undertaken. Eligibility criteria for the selection of studies were: peer-reviewed original research papers addressing HPC during disasters published between January 2001 and February 2023 in English. The databases CINAHL, MEDLINE, APA PsycInfo, APA PsycArticles, and SocINDEX were searched with textword and MeSh-terms between October 2022 and February 2023. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality of the studies. Content analysis was performed. The results are presented in the form of a narrative synthesis. Of 2581 studies identified, 57 met the inclusion criteria. Most studies were published recently on the impact of the COVID-19 pandemic. Four main themes were identified in the literature: disruption of the system, setting-specific differences, emotional challenges, and system adaptation. Overall, strategies to tackle hospice and palliative care needs have been poorly integrated in disaster preparedness planning. Our findings highlight the need to strengthen the resilience of hospice and palliative care providers to all types of disasters to maintain care standards.
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ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare11172382