文章基本信息

标题：End-of-Life Care Challenges from Staff Viewpoints in Emergency Departments: Systematic Review
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作者：Ali J. Alqahtani ; Geoffrey Mitchell
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2019
卷号：7
期号：3
页码：1-13
DOI：10.3390/healthcare7030083
出版社：MDPI Publishing
摘要：The hospital emergency department (ED) is the place where people most commonly seek urgent care. The initial diagnosis of an end-of-life (EOL) condition may occur in the ED. In this review we described the challenges; from the staff members’ perspectives, to safe, appropriate, and high quality end-of-life care (EOLC) for people who are diagnosed with non-malignant diseases who present to ED settings internationally. We conducted a systematic review of peer-reviewed literature. PubMed, Scopus, CINAHL, Medline, and Web of Science were searched from 2007 to 2017. In this review the challenges in providing quality EOLC from staff viewpoints, for EOL people who are diagnosed with non-malignant progressive diseases in ED settings, were classified into eight themes: (1) EOLC education and training, (2) ED design, (3) Lack of family support, (4) Work Load, (5) ED staff communication and decision making, (6) EOLC quality in ED, (7) resource availability (time, space, appropriate interdisciplinary personnel) and (8) integrating palliative care (PC) in ED. The formulation of EOLC using this review result may help to improve the quality of life for dying people by providing ED staff with clear guidelines that can guide them in their daily practice
关键词：end-of-life care; palliative care; terminal care; staff view; emergency department end-of-life care ; palliative care ; terminal care ; staff view ; emergency department