Providing end-of-life care in the emergency department: Early experience from Médecins Sans Frontières during the Covid-19 pandemic

Pegg, AnneMarie; Palma, Miguel; Roberson, Cliff; Okonta, Chibuzo; Massamba, Marie-Hortense Nkokolo; Koudika,; Roberts, Natalie

doi:10.1016/j.afjem.2020.05.012

Cited by 4 publications

(4 citation statements)

References 4 publications

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“…A total of 119 [ 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 8...…”

Section: Resultsunclassified

“…The following supporting information can be downloaded at: , File S1: Excel spreadsheet containing complete metadata of references retrieved for description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS. (References [ 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 …”

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confidence: 99%

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Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Cuellar-Pompa,

Rodríguez-Gómez,

Novo-Muñoz

et al. 2024

Nursing Reports

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Aim: To offer an overall picture of the research published regarding the different aspects of death and dying during the COVID-19 pandemic in journals covering the field of nursing in the Scopus database. Design: bibliometric analysis. Methods: The metadata obtained were exported from Scopus for subsequent analysis through Bibliometrix. Using the VOSviewer co-word analysis function, the conceptual and thematic structure of the publications was identified. Results: A total of 119 papers were retrieved, with the participation of 527 authors. The publications were found in 71 journals covering the nursing area. The main lines of research revolved around the keywords “palliative care” and “end-of-life care” in regard to the ethical, psychological, and organizational challenges faced by the health professionals who cared for these patients. Conclusion: The results obtained offer a range of data and images that characterize the scientific production published on this topic, coming to the conclusion that, due to the multifaceted and multidisciplinary approach to the experience of death, care, and accompaniment in the dying process, bibliometric maps improve the comprehensive understanding of the semantic and conceptual structure of this field of research. This study was retrospectively registered with the OSF Registries on the 14 March 2024.

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Section: Resultsunclassified

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confidence: 99%

Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Cuellar-Pompa,

Rodríguez-Gómez,

Novo-Muñoz

et al. 2024

Nursing Reports

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“…A large proportion of published research was undertaken in the past 5 years accounting for its less citations. Out of the total 26 articles, 4 articles had <10 citations,[ 6 7 8 9 ] 11 articles[ 10 11 12 13 14 15 16 17 18 19 20 ] had citations between 10 and 50, 4 of the articles[ 21 22 23 24 ] had between 51 and 100, only 2 articles[ 25 26 27 ] had more than 100 citations and 5 of the included articles[ 28 29 30 ] had no citations.…”

Section: Review Of the Literaturementioning

confidence: 99%

The end-of-life care in the emergency department setting with respect to the Middle East countries and comparison with the Western countries

et al. 2022

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Patients who are affected with severe chronic illness or in need for end-of-life care ((EOLC), they are mainly treated in the emergency departments (EDs) to provide the utmost amount of care for their condition. The major aspects which impact the accessibility of care in the ED include the clinical, social, and economic factors in different regions of countries. In recent years as the EOLC has been provided, it has been observed that patients experiencing EOL and dealing with a dying process do not always achieve the experience what resonates with a good death. The main cause of concern for these patients is the problem that in the ED they do not have access to palliative care options, mainly the ones who are suffering from noncancer ailments. These patients are provided palliative care at a very later stage in the ED when they could have been provided with palliative management at home in an earlier manner. EOLC plays a very critical role in ensuring that terminally ill patients are given a proper and adequate amount of care. The present article aims to highlight the EOLC in the ED in the Middle-Eastern regions. We aim to present a broader view that has impacted the current situation of EOLC in the Middle East regions and demonstrate a description of the EOLC in an ED setting between the Middle Eastern regions and western culture focusing on the following five important factors: Situation acceptance in the ED, cultural compatibility of bioethics, treatment perspective, skills among clinical providers and physician's attitude. In this literature review, we present the evidence associated with the EOLC in the ED setting with respect to the Middle East countries and bring out their differences in the religious, clinical, social, ethical, and economic aspects in comparison with the Western countries. We also tried to determine the differences between the two regions in terms of the principle of explaining the fatal diagnosis or poor prognosis, family relations, and do-not-resuscitate decision. This comparative analysis will help to bring out the gaps in the quality of care in the ED in the Middle East countries and promote the development of well-assessed policies and strategies to improve EOLC. The findings of this study and the future interventions that can be implemented to improve the structure and design of the EOLC that will act as a guiding force to execute evidence-based quality improvement program.

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“…Providing end-of-life care in the emergency department (ED) is extremely difficult for healthcare professionals working as COVID-19 frontline medical staff (Pegg et al, 2020). EDs receive a wide variety of patients, including those with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Emergency nurses' perceptions of the changes in the quality of death and distress during the COVID-19 pandemic in Japan: A cross-sectional study

Ito

Tsubaki

Sakaguchi

2024

Health Emergency and Disaster Nursing

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Aim: This study aimed to determine the perceptions of emergency nurses regarding the changes in the quality of death and distress associated with care due to the COVID-19 pandemic. Methods: We conducted a cross-sectional survey among the emergency nurses working in emergency departments in Japan. To recruit the participants, we sent a letter requesting participation to 1,048 nurses in the emergency departments (EDs) of 40 of the 290 hospitals nationwide. We evaluated the perceptions of the emergency nurses of the changes in the quality of death and distress during the COVID-19 pandemic. Results: A total of 284 nurses out of 1,047 participated in the study and completed the questionnaire. The most commonly perceived change in the quality of death during the pandemic was related to the absence of a loved one at the time of death. The emergency nurses strongly agreed that the patients did not receive the best possible care, patients could not maintain their dignity as individuals, and families of the patients regretted that they could not do more to save their relationship. The ED nurses perceived that their capacity to provide appropriate end-of-life care had changed considerably during the pandemic, about which the nurses felt distressed. Conclusions: The COVID-19 pandemic is an unprecedented situation facing emergency nurses. Health authorities must assist emergency nurses in providing their patients with the desired end-of-life care services. At the same time, consideration should be given to the mental health of the emergency nurses, and psychological support should be provided.

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Providing end-of-life care in the emergency department: Early experience from Médecins Sans Frontières during the Covid-19 pandemic

Cited by 4 publications

References 4 publications

Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

Description and Analysis of Research on Death and Dying during the COVID-19 Pandemic, Published in Nursing Journals Indexed in SCOPUS

The end-of-life care in the emergency department setting with respect to the Middle East countries and comparison with the Western countries

Emergency nurses' perceptions of the changes in the quality of death and distress during the COVID-19 pandemic in Japan: A cross-sectional study

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