Uncovering the decision‐making work of transferring dying patients home from critical care units: An integrative review

Lin, Yanxia; Myall, Michelle; Jarrett, Nikki

doi:10.1111/jan.13368

Cited by 9 publications

(5 citation statements)

References 63 publications

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“…Despite all the reported benefits, most hospitalized individuals who are near the end of life do not receive palliative consultations. A review on transfer decision-making between settings noted that palliative care was often involved in transfer discussions 39 and further investigation showed the involvement of palliative care was associated with a decrease in the amount of patient transitions between settings. 40 Moving a terminally ill patient is a multi-faceted process and each individual may face unique challenges.…”

Section: Discussionmentioning

confidence: 99%

Does inpatient palliative care consultation impact outcomes following hospital discharge? A narrative systematic review

et al. 2019

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Background: While most patients desire to die at home or in a community-based hospice, the transition from hospital to community settings often lacks streamlined coordination of care to ensure that adequate support is provided in the preferred care setting. The impact of hospital-based palliative care consultations on post-discharge care and outcomes has not been extensively studied. Aim: The aim of this study was to appraise available research on the impact of inpatient palliative care consultations on transitions from hospital to community settings. Design: We conducted a narrative systematic review and used the Effective Public Health Practice Project tool to appraise the quality of selected studies. Studies were included if they assessed the transition from hospital to community and examined outcomes after an inpatient palliative care consultation. A protocol for this study was registered and published in PROSPERO, Centre for Reviews and Dissemination (ID: CRD42018094924). Data sources: We searched for quantitative studies indexed in PubMED, CINAHL and Cochrane and published between 1 January 1 2000 and 11 March 2018. Results: Our search retrieved 2749 articles. From these, 123 articles were full-text screened and 15 studies met our inclusion criteria. Studies reported that inpatient palliative care consultations are associated with high rates of discharge to community settings, greater provision of services post-discharge, improved coordination and lower rates of rehospitalization. Conclusion: Existing evidence suggest that inpatient palliative care consultations have a positive impact on patient outcomes and transitions to the community, demonstrating the potential to improve patient quality of life and relieve overburdened acute care systems.

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Section: Discussionmentioning

confidence: 99%

Does inpatient palliative care consultation impact outcomes following hospital discharge? A narrative systematic review

et al. 2019

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“…The diverse designs in the studies included in the review prevented the use of a single appraisal tool (Lin, Myall, & Jarrett, ). Therefore, in this theoretical review, articles were divided into three groups: conceptual sources, qualitative studies and mixed‐method studies.…”

Section: The Reviewmentioning

confidence: 99%

“…The diverse designs in the studies included in the review prevented the use of a single appraisal tool (Lin, Myall, & Jarrett, 2017).…”

Section: Quality Appraisalmentioning

confidence: 99%

Nursing narratives and reflective practice: A theoretical review

Choperena

Oroviogoicoechea

Zaragoza‐Salcedo

et al. 2019

Journal of Advanced Nursing

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Aim To explore the literature regarding how nursing narratives have been used to enhance reflective practice. Design Theoretical review. Data sources A literature search from 1990 – 2017 was conducted in PubMed, CINHAL and PsycINFO databases. Review methods After applying the selection criteria, 13 studies were identified. The quality of articles was evaluated. Results Three themes were identified as the main components of an ongoing narrative process based on looking back to past clinical experiences, creating spaces for dialogue and bringing the worlds of theory and practice closer together. Conclusions This review provides a forum for exploring the use of narratives to enhance reflective practice, which may lead to the acquisition of professional competences.

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“…Researchers have successfully adapted this method to integrate research, as it allows diverse primary sources and multiple perspectives to be combined to gain an in‐depth understanding of a complex phenomenon. This review was conducted in a systematic manner that applied detailed, rigorous and explicit strategies to identifying research questions, searches, developing inclusion and exclusion criteria, appraising and synthesizing data and presenting results (Lin, Myall, & Jarrett, , p. 2866).…”

Section: The Reviewmentioning

confidence: 99%

“…Checklists were used to aid critical considerations of the evidence but scores are not provided since the approaches are not treated equally, making the scores meaningless (e.g. Lin et al., ). Two researchers (KA, TF) independently assessed the studies and discussed and resolved any uncertainty.…”

Section: The Reviewmentioning

confidence: 99%