Understanding emergency department staff needs and perceptions in the provision of palliative care

Shearer, Freya M; Rogers, Ian R.; Monterosso, Leanne; Ross-Adjie, Gail; Rogers, Jeremy R

doi:10.1111/1742-6723.12215

Cited by 48 publications

(75 citation statements)

References 14 publications

(68 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The survey tool mirrored that used by Shearer et al ., originally adapted from Eagar et al . Evidence for the survey's validity was reported by Shearer et al .…”

Section: Methodsmentioning

confidence: 99%

Staff perceptions of palliative care in a public Australian, metropolitan emergency department

Russ

Mountain

Rogers

et al. 2015

Emerg Medicine Australasia

Self Cite

View full text Add to dashboard Cite

Our study suggests that overall ED staff were confident regarding symptom management in palliative care. Cancer diagnoses were overrepresented in both the top five causes of death and conditions most appropriate for a palliative approach, suggesting that staff might underestimate the role of a palliative approach in non-cancer diagnoses. Areas suggested for further education include communication and ethical issues surrounding end-of-life care.

show abstract

“…The survey tool mirrored that used by Shearer et al ., originally adapted from Eagar et al . Evidence for the survey's validity was reported by Shearer et al .…”

Section: Methodsmentioning

confidence: 99%

Staff perceptions of palliative care in a public Australian, metropolitan emergency department

Russ

Mountain

Rogers

et al. 2015

Emerg Medicine Australasia

Self Cite

View full text Add to dashboard Cite

show abstract

“…(12)(13)(14)(15)(16) Subsequently, on-going debates over the exact role of emergency clinicians in palliative care delivery, coupled with resource limitations such as time and space, leave clinicians vulnerable and often without direction in the management of these patients. (10,12,17,18) To ensure palliative care is delivered effectively it is vital to understand the perspectives and experiences of the ED nursing and medical clinicians. Absence of their insight and involvement leaves quality improvement efforts open to errors and misunderstandings about clinicians' capacity, ability and concerns.…”

Section: Introductionmentioning

confidence: 99%

Emergency department staff priorities for improving palliative care provision for older people: A qualitative study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…21,22 As such, the ED has been increasingly recognized as an essential environment for initiating palliative care over the past decades. 23,24 A large Australian survey clearly support the need and desire for greater integration of values and standards of palliative care in EDs, a fact that prompted the authors to rhetorically reply to the responders with Do patients die well in your emergency department? 25 When caring for dying patients in a busy and crowded ED, many challenges arise that probably do not exist when the patient are in their home or even in a hospital ward.…”

Section: Discussionmentioning

confidence: 99%

Unavoidable deaths in the Italian Emergency Departments. Results of a ten years survey. A mirror of substantial social changes, or a warning for a hospital-system pathology?

Cervellin¹,

Casagranda

Ricci

et al. 2017

Emerg Care J

View full text Add to dashboard Cite

Emergency departments (EDs) are increasingly used for patients at the end of life stage of their diseases worldwide, even if they do not have acute and potentially treatable conditions. Moreover, an increasingly shortage of hospital beds, in spite of the well-recognized ageing of the population, has led to a progressive prolongation of the average length of stay (LOS) time in the vast majority of Italians EDs. Therefore, the aim of this study was to describe the trend of ED non-traumatic deaths in 11 Italians EDs, and to correlate these deaths with the medium length of stay in the same EDs. All cases classified as died during ambulance transfer or while in the ED have been retrieved from the hospital database of the 11 participating EDs, from January 1st 2007 to December 31st 2016, with the exclusion of traumatic events. The average LOS in minutes of the seven hospitals that could provide this information was then calculated. A continuously increasing number of ED deaths was observed in the vast majority of participating EDs, showing a nearly 30% increases in the last four years. The average LOS of the vast majority of participating hospitals displayed a significant increase during the observational period. We also found a linear correlation between average LOS and total number of ED deaths in the same seven hospitals. We believe that there is a compelling need to reconsider the end of life trajectories, not only under an economical perspective, but mainly according to a more ethical view.

show abstract

Understanding emergency department staff needs and perceptions in the provision of palliative care

Cited by 48 publications

References 14 publications

Staff perceptions of palliative care in a public Australian, metropolitan emergency department

Staff perceptions of palliative care in a public Australian, metropolitan emergency department

Emergency department staff priorities for improving palliative care provision for older people: A qualitative study

Unavoidable deaths in the Italian Emergency Departments. Results of a ten years survey. A mirror of substantial social changes, or a warning for a hospital-system pathology?

Contact Info

Product

Resources

About