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End-of-Life Care Challenges from Staff Viewpoints in Emergency Departments: Systematic Review

Primary Care Clinical Unit, Faculty of Medicine, Herston Campus, Royal Brisbane & Women’s Hospital, The University of Queensland, Level 8, Health Sciences Building (16/901), Herston, QLD 4029, Australia
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Healthcare 2019, 7(3), 83; https://doi.org/10.3390/healthcare7030083
Received: 2 May 2019 / Revised: 18 June 2019 / Accepted: 28 June 2019 / Published: 29 June 2019
(This article belongs to the Special Issue Aging, Chronic Disease, and the Impact of Long Term Care)
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 View Full-Text
Keywords: end-of-life care; palliative care; terminal care; staff view; emergency department end-of-life care; palliative care; terminal care; staff view; emergency department
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Alqahtani, A.J.; Mitchell, G. End-of-Life Care Challenges from Staff Viewpoints in Emergency Departments: Systematic Review. Healthcare 2019, 7, 83.

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