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REVUE SYSTEMATIQUE

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Family caregiver strain and burden - a systematic review of evidence-based interventions when caring for patients with cancer

GINEX, Pam ; COLEMAN, Meghan ; VRABEL, Mark ; BEVANS, Margaret
Clinical journal of oncology nursing, 01/02/2020, vol.24, n°1, p. 31-50

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Are the MORECare guidelines on reporting of attrition in palliative care research populations appropriate? - a systematic review and meta-analysis of randomised controlled trials

ORIANI, Anna ; DUNLEAVY, Lesley ; SHARPLES, Paul ; PEREZ ALGORTA, Guillermo ; PRESTON, Nancy J.
BMC palliative care, 09/01/2020, vol.19, n°1, p. 1-15

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A systematic review of nursing home palliative care interventions - characteristics and outcomes

CARPENTER, Joan G. ; LAM, Karissa ; RITTER, Ashley Z. ; ERSEK, Mary
Journal of the American Medical Directors Association, 07/01/2020, Pagination inconnue

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Medical student confidence in care of the dying and their family - a systematic review

WELLS, Geoffrey ; YOUSSEF, Elaney ; WINTER, Rebecca ; WRIGHT, Juliet ; LLEWELLYN, Carrie
BMJ supportive and palliative care, 09/01/2020, Pagination inconnue

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Thème : Formation.

REVUE SYSTEMATIQUE ; ETUDIANT ; MEDECINE ; CONFIANCE ; FIN VIE

BACKGROUND: The General Medical Council expects medical graduates to care for dying patients with skill, clinical judgement and compassion. UK surveys continually demonstrate low confidence and increasing distress amongst junior doctors when providing care to the dying.
AIM: This systematic review aims to determine what has been evidenced within worldwide literature regarding medical undergraduate confidence to care for dying patients.
DESIGN: A systematic electronic search was undertaken. Data extraction included measurements of baseline confidence, associated assessment tools and details of applied educational interventions. Pre/postintervention confidence comparisons were made. Factors influencing confidence levels were explored.
DATA SOURCES: MEDLINE, CINAHL, EMBASE, ISI Web of Science, ERIC, PsycINFO, British Education Index and Cochrane Review databases were accessed, with no restrictions on publication year. Eligible studies included the terms 'medical student', 'confidence' and 'dying', alongside appropriate MeSH headings. Study quality was assessed using the Mixed Methods Appraisal Tool.
RESULTS: Fifteen eligible studies were included, demonstrating a diversity of assessment tools. Student confidence was low in provision of symptom management, family support, and psycho-spiritual support to dying patients. Eight interventional studies demonstrated increased postinterventional confidence. Lack of undergraduate exposure to dying patients and lack of structure within undergraduate palliative care curricula were cited as factors responsible for low confidence.
CONCLUSION: This review clarifies the objective documentation of medical undergraduate confidence to care for the dying. Identifying where teaching fails to prepare graduates for realities in clinical practice will help inform future undergraduate palliative care curriculum planning.
PROSPERO REGISTRATION NUMBER: CRD42019119057.

Origine : PubMed

Health professionals' experiences of grief associated with the death of pediatric patients - a systematic review

BARNES, Shannon ; JORDAN, Zoe ; BROOM, Margaret
JBI database of systematic reviews and implementation reports, 08/01/2020, Pagination inconnue

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Thème : Soins.

REVUE SYSTEMATIQUE ; PERSONNEL SANTE ; DEUIL ; PEDIATRIE ; SYMPTOME

OBJECTIVE: The objective of this review was to synthesize the experiences of health professionals who have experienced grief as a result of a pediatric patient dying.
INTRODUCTION: There has been some research into health professionals' grief experiences, but there has not been a review that synthesizes the findings of these experiences. Other related reviews have focused on prenatal, perinatal or adult deaths or the coping strategies employed by health professionals. This review highlights the complexities of experiences faced by pediatric health professionals.
INCLUSION CRITERIA: Qualitative studies involving pediatric health professionals working in any healthcare setting who had experienced grief from the death of a patient were considered for inclusion. Studies were conducted in any country, at any time and published in English.
METHODS: The search was conducted in PubMed, CINAHL, Embase, PsycINFO, Scopus and ProQuest Dissertations and Theses. The search was completed in January 2019. The review followed principles of meta-aggregation in line with the JBI approach. Methodological quality assessment was based on representation of participants' voices and congruence between research methodology and both research question and analysis of data.
RESULTS: Meta-aggregation led to three synthesized findings from 12 qualitative studies that met the inclusion and methodological quality criteria. Studies predominantly included nurses working in a hospital, with sample sizes ranging from six to 25 participants. The synthesized findings were physical, behavioral, psychological or spiritual symptoms; compounding grief; and alleviating grief. Physical, behavioral, psychological, or spiritual symptoms highlighted the various characteristics of grief experiences by health professionals. Compounding grief was the largest synthesized finding and incorporated the various factors that contributed to a poorer experience of grief. Alleviating grief showed the limited identified factors that improved the experience of grief. Methodological quality led to synthesized findings receiving a ConQual rating of low or moderate.
CONCLUSIONS: The synthesized findings from this review highlight the varied reported experience of grief in health professionals. The methodological quality and reporting of studies, however, led to decreased confidence in the synthesized findings and recommendations arising from this review. Healthcare professionals should be aware of the potential for experiencing grief when a patient dies and the compounding and alleviating factors associated with this. Further research could expand participant and language limitations, and improve methodological quality and reporting.

Origine : PubMed

A systematic review of the effectiveness of oral baclofen in the management of hiccups in adult palliative care patients

ADAM, Emily
Journal of pain and palliative care pharmacotherapy, 07/01/2020, p. 1-12

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Optimal dose-fractionation schedule of palliative radiotherapy for patients with bone metastases - a protocol for systematic review and network meta-analysis

TANG, Xiaofang ; HU, Qiancheng ; CHEN, Ye ; WANG, Xin Shelley ; LI, Xiaofen ; CHENG, Ke ; CAO, Dan
BMJ Open, 06/01/2020, vol.10, n°1, p. 1-5

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Management of bleeding in palliative care patients in the general internal medicine ward - a systematic review

SOOD, R. ; MANCINETTI, M. ; BETTICHER, D. ; CANTIN, Boris ; EBNETER, A.
Annals of medicine and surgery, 02/2020, vol.50, p. 14-23

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End of life in an acute hospital settings - a systematic review of families' experience of spiritual care

HENNESSY, Nora ; NEENAN, Kathleen ; BRADY, Vivienne ; SULLIVAN, Melissa ; EUSTACE COOKE, Jessica ; TIMMINS, Fiona
Journal of clinical nursing, 31/12/2019, Pagination inconnue

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Thème : Soins.

FIN VIE ; REVUE SYSTEMATIQUE ; SPIRITUALITE ; FAMILLE ; SERVICE SOIN AIGU

AIM: To systematically review qualitative studies exploring families' experiences of spiritual care at the end of life in acute hospital settings.
BACKGROUND: Although there is a widespread belief that the consideration of spiritual and religious needs is out-dated in the context of secularism, from a practical perspective patients and families appear to benefit from spiritual support at the end of life.
METHODS: Six key databases, CINAHL, Medline, EMBASE, Global Health Library, Web of Science, and Applied Social Sciences Index and Abstracts (ASSIA), were searched and three reviewers independently extracted the data and coded it into themes and subthemes. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used as a reporting framework.
RESULTS: Five main themes emerged: anticipating needs; honouring the family by honouring the patient; personal connection; lack of sensitivity and making space for religious & spiritual practices.
CONCLUSIONS: Families experiencing end of life care in acute hospital settings may benefit from spiritual care. While this can also be considered as fundamental care, understanding this through the lenses of spiritual care allows for the incorporation of religious and spiritual practices that many seek at this time, irrespective of their faith perspectives.
RELEVANCE TO CLINICAL PRACTICE: Although hospice care is well established internationally, many families experience end of life care in acute hospital settings. Nurses usually get to know families well during this time, however the demands of the clinical environment place restrictions on family care and the perception of lack of communication, limited support and/or limited sensitively can compound the families' suffering. Consideration of families' spiritual needs can help to support families during this time. Nurses are ideally placed for this and can anticipate and plan for patient and family needs in this regard, or refer to a specialist such as the Health Care Chaplain.

Origine : PubMed

High-flow nasal cannula oxygen in patients with acute respiratory failure and do-not-intubate or do-not-resuscitate orders - a systematic review

WILSON, Michael E. ; MITTAL, Aniket ; DOBLER, Claudia C. ; CURTIS, J. Randall ; MAJZOUB, Abdul M. ; SOLEIMANI, Jalal ; GAJIC, Ognjen ; ERWIN, Patricia J. ; MONTORI, Victor M. ; MURAD, M. Hassan
Journal of hospital medicine, 20/11/2019, vol.14, p. E1-E6

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The experiences and perspectives of family surrogate decision-makers - a systematic review of qualitative studies

SU, Ya ; YUKI, Michiko ; HIRAYAMA, Kengo
Patient education and counseling, 16/12/2019, p. 1-12

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Paediatric palliative care - a systematic review

NILSSON, Stefan ; OHLEN, Joakim ; HESSMAN, Eva ; BRÄNNSTRÖM, Margareta
BMJ supportive and palliative care, 13/12/2019, Pagination inconnue

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The relationship of palliative care with assisted dying where assisted dying is lawful - a systematic scoping review of the literature

GERSON, Sheri Mila ; KOKSVIK, Gitte ; RICHARDS, Naomi ; MATERSTVEDT, Lars Johan ; CLARK, David
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 24/12/2019, p. 1-42

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Systematic critical realist review of interventions designed to improve end-of-life care in care homes

SPACEY, Adam ; SCAMMELL, Janet ; BOARD, Michele ; PORTER, Sam
Nursing and health sciences, 04/12/2019, Pagination inconnue

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Economic evaluations of palliative care models - a systematic review

MATHEW, Christine ; HSU, Amy T. ; PRENTICE, Michelle ; LAWLOR, Peter G. ; KYEREMANTENG, Kwadwo ; TANUSEPUTRO, Peter ; WELCH, Vivian
PALLIATIVE MEDICINE, 19/12/2019, Pagination inconnue

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Resilience in caregivers - a systematic review

PALACIO G, Carolina ; KRIKORIAN, Alicia ; GÓMEZ-ROMERO, María José ; LIMONERO, Joaquín T.
The American journal of hospice and palliative care, 13/12/2019, Pagination inconnue

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Resilience in palliative healthcare professionals - a systematic review

ZANATTA, Francesco ; MAFFONI, Marina ; GIARDINI, Anna
Supportive care in cancer, 06/12/2019, p. 1-8

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Effectiveness of dignity therapy for patients with advanced cancer - a systematic review and meta-analysis of 10 randomized controlled trials

LI, Yanfei ; LI, Xiuxia ; HOU, Liangying ; CAO, Liujiao ; LIU, Guanghua ; YANG, Kehu
Depression and anxiety, 06/12/2019, Pagination inconnue

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Palliative care for community patients diagnosed with dementia - a systematic review

SMITH, Cathryn ; NEWBURY, Gina
British journal of community nursing, 02/12/2019, vol.24, n°12, p. 570-575

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