Systematic critical realist review of interventions designed to improve end-of-life care in care homes
Authors: Spacey, A., Scammell, J., Board, M. and Porter, S.
Journal: Nursing and Health Sciences
Volume: 22
Issue: 2
Pages: 343-354
eISSN: 1442-2018
ISSN: 1441-0745
DOI: 10.1111/nhs.12665
Abstract:The demand for high-quality end-of-life care is rising. Frequently evidenced concerns about the provision of end-of-life in care homes relate to inter-disciplinary communication and engagement in advance care planning. A number of interventions employing different mechanisms have been designed to address these issues. Therefore, the aim of this systematic critical realist review was to describe and explain the effectiveness of interventions designed to improve end-of-life care in care homes. Electronic searches were conducted in ScienceDirect, MEDLINE, PubMed, PsychINFO, and CINAHL from January 2000 to August 2018. Forty one studies were included in the review. While most of the evidence identified in this review was not strong, there was evidence to suggest that education and inter-professional collaboration can be effective intervention mechanisms for improving end-of-life care in care homes. High staff turnover was a significant contextual mechanism impacting on the sustainability of interventions. In terms of human agency, it is important to note a consistent finding related to the dedication and enthusiasm of care home staff who deliver end-of-life care.
https://eprints.bournemouth.ac.uk/33135/
Source: Scopus
Systematic critical realist review of interventions designed to improve end-of-life care in care homes.
Authors: Spacey, A., Scammell, J., Board, M. and Porter, S.
Journal: Nurs Health Sci
Volume: 22
Issue: 2
Pages: 343-354
eISSN: 1442-2018
DOI: 10.1111/nhs.12665
Abstract:The demand for high-quality end-of-life care is rising. Frequently evidenced concerns about the provision of end-of-life in care homes relate to inter-disciplinary communication and engagement in advance care planning. A number of interventions employing different mechanisms have been designed to address these issues. Therefore, the aim of this systematic critical realist review was to describe and explain the effectiveness of interventions designed to improve end-of-life care in care homes. Electronic searches were conducted in ScienceDirect, MEDLINE, PubMed, PsychINFO, and CINAHL from January 2000 to August 2018. Forty one studies were included in the review. While most of the evidence identified in this review was not strong, there was evidence to suggest that education and inter-professional collaboration can be effective intervention mechanisms for improving end-of-life care in care homes. High staff turnover was a significant contextual mechanism impacting on the sustainability of interventions. In terms of human agency, it is important to note a consistent finding related to the dedication and enthusiasm of care home staff who deliver end-of-life care.
https://eprints.bournemouth.ac.uk/33135/
Source: PubMed
Systematic critical realist review of interventions designed to improve end-of-life care in care homes
Authors: Spacey, A., Scammell, J., Board, M. and Porter, S.
Journal: NURSING & HEALTH SCIENCES
Volume: 22
Issue: 2
Pages: 343-354
eISSN: 1442-2018
ISSN: 1441-0745
DOI: 10.1111/nhs.12665
https://eprints.bournemouth.ac.uk/33135/
Source: Web of Science (Lite)
Systematic critical realist review of interventions designed to improve end-of-life care in care homes.
Authors: Spacey, A., Scammell, J., Board, M. and Porter, S.
Journal: Nursing & health sciences
Volume: 22
Issue: 2
Pages: 343-354
eISSN: 1442-2018
ISSN: 1441-0745
DOI: 10.1111/nhs.12665
Abstract:The demand for high-quality end-of-life care is rising. Frequently evidenced concerns about the provision of end-of-life in care homes relate to inter-disciplinary communication and engagement in advance care planning. A number of interventions employing different mechanisms have been designed to address these issues. Therefore, the aim of this systematic critical realist review was to describe and explain the effectiveness of interventions designed to improve end-of-life care in care homes. Electronic searches were conducted in ScienceDirect, MEDLINE, PubMed, PsychINFO, and CINAHL from January 2000 to August 2018. Forty one studies were included in the review. While most of the evidence identified in this review was not strong, there was evidence to suggest that education and inter-professional collaboration can be effective intervention mechanisms for improving end-of-life care in care homes. High staff turnover was a significant contextual mechanism impacting on the sustainability of interventions. In terms of human agency, it is important to note a consistent finding related to the dedication and enthusiasm of care home staff who deliver end-of-life care.
https://eprints.bournemouth.ac.uk/33135/
Source: Europe PubMed Central
Systematic critical realist review of interventions designed to improve end-of-life care in care homes.
Authors: Spacey, A., Scammell, J., Board, M. and Porter, S.
Journal: Nursing and Health Sciences
Volume: 22
Issue: 2
Pages: 343-354
ISSN: 1441-0745
Abstract:The demand for high-quality end-of-life care is rising. Frequently evidenced concerns about the provision of end-of-life in care homes relate to inter-disciplinary communication and engagement in advance care planning. A number of interventions employing different mechanisms have been designed to address these issues. Therefore, the aim of this systematic critical realist review was to describe and explain the effectiveness of interventions designed to improve end-of-life care in care homes. Electronic searches were conducted in ScienceDirect, MEDLINE, PubMed, PsychINFO, and CINAHL from January 2000 to August 2018. Forty one studies were included in the review. While most of the evidence identified in this review was not strong, there was evidence to suggest that education and inter-professional collaboration can be effective intervention mechanisms for improving end-of-life care in care homes. High staff turnover was a significant contextual mechanism impacting on the sustainability of interventions. In terms of human agency, it is important to note a consistent finding related to the dedication and enthusiasm of care home staff who deliver end-of-life care.
https://eprints.bournemouth.ac.uk/33135/
Source: BURO EPrints