Impact of the COVID-19 pandemic on end of life care delivery in care homes: A mixed method systematic review

Authors: Spacey, A., Porter, S., Board, M. and Scammell, J.

Journal: Palliative Medicine

Volume: 35

Issue: 8

Pages: 1468-1479

eISSN: 1477-030X

ISSN: 0269-2163

DOI: 10.1177/02692163211029806

Abstract:

Background: Current evidence suggests that COVID-19 is having a negative impact on the delivery of end of life care in care homes around the world. There is a need to collate current evidence to provide a comprehensive overview to assess extent of the problem. Aim: To describe and evaluate the impact of the COVID-19 pandemic on end of life care delivery in care homes. Design: Systematic review and narrative synthesis of studies reporting qualitative and quantitative data. Data sources: The databases MEDLINE, psycINFO, SCOPUS and CINAHL were searched between December 2019 and March 2021. Results: Nine studies were included. For care home staff, challenges included significant increases in responsibility and exposure to death, both of which have taken an emotional toll. Results indicate that staff tended not to be offered adequate emotional support or afforded the time to grieve. For those receiving end of life care, results indicate that the end of life care that they tended to receive, especially in the form of advance planning, was disrupted by the pandemic. Conclusion: The effect of the pandemic has been to exacerbate existing problems in the provision of end of life care in care homes for both service providers and users, making that which was previously opaque starkly visible. Future research is needed to explore the effects of the pandemic and its management on those receiving end of life care in care homes and their significant others.

https://eprints.bournemouth.ac.uk/35867/

Source: Scopus

Impact of the COVID-19 pandemic on end of life care delivery in care homes: A mixed method systematic review.

Authors: Spacey, A., Porter, S., Board, M. and Scammell, J.

Journal: Palliat Med

Volume: 35

Issue: 8

Pages: 1468-1479

eISSN: 1477-030X

DOI: 10.1177/02692163211029806

Abstract:

BACKGROUND: Current evidence suggests that COVID-19 is having a negative impact on the delivery of end of life care in care homes around the world. There is a need to collate current evidence to provide a comprehensive overview to assess extent of the problem. AIM: To describe and evaluate the impact of the COVID-19 pandemic on end of life care delivery in care homes. DESIGN: Systematic review and narrative synthesis of studies reporting qualitative and quantitative data. DATA SOURCES: The databases MEDLINE, psycINFO, SCOPUS and CINAHL were searched between December 2019 and March 2021. RESULTS: Nine studies were included. For care home staff, challenges included significant increases in responsibility and exposure to death, both of which have taken an emotional toll. Results indicate that staff tended not to be offered adequate emotional support or afforded the time to grieve. For those receiving end of life care, results indicate that the end of life care that they tended to receive, especially in the form of advance planning, was disrupted by the pandemic. CONCLUSION: The effect of the pandemic has been to exacerbate existing problems in the provision of end of life care in care homes for both service providers and users, making that which was previously opaque starkly visible. Future research is needed to explore the effects of the pandemic and its management on those receiving end of life care in care homes and their significant others.

https://eprints.bournemouth.ac.uk/35867/

Source: PubMed

Impact of the COVID-19 pandemic on end of life care delivery in care homes: A mixed method systematic review

Authors: Spacey, A., Porter, S., Board, M. and Scammell, J.

Journal: PALLIATIVE MEDICINE

Volume: 35

Issue: 8

Pages: 1468-1479

eISSN: 1477-030X

ISSN: 0269-2163

DOI: 10.1177/02692163211029806

https://eprints.bournemouth.ac.uk/35867/

Source: Web of Science (Lite)

Impact of the COVID-19 pandemic on end of life care delivery in care homes: A mixed method systematic review.

Authors: Spacey, A., Porter, S., Board, M. and Scammell, J.

Journal: Palliative medicine

Volume: 35

Issue: 8

Pages: 1468-1479

eISSN: 1477-030X

ISSN: 0269-2163

DOI: 10.1177/02692163211029806

Abstract:

Background

Current evidence suggests that COVID-19 is having a negative impact on the delivery of end of life care in care homes around the world. There is a need to collate current evidence to provide a comprehensive overview to assess extent of the problem.

Aim

To describe and evaluate the impact of the COVID-19 pandemic on end of life care delivery in care homes.

Design

Systematic review and narrative synthesis of studies reporting qualitative and quantitative data.

Data sources

The databases MEDLINE, psycINFO, SCOPUS and CINAHL were searched between December 2019 and March 2021.

Results

Nine studies were included. For care home staff, challenges included significant increases in responsibility and exposure to death, both of which have taken an emotional toll. Results indicate that staff tended not to be offered adequate emotional support or afforded the time to grieve. For those receiving end of life care, results indicate that the end of life care that they tended to receive, especially in the form of advance planning, was disrupted by the pandemic.

Conclusion

The effect of the pandemic has been to exacerbate existing problems in the provision of end of life care in care homes for both service providers and users, making that which was previously opaque starkly visible. Future research is needed to explore the effects of the pandemic and its management on those receiving end of life care in care homes and their significant others.

https://eprints.bournemouth.ac.uk/35867/

Source: Europe PubMed Central

Impact of the COVID-19 pandemic on end of life care delivery in care homes: A mixed method systematic review.

Authors: Spacey, A., Porter, S., Board, M. and Scammell, J.

Journal: Palliative Medicine

Volume: 35

Issue: 8

Pages: 1468-1479

ISSN: 0269-2163

Abstract:

BACKGROUND: Current evidence suggests that COVID-19 is having a negative impact on the delivery of end of life care in care homes around the world. There is a need to collate current evidence to provide a comprehensive overview to assess extent of the problem. AIM: To describe and evaluate the impact of the COVID-19 pandemic on end of life care delivery in care homes. DESIGN: Systematic review and narrative synthesis of studies reporting qualitative and quantitative data. DATA SOURCES: The databases MEDLINE, psycINFO, SCOPUS and CINAHL were searched between December 2019 and March 2021. RESULTS: Nine studies were included. For care home staff, challenges included significant increases in responsibility and exposure to death, both of which have taken an emotional toll. Results indicate that staff tended not to be offered adequate emotional support or afforded the time to grieve. For those receiving end of life care, results indicate that the end of life care that they tended to receive, especially in the form of advance planning, was disrupted by the pandemic. CONCLUSION: The effect of the pandemic has been to exacerbate existing problems in the provision of end of life care in care homes for both service providers and users, making that which was previously opaque starkly visible. Future research is needed to explore the effects of the pandemic and its management on those receiving end of life care in care homes and their significant others.

https://eprints.bournemouth.ac.uk/35867/

Source: BURO EPrints