Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review

Aim: To identify qualitative studies that describe the barriers and facilitators nurses perceive and experience when delivering end-of-life care in the Adult Intensive Care Unit. Design: The design was a scoping review that followed the Joanna Briggs Institute methodology. Methods: There were four s...

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Main Authors: Emmanuel Kwame Korsah, Shelley Schmollgruber
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:International Journal of Africa Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214139123001117
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author Emmanuel Kwame Korsah
Shelley Schmollgruber
author_facet Emmanuel Kwame Korsah
Shelley Schmollgruber
author_sort Emmanuel Kwame Korsah
collection DOAJ
description Aim: To identify qualitative studies that describe the barriers and facilitators nurses perceive and experience when delivering end-of-life care in the Adult Intensive Care Unit. Design: The design was a scoping review that followed the Joanna Briggs Institute methodology. Methods: There were four selected databases searched electronically to identify published qualitative studies. Data extraction was with a standard data extraction tool and independently extracted by two reviewers. Results: In total, 20 qualitative studies were eligible for result extraction. The majority of studies (19; 95%) presented findings on the barriers to end-of-life care, and a few (11; 55%) focused on the facilitators of end-of-life care. The provision of adequate end-of-life care training and education for nurses, formulation of policies and guidelines in the ICU, and working with family members are vital measures to enhancing the quality of care patients and families receive at the end of life. No Patient or Public Contribution: In this study no patient and members of the public were involved. Only published existing literature was used, hence, no patient or public contribution was needed.
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spelling doaj.art-f609df22ff4d45f28b650c1dc3aadb4c2023-12-06T04:17:28ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912023-01-0119100636Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping reviewEmmanuel Kwame Korsah0Shelley Schmollgruber1Division of Clinical Associates, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, South AfricaIntensive and Critical Care Nursing, Department of Nursing Education, School of Therapeutics, Faculty of Health Sciences, University of the Witwatersrand, South Africa; Corresponding author at: Department of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown 2193, Gauteng, South Africa.Aim: To identify qualitative studies that describe the barriers and facilitators nurses perceive and experience when delivering end-of-life care in the Adult Intensive Care Unit. Design: The design was a scoping review that followed the Joanna Briggs Institute methodology. Methods: There were four selected databases searched electronically to identify published qualitative studies. Data extraction was with a standard data extraction tool and independently extracted by two reviewers. Results: In total, 20 qualitative studies were eligible for result extraction. The majority of studies (19; 95%) presented findings on the barriers to end-of-life care, and a few (11; 55%) focused on the facilitators of end-of-life care. The provision of adequate end-of-life care training and education for nurses, formulation of policies and guidelines in the ICU, and working with family members are vital measures to enhancing the quality of care patients and families receive at the end of life. No Patient or Public Contribution: In this study no patient and members of the public were involved. Only published existing literature was used, hence, no patient or public contribution was needed.http://www.sciencedirect.com/science/article/pii/S2214139123001117NursesEnd-of-life careBarriersFacilitatorsIntensive care unitScoping review
spellingShingle Emmanuel Kwame Korsah
Shelley Schmollgruber
Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review
International Journal of Africa Nursing Sciences
Nurses
End-of-life care
Barriers
Facilitators
Intensive care unit
Scoping review
title Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review
title_full Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review
title_fullStr Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review
title_full_unstemmed Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review
title_short Barriers and facilitators to end-of-life care in the adult intensive care unit: A scoping review
title_sort barriers and facilitators to end of life care in the adult intensive care unit a scoping review
topic Nurses
End-of-life care
Barriers
Facilitators
Intensive care unit
Scoping review
url http://www.sciencedirect.com/science/article/pii/S2214139123001117
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