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Adaptation of a Palliative Care Approach in the Context of Intensive Care: A Systematic Literature Review

Poster
Authors Hanan Hamdan Alshehri
Sepideh Olausson
Axel Wolf
Joakim Öhlén
Published in 16th Congress of the European Association for Palliative Care taking place in Berlin, Germany from May 23 - 25, 2019.
Publication year 2019
Published at Institute of Health and Care Sciences
Language en
Keywords Palliative care , Implementation , Intensive care units
Subject categories Nursing, Health Sciences

Abstract

Background Palliative care is assumed to be an integral part of care in Intensive Care Units (ICU), yet, research still indicates lack knowledge about how to adapt, integrate and adopt palliative care in curative focused contexts such as in intensive care. Aim To identify factors influencing the integration of a palliative care approach in the context of ICU. Method A systematic review based on quantitative and qualitative studies using a thematic synthesis of the articles was performed. The following search term were used: Implementation, palliative care and ICU. In total 1843 articles were screened, and 25 articles were eligible for this review. Result: The findings show that the influencing factors for integrating a palliative care approach are multifaceted. Themes were identified; facilitators and barriers for implementation and adaptation on organizational level (facilitating policies and environmental support, care pathways, prognostication , multidisciplinary team, training and education) and interpersonal level (communication conflict, emotional and spiritual support, person-centred care and patient and family involvement). Conclusion To adopt a palliative care approach into the ICU setting, the integration process requires adaption of organizational support and personal beliefs and attitudes within the entire multi-professional team including the manager as well as patient and family.

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