Abstract
The hospital emergency department (ED) is the place where people most commonly seek urgent care. The initial diagnosis of an end-of-life (EOL) condition may occur in the ED. In this review we described the challenges; from the staff members’ perspectives, to safe, appropriate, and high quality end-of-life care (EOLC) for people who are diagnosed with non-malignant diseases who present to ED settings internationally. We conducted a systematic review of peer-reviewed literature. PubMed, Scopus, CINAHL, Medline, and Web of Science were searched from 2007 to 2017. In this review the challenges in providing quality EOLC from staff viewpoints, for EOL people who are diagnosed with non-malignant progressive diseases in ED settings, were classified into eight themes: (1) EOLC education and training, (2) ED design, (3) Lack of family support, (4) Work Load, (5) ED staff communication and decision making, (6) EOLC quality in ED, (7) resource availability (time, space, appropriate interdisciplinary personnel) and (8) integrating palliative care (PC) in ED. The formulation of EOLC using this review result may help to improve the quality of life for dying people by providing ED staff with clear guidelines that can guide them in their daily practice
Highlights
The importance of the emergency department (ED) comes from its core mission
The formulation of end-of-life care (EOLC) using this review result may help to improve the quality of life for dying people by providing ED staff with clear guidelines that can guide them in their daily practice
This systematic review aims to explore the challenges, from the staff perspective, to safe, appropriate, high-quality EOLC for people who are diagnosed with non-malignant diseases who present to Emergency Department settings
Summary
The provision of care for patients dying from non-acute conditions is a significant and challenging issue in the ED, a department that has specific characteristics, such as high stress and chaos, that make it different from other departments [2,3,4]. This environment creates an unparalleled combination of challenges that have effects on ED staff practice in making end-of-life care (EOLC) available.
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