The Impact of COVID-19 Pandemic on Palliative Care Services as Perceived by Healthcare Professionals: A Systematic Review.
Background: The Covid-19 pandemic stretched healthcare systems' capacity, imposed the reorganization and re-prioritization of services under the burden of scarce resources, and altered the traditional way that care was provided. Palliative care, though designed to address complex needs such as relie...
| Publicado en: | International Journal of Caring Sciences Vol. 16; no. 1; pp. 121 - 139 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
International Journal of Caring Sciences
Jan-Apr2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164677315&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164677315 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17915201 B92O jtl: International Journal of Caring Sciences issn: 17915201 maglogo: N pubinfo: dt: Jan-Apr2023 vid: 16 iid: 1 pid: 64496 pub: International Journal of Caring Sciences artinfo: ui: 164677315 164677315 164677315 164677315 ppf: 121 ppct: 18 formats: fmt: @attributes: type: P tig: atl: The Impact of COVID-19 Pandemic on Palliative Care Services as Perceived by Healthcare Professionals: A Systematic Review. aug: au: Perdikouri, Kalliopi Galanis, Petros Katharaki, Maria Grammatopoulou, Eirini Baltopoulos, George Katsiroumpa, Aglaia Katsoulas, Theodoros affil: Department of Nursing, National and Kapodistrian University of Athens, Athens, Greece sug: subj: Palliative Care Evaluation COVID-19 Pandemic Attitude of Health Personnel Health Personnel Psychosocial Factors Human Systematic Review PubMed Health Services Health Care Delivery Emotions Multidisciplinary Care Team Mental Health Personal Protective Equipment Quality of Health Care Holistic Care Professional Role Psychological Distress Suffering Prevention and Control Health Services Needs and Demand Narratives Evaluation Terminal Care Data Analysis Software Workload Human Dignity Consumer Participation ab: Background: The Covid-19 pandemic stretched healthcare systems' capacity, imposed the reorganization and re-prioritization of services under the burden of scarce resources, and altered the traditional way that care was provided. Palliative care, though designed to address complex needs such as relief from severe suffering, difficult decision making and complicated grief was not an exception; its holistic approach of care was seriously challenged due to infection spread restrictions. Objective: To review the impact on palliative care services from healthcare professionals' perspective. Methodology: A systematic review according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) was conducted via PubMed in October 2022. Eligibility criteria included original studies that had used a qualitative, quantitative, or mixed design approach to evaluate the impact on services, delivery of care, and emotional status of palliative healthcare professionals. Results: Out of 2040 initial records, 32 studies were included in the review coming from various countries and settings with representative participation of multidisciplinary palliative care teams' members. Reported impacts concerned organizational aspects and provision of services, altered delivery of care, and implications for the mental health of involved staff. Increased workload, visiting restrictions, use of Personal Protective Equipment, and remote contact were perceived as factors compromising the quality of care provided and impeding palliative healthcare professionals from fulfilling their holistic care role. Moral distress was the most exacerbated emotional impact. Conclusions: Despite the important role that palliative care can play during a health crisis, this was not always adequately reflected on pandemic plans. In the era of the Covid-19, Palliative care entered a phase of change; whether this fact may compromise or accelerate its evolvement depends on how lessons learned will be used in future planning. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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