End-of-life care among terminally ill patients in the emergency department: a best practice implementation project.
Introduction: The increasing number of older adults visiting emergency departments (EDs) near the end of life highlights the need for palliative and end-of-life care in this setting, despite the ED's focus on acute care. Aim: This study implemented evidence-based end-of-life care for terminally ill...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 3; pp. 466 - 478 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2026
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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=195416585&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195416585 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Jul2026 vid: 24 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 195416585 195416585 195416585 10.1097/XEB.0000000000000526 195416585 ppf: 466 ppct: 12 formats: tig: atl: End-of-life care among terminally ill patients in the emergency department: a best practice implementation project. aug: au: Yang, Piaoyu Feng, Li Zhou, Wanting Zheng, Jili Zhang, Yuxia affil: Department of Emergency, Zhongshan Hospital of Fudan University, Shanghai, China sug: subj: Terminal Care Standards Emergency Service Terminally Ill Patients Implementation Science Medical Practice, Evidence-Based Program Evaluation Funding Source China Human Hospitals Nursing Staff, Hospital Physicians Caregivers Family Questionnaires Scales Interviews Palliative Care Hospice Care Attitude of Health Personnel Patient Satisfaction Quality Improvement T-Tests Data Analysis Software Descriptive Statistics ab: Introduction: The increasing number of older adults visiting emergency departments (EDs) near the end of life highlights the need for palliative and end-of-life care in this setting, despite the ED's focus on acute care. Aim: This study implemented evidence-based end-of-life care for terminally ill adult patients in the ED in a medical center in Shanghai, China. Methods: This project followed JBI Evidence Implementation Framework. A baseline audit was conducted to measure current practices against best practice recommendations. Barriers to evidence-based practices were identified, improvement strategies were implemented, and a follow-up audit was conducted to determine changes in compliance. Results: The results showed significant improvement in adherence to best practice recommendations. For Criterion 1 (staff training), compliance rose from 77.5% to 100% and knowledge scores increased from 9.68 ± 1.945 to 12.30 ± 2.239 (p < 0.001). For Criterion 2 (patients screened and/or assessed for palliative care needs), compliance increased from 50% to 100%. For Criterion 3 (ED protocol for end-of-life care), compliance rose from 0% to 100%. For Criterion 4 (palliative or end-of-life patients transitioned to the appropriate service), compliance increased from 0% to 30%. For Criterion 5 (strategies promoting a suitable environment), compliance increased from 70% to 90%. Conclusions: This project resulted in positive changes, including the establishment of a formal end-of-life care protocol. Nursing team support and the range of end-of-life care interventions also improved. However, collaboration and referrals between hospitals and hospices remain challenging. Further audits are needed to assess improvements in care for end-of-life patients. http://links.lww.com/IJEBH/A395 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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