Transferring home to die from critical care units: a scoping review of international practices
Transferring home to die from critical care units: a scoping review of international practices
Purpose: to identify and characterise the international practices of transferring a dying patient home to die from critical care units.
Materials and methods: a systematic scoping review following the Joanne Briggs Institute methodology was applied searching fifteen data sources to identify papers published in English and Chinese from 1970 to 2019.
Results: of the 28 papers meeting eligibility criteria 19 were published in the West and seven in China. The number of patients being transferred home to die was larger in China (74/184–96/159) than in the West (1–7). Clinical characteristics of patients transferred included: consciousness, with or without intubation and ventilation, and clinical stability. Reported key barriers to transfer included: Lack of evidence guiding transfer practice, the CCU environment and culture, Practical and logistical factors and Family members expectations and reactions. Key facilitators of transfer were reported as: Engagement with the multidisciplinary team and Personal patient and family wishes.
Conclusions: transferring patients home to die from critical care is a complex practice varying significantly across countries. Further research to address current knowledge gaps is important to inform policy and practice.
Critical care, Discharge, Home death, Scoping review, Transfer, Treatment withdrawal
205-215
Lin, Yanxia
962dcabe-7d8a-45c3-b716-08c1f953e7ab
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Myall, Michelle
0604ba0f-75c2-4783-9afe-aa54bf81513f
October 2021
Lin, Yanxia
962dcabe-7d8a-45c3-b716-08c1f953e7ab
Long-Sutehall, Tracy
92a6d1ba-9ec9-43f2-891e-5bfdb5026532
Myall, Michelle
0604ba0f-75c2-4783-9afe-aa54bf81513f
Lin, Yanxia, Long-Sutehall, Tracy and Myall, Michelle
(2021)
Transferring home to die from critical care units: a scoping review of international practices.
Journal of Critical Care, 65, .
(doi:10.1016/j.jcrc.2021.06.012).
Abstract
Purpose: to identify and characterise the international practices of transferring a dying patient home to die from critical care units.
Materials and methods: a systematic scoping review following the Joanne Briggs Institute methodology was applied searching fifteen data sources to identify papers published in English and Chinese from 1970 to 2019.
Results: of the 28 papers meeting eligibility criteria 19 were published in the West and seven in China. The number of patients being transferred home to die was larger in China (74/184–96/159) than in the West (1–7). Clinical characteristics of patients transferred included: consciousness, with or without intubation and ventilation, and clinical stability. Reported key barriers to transfer included: Lack of evidence guiding transfer practice, the CCU environment and culture, Practical and logistical factors and Family members expectations and reactions. Key facilitators of transfer were reported as: Engagement with the multidisciplinary team and Personal patient and family wishes.
Conclusions: transferring patients home to die from critical care is a complex practice varying significantly across countries. Further research to address current knowledge gaps is important to inform policy and practice.
Text
Transferring home to die from critical care units ...
- Accepted Manuscript
More information
e-pub ahead of print date: 6 July 2021
Published date: October 2021
Additional Information:
Funding Information:
This work was funded by China Scholarship Council (CSC) as part of YL's Doctoral studies.
Publisher Copyright:
© 2021 Elsevier Inc.
Keywords:
Critical care, Discharge, Home death, Scoping review, Transfer, Treatment withdrawal
Identifiers
Local EPrints ID: 450127
URI: http://eprints.soton.ac.uk/id/eprint/450127
ISSN: 0883-9441
PURE UUID: 4babfc5d-58ed-4f02-ae0f-86091e11923c
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Date deposited: 12 Jul 2021 16:31
Last modified: 17 Mar 2024 06:41
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Author:
Yanxia Lin
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