About: Factors influencing the integration of a palliative approach in intensive care units: a systematic mixed-methods review

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Factors influencing the integration of a palliative approach in intensive care units: a systematic mixed-methods review
Creator	Alshehri, Hanan Olausson, Sepideh Wolf, Axel
source	Medline; PMC
abstract	BACKGROUND: While a palliative approach is generally perceived to be an integral part of the intensive care unit (ICU), the provision of palliative care in this setting is challenging. This review aims to identify factors (barriers and facilitators) influencing a palliative approach in intensive care settings, as perceived by health care professionals. METHOD: A systematic mixed-methods review was conducted. Multiple electronic databases were used, and the following search terms were utilized: implementation, palliative care, and intensive care unit. In total, 1843 articles were screened, of which 24 met the research inclusion/exclusion criteria. A thematic synthesis method was used for both qualitative and quantitative studies. RESULTS: Four key prerequisite factors were identified: (a) organizational structure in facilitating policies, unappropriated resources, multi-disciplinary team involvement, and knowledge and skills; (b) work environment, including physical and psychosocial factors; (c) interpersonal factors/barriers, including family and patients’ involvement in communication and participation; and (d) decision-making, e.g., decision and transition, goal conflict, multidisciplinary team communication, and prognostication. CONCLUSION: Factors hindering the integration of a palliative approach in an intensive care context constitute a complex interplay among organizational structure, the care environment and clinicians’ perceptions and attitudes. While patient and family involvement was identified as an important facilitator of palliative care, it was also recognized as a barrier for clinicians due to challenges in shared goal setting and communication.
has issue date	2020-07-22(xsd:dateTime)
bibo:doi	10.1186/s12904-020-00616-y
bibo:pmid	32698809
has license	cc-by
sha1sum (hex)	c1ea4030d2dbc606136e191572fecb0655c2522b
schema:url	https://doi.org/10.1186/s12904-020-00616-y
resource representing a document's title	Factors influencing the integration of a palliative approach in intensive care units: a systematic mixed-methods review
has PubMed Central identifier	PMC7375204
has PubMed identifier	32698809
schema:publication	BMC Palliat Care
resource representing a document's body	covid:c1ea4030d2dbc606136e191572fecb0655c2522b#body_text
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