Barriers and facilitators to a 'good death' in heart failure: An integrative review

被引:10
|
作者
Asano, Reiko [1 ]
Abshire, Martha [1 ]
Dennison-Himmelfarb, Cheryl [1 ]
Davidson, Patricia M. [1 ]
机构
[1] Johns Hopkins Univ, Sch Nursing, 525 N Wolfe St, Baltimore, MD 21205 USA
关键词
Good death; Death; Heart failure; Palliative care; PALLIATIVE CARE; DECISION-MAKING; LUNG-CANCER; LAST YEAR; LIFE; END; COMMUNITY; EXPERIENCES; DISEASE; PATIENT;
D O I
10.1016/j.colegn.2019.09.010
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Heart failure is the final common pathway of many cardiovascular diseases, and yet many individuals with heart failure die hospitalised, suffering needlessly and experiencing what could be termed a 'bad death'. While it is essential to address the wishes of individuals and their families in improving the quality of end-of-life care for patients with heart failure, their unmet needs remain poorly understood. Aim: To systematically review the literature describing a good death or end-of-life care in heart failure and to synthesise identified studies to describe how elements of heart failure care may contribute to a good death. Methods: PubMed and Scopus were searched from January 2001 to April 2018. The method of Whittemore and Knafl guided this review to identify emergent themes. Findings: Of the 436 studies identified, 43 met the inclusion criteria. Five themes associated with end-of-life care in heart failure and a good death were generated: (1) location of death, (2) preferred care, (3) palliative care utilisation, (4) interventions to improve the likelihood of a good death, (5) the intersection of individual, family, healthcare providers, and community-level factors. Discussion: This integrative review highlights a number of factors that prevent patients with heart failure from receiving palliative care, such as difficulty predicting mortality, late referral misconception of the role of palliative care and low availability of resources. Conclusion: This review has identified modifiable barriers and facilitator of a good death and emphasised the importance of considering the intersection of patient, provider and healthcare system issues in facilitating a good death for patients with heart failure. (C) 2019 Australian College of Nursing Ltd. Published by Elsevier Ltd.
引用
收藏
页码:651 / 665
页数:15
相关论文
共 50 条
  • [31] Clinician barriers and facilitators to heart failure advance care plans: a systematic literature review and qualitative evidence synthesis
    Schichtel, Markus
    Wee, Bee
    MacArtney, John, I
    Collins, Sarah
    BMJ SUPPORTIVE & PALLIATIVE CARE, 2022, 12 (E3) : E451 - E459
  • [32] Healthcare Providers' Perceived Communication Barriers to Offering Palliative Care to Patients With Heart Failure An Integrative Review
    Schallmo, Marianne K.
    Dudley-Brown, Sharon
    Davidson, Patricia M.
    JOURNAL OF CARDIOVASCULAR NURSING, 2019, 34 (02) : E9 - E18
  • [33] Nurses' Perception towards Electronic Medical Records System: An Integrative Review of Barriers and Facilitators
    Maawati, Faniea
    Iswanti, Dwi Indah
    Saifudin, I. Made Moh Vanuar
    Dedi, Blacius
    IRANIAN JOURNAL OF PUBLIC HEALTH, 2025, 54 (01) : 62 - 73
  • [34] An integrative review: adherence barriers to a low-salt diet in culturally diverse heart failure adults
    Chan, Alex
    Kinsman, Leigh
    Elmer, Shandell
    Khanam, Masuma
    AUSTRALIAN JOURNAL OF ADVANCED NURSING, 2018, 36 (01) : 37 - 47
  • [35] Barriers and Facilitators of Pain Self-Management Among Patients with Cancer: An Integrative Review
    Almasri, Batool Mohammed
    McDonald, Deborah Dillon
    PAIN MANAGEMENT NURSING, 2023, 24 (02) : 138 - 150
  • [36] Facilitators and barriers for implementing the integrated behavioural health care model in the USA: An integrative review
    Peer, Yifat
    Koren, Ainat
    INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 2022, 31 (06) : 1300 - 1314
  • [37] Barriers and facilitators to the implementation of nurse’s role in primary care settings: an integrative review
    Erica Busca
    Alessia Savatteri
    Tania Lorenza Calafato
    Beatrice Mazzoleni
    Michela Barisone
    Alberto Dal Molin
    BMC Nursing, 20
  • [38] Barriers and facilitators to healthcare for people without documentation status: A systematic integrative literature review
    Clifford, Namuun
    Blanco, Nancy
    Bang, So Hyeon
    Heitkemper, Elizabeth
    Garcia, Alexandra A.
    JOURNAL OF ADVANCED NURSING, 2023, 79 (11) : 4164 - 4195
  • [39] Barriers and facilitators to the implementation of nurse's role in primary care settings: an integrative review
    Busca, Erica
    Savatteri, Alessia
    Calafato, Tania Lorenza
    Mazzoleni, Beatrice
    Barisone, Michela
    Dal Molin, Alberto
    BMC NURSING, 2021, 20 (01)
  • [40] An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting
    Alexander, Catherine C.
    Tschannen, Dana
    Hays, Deana
    Clouse, Morgan
    Zellefrow, Cindy
    Amer, Kim Siarkowski
    Lambert-Davis, Jacquelyn
    Watson, Tressa Honaas
    Tovar, Elizabeth G.
    Milner, Kerry A.
    JOURNAL OF NURSING CARE QUALITY, 2022, 37 (01) : 94 - 100