پایان زندگی در بخش اورژانس
توسعه ابزار حسابرسی پایان زندگی در بخش اورژانس
- پایگاه ساینس دایرکت Elsevier - ScienceDirect
توسعه ابزار حسابرسی پایان زندگی در بخش اورژانس: یک بررسی کلی
Development of an Emergency Department end of life audit tool: A scoping review
منتشر شده در پایگاه ساینس دایرکت Elsevier – ScienceDirect مجله بین المللی پیشرفت های مطالعات پرستاری
چکیده انگلیسی
Introduction
Emergency departments frequently care for patients at the end of life and should have robust processes for reviewing delivery of care. The aim of this scoping review is to examine and collate the chart audit tools available to assess the quality of end of life care of patients who die in the emergency department, or, in the subsequent hospital admission.
Methods
A scoping review of the literature using the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) guidelines, and the methodological framework outlined by Arksey and O’Malley was conducted. Primary and secondary research, along with grey literature were searched. Both adult and paediatric populations were included. Databases Ovid Emcare, CINAHL and Medline were searched from 1961 to December 2022; followed by screening and appraisal. Articles were compared and data synthesised into categories.
Results
Fifty-eight articles were included generating three categories; contexts for end of life audit use, development and evaluation of audit tools, and audit characteristics / components. Four tools focused on the emergency department, however, did not comprehensively review both end of life and emergency department specific data. A draft audit tool for the emergency department was developed that consisted of the common elements to evaluate end of life care as identified in this review, emergency department-specific quality of care measures and the integration of the Criteria for Screening and Triaging to Appropriate aLternative care (CriSTAL) tool.
Conclusion
No audit tool to comprehensively review end of life care provided for patients at the end of life in the emergency department was found. We developed an audit tool based on best available evidence that now needs testing for validity, feasibility, and usability to evaluate end of life in the emergency department setting is required.
ناشر :
Database: Elsevier – ScienceDirect (ساینس دایرکت)
در مورد مجله :
مجله بینالمللی پیشرفتهای مطالعات پرستاری (IJNS Advances) یک مجله با دسترسی آزاد است که تحقیقات، بررسیها و بحثهای اصلی عالی مربوط به پرستاری، مامایی و سایر حرفههای مرتبط با سلامت را در سراسر جهان منتشر میکند. این عنوان همراه برای اینترنیتی محترم است…
Received 4 October 2022, Revised 14 May 2023, Accepted 12 July 2023, Available online 14 July 2023
نویسندگان :
Melissa Heufel Sarah Kourouche Kate Curtis