Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes.

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  • Additional Information
    • Affiliation:
      Department of Social Sciences and Social Work, Bournemouth University, Poole, UK
      Department of Adult Nursing, Bournemouth University, Poole, UK
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      The demand for high‐quality end‐of‐life care is rising. Frequently evidenced concerns about the provision of end‐of‐life in care homes relate to inter‐disciplinary communication and engagement in advance care planning. A number of interventions employing different mechanisms have been designed to address these issues. Therefore, the aim of this systematic critical realist review was to describe and explain the effectiveness of interventions designed to improve end‐of‐life care in care homes. Electronic searches were conducted in ScienceDirect, MEDLINE, PubMed, PsychINFO, and CINAHL from January 2000 to August 2018. Forty one studies were included in the review. While most of the evidence identified in this review was not strong, there was evidence to suggest that education and inter‐professional collaboration can be effective intervention mechanisms for improving end‐of‐life care in care homes. High staff turnover was a significant contextual mechanism impacting on the sustainability of interventions. In terms of human agency, it is important to note a consistent finding related to the dedication and enthusiasm of care home staff who deliver end‐of‐life care.
    • Journal Subset:
      Asia; Nursing; Peer Reviewed
    • Special Interest:
      Evidence-Based Practice
    • Instrumentation:
      Critical Appraisal Skills Programme
    • ISSN:
      1441-0745
    • MEDLINE Info:
      NLM UID: 100891857
    • Publication Date:
      20200627
    • Publication Date:
      20200627
    • DOI:
      10.1111/nhs.12665
    • Accession Number:
      144222313
  • Citations
    • ABNT:
      SPACEY, A. et al. Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes. Nursing & Health Sciences, [s. l.], v. 22, n. 2, p. 343–354, 2020. DOI 10.1111/nhs.12665. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144222313. Acesso em: 28 set. 2020.
    • AMA:
      Spacey A, Scammell J, Board M, Porter S. Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes. Nursing & Health Sciences. 2020;22(2):343-354. doi:10.1111/nhs.12665
    • APA:
      Spacey, A., Scammell, J., Board, M., & Porter, S. (2020). Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes. Nursing & Health Sciences, 22(2), 343–354. https://doi.org/10.1111/nhs.12665
    • Chicago/Turabian: Author-Date:
      Spacey, Adam, Janet Scammell, Michele Board, and Sam Porter. 2020. “Systematic Critical Realist Review of Interventions Designed to Improve End‐of‐life Care in Care Homes.” Nursing & Health Sciences 22 (2): 343–54. doi:10.1111/nhs.12665.
    • Harvard:
      Spacey, A. et al. (2020) ‘Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes’, Nursing & Health Sciences, 22(2), pp. 343–354. doi: 10.1111/nhs.12665.
    • Harvard: Australian:
      Spacey, A, Scammell, J, Board, M & Porter, S 2020, ‘Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes’, Nursing & Health Sciences, vol. 22, no. 2, pp. 343–354, viewed 28 September 2020, .
    • MLA:
      Spacey, Adam, et al. “Systematic Critical Realist Review of Interventions Designed to Improve End‐of‐life Care in Care Homes.” Nursing & Health Sciences, vol. 22, no. 2, June 2020, pp. 343–354. EBSCOhost, doi:10.1111/nhs.12665.
    • Chicago/Turabian: Humanities:
      Spacey, Adam, Janet Scammell, Michele Board, and Sam Porter. “Systematic Critical Realist Review of Interventions Designed to Improve End‐of‐life Care in Care Homes.” Nursing & Health Sciences 22, no. 2 (June 2020): 343–54. doi:10.1111/nhs.12665.
    • Vancouver/ICMJE:
      Spacey A, Scammell J, Board M, Porter S. Systematic critical realist review of interventions designed to improve end‐of‐life care in care homes. Nursing & Health Sciences [Internet]. 2020 Jun [cited 2020 Sep 28];22(2):343–54. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144222313