Strategien, Richtlinien und Empfehlungen zur Bewältigung der COVID-19-Pandemie in Einrichtungen der Palliativ- und Hospizversorgung. Ergebnisse eines Scoping-Reviews

Wahidie, Diana; Altinok, Kübra; Yılmaz-Aslan, Yüce; Brzoska, Patrick

doi:10.1007/s00391-022-02016-8

Cited by 4 publications

(7 citation statements)

References 57 publications

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“…Saying goodbye together provides resources of mutual emotional support, which in many cases was not available during the pandemic. The reported needs of the relatives are in line with results from other studies and are also reflected in recommendations in national and international guidelines [3,6,17,26,27].…”

Section: Discussionsupporting

confidence: 86%

“…Since face-to-face interaction between patients, families, and health care staff may be limited as a result of infection control measures, alternative communication methods need to be used [19]. Different guidelines exist aiming to assist health care facilities with implementation [3,28,29]. Visits by relatives play an important role, particularly in end-of-life care, for both patients as well relatives themselves and should, therefore, be facilitated during pandemics and balanced with measures of infection control [30].…”

Section: Discussionmentioning

confidence: 99%

“…Patients in these health care settings are at an increased risk for a severe course of COVID-19 because of existing co-morbidity and often advanced age [2]. To address the pandemic, different infection control measures were implemented by facilities, including visitation bans and other forms of contact restrictions [3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Strategies Addressing the Challenges of the COVID-19 Pandemic in Long-Term, Palliative and Hospice Care: A Qualitative Study on the Perspectives of Patients’ Family Members

Pacolli

Wahidie

Erdogdu

et al. 2022

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Patients in long-term, palliative, and hospice care are at increased risk of a severe course of COVID-19. For purposes of infection control, different strategies have been implemented by the respective health care facilities, also comprising visitation and other forms of contact restrictions. The aim of the present study was to examine how these strategies are perceived by family members of patients in these settings. An exploratory, qualitative approach was used to examine perceptions of policies and strategies using partially standardized guided interviews analyzed by means of a thematic approach. Interviews were conducted with 10 family members of long-term, palliative, and hospice care patients. Interviewees were between 30 and 75 years old. Because of the pandemic-related measures, respondents felt that their basic rights were restricted. Results indicate that perceptions of strategies and interventions in long-term, palliative, and hospice care facilities are particularly influenced by the opportunity to visit and the number of visitors allowed. Strict bans on visits, particularly during end-of-life care, are associated with a strong emotional burden for patients and family members alike. Aside from sufficient opportunities for visits, virtual communication technologies need to be utilized to facilitate communication between patients, families, and caregivers.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Strategies Addressing the Challenges of the COVID-19 Pandemic in Long-Term, Palliative and Hospice Care: A Qualitative Study on the Perspectives of Patients’ Family Members

Pacolli

Wahidie

Erdogdu

et al. 2022

Reports

Self Cite

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“…The study selection process is summarised in figure 1. Following the screening process, 58 of the 674 identified studies were considered for inclusion, and subsequently, a further 51 studies were excluded because they were not related to ACP,19–56 not review articles57–64 and encompassed pre-pandemic studies 65–69. Finally, we included seven studies—two systematic reviews,70 71 three scoping reviews,7 72 73 one narrative review74 and one critical realist review 75…”

Section: Resultsmentioning

confidence: 99%

Barriers to and facilitators of advance care planning implementation for medical staff after the COVID-19 pandemic: an overview of reviews

Inokuchi,

Hanari,

Shimada

et al. 2023

BMJ Open

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ObjectiveThe COVID-19 pandemic has impacted the capacity for advance care planning (ACP) among patients, families and healthcare teams. We sought to identify and review the barriers to and facilitators of ACP implementation for medical staff in different settings (eg, hospitals, outpatient palliative care, nursing and care homes) during the pandemic.DesignThis study employed an overview of reviews design. We searched the MEDLINE, CENTRAL, Web of Science and Embase databases for studies published between 8 December 2019 and 30 July 2023. We used AMSTAR 2 to assess the risk of bias.ResultsWe included seven reviews. Common barriers to ACP implementation included visitation restrictions, limited resources and personnel and a lack of coordination among healthcare professionals. In care and nursing homes, barriers included a dearth of palliative care physicians and the psychological burden on facility staff. Using telemedicine for information sharing was a common facilitator across settings. In hospitals, facilitators included short-term training in palliative care and palliative care physicians joining the acute care team. In care and nursing homes, facilitators included ACP education and emotional support for staff.ConclusionsVisitation restrictions and limited resources during the pandemic posed obstacles; however, the implementation of ACP was further hindered by insufficient staff education on ACP in hospitals and facilities, as well as a scarcity of information sharing at the community level. These pre-existing issues were magnified by the pandemic, drawing attention to their significance. Short-term staff training programmes and immediate information sharing could better enable ACP.PROSPERO registration numberCRD42022351362.

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“…To prepare for future pandemics, we must institute planning that incorporates corpse management and considers related ethical aspects. 52 During the beginning stages of the approach, guideline/guidance developers must listen to stakeholders and address their diverse views to identify potential issues in each country/region/community, aiming to create better guidelines/guidance. This study will provide further insight into the use of body bags for COVID-19 patients and encourage guideline/guidance developers or policymakers to consider the perspectives of each individual affected by their use.…”

Section: Discussionmentioning

confidence: 99%

Challenges of using body bags for COVID-19 deaths from the healthcare provider perspective – a qualitative study

Toyama,

Mori,

Kuriyama

et al. 2024

BMJ Open Qual

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BackgroundDuring the COVID-19 pandemic, numerous issues regarding end-of-life care for COVID-19 patients have been discussed. Among these issues, challenges related to the use of body bags following the death of COVID-19 patients have been suggested. This study aimed to identify the challenges faced by healthcare professionals (HCPs) when using body bags after the death of patients infected with COVID-19 in medical settings.MethodsWe conducted a qualitative descriptive study with semistructured in-depth interviews using inductive thematic analysis. From August to December 2021, we interviewed nurses and doctors who provided end-of-life care to COVID-19 patients focusing on their experiences with the use of body bags for the deceased.ResultsOf the 25 interviewees who mentioned body bag use, 14 were nurses (56%) and 13 were women (52%). The mean interview length was 52.0 min (SD 9.6 min). Challenges associated with body bag use were classified into four themes with eight categories: preserving the dignity of the deceased, consideration for the bereaved saying a final goodbye to a loved one in a body bag, the physical and emotional impact on HCPs, and diverse opinions on body bag use.ConclusionOur findings include ethical concerns about the dignity of the deceased, empathy for the grief of bereaved families, and the emotional and physical distress experienced by HCPs struggling with the recommendation to use body bags based on limited evidence. The diverse perspectives of HCPs in this study highlight potential issues that developers should consider when formulating more appropriate and acceptable guidelines/guidance and policies.

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Strategien, Richtlinien und Empfehlungen zur Bewältigung der COVID-19-Pandemie in Einrichtungen der Palliativ- und Hospizversorgung. Ergebnisse eines Scoping-Reviews

Cited by 4 publications

References 57 publications

Strategies Addressing the Challenges of the COVID-19 Pandemic in Long-Term, Palliative and Hospice Care: A Qualitative Study on the Perspectives of Patients’ Family Members

Strategies Addressing the Challenges of the COVID-19 Pandemic in Long-Term, Palliative and Hospice Care: A Qualitative Study on the Perspectives of Patients’ Family Members

Barriers to and facilitators of advance care planning implementation for medical staff after the COVID-19 pandemic: an overview of reviews

Challenges of using body bags for COVID-19 deaths from the healthcare provider perspective – a qualitative study

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