2017
DOI: 10.1111/jan.13368
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Uncovering the decision‐making work of transferring dying patients home from critical care units: An integrative review

Abstract: The practice of transferring patients home to die and its decision-making varies internationally and is usually influenced by the care system, culture or religion. It is less common to transfer patients home to die from critical care units in western societies. A better understanding of the decision-making work was obtained but mainly from the perspective of hospital-based healthcare professionals. Further research is needed to develop decision-making practice guidance to facilitate patients' wishes to die at … Show more

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Cited by 10 publications
(5 citation statements)
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“…Despite all the reported benefits, most hospitalized individuals who are near the end of life do not receive palliative consultations. A review on transfer decision-making between settings noted that palliative care was often involved in transfer discussions 39 and further investigation showed the involvement of palliative care was associated with a decrease in the amount of patient transitions between settings. 40 Moving a terminally ill patient is a multi-faceted process and each individual may face unique challenges.…”
Section: Discussionmentioning
confidence: 99%
“…Despite all the reported benefits, most hospitalized individuals who are near the end of life do not receive palliative consultations. A review on transfer decision-making between settings noted that palliative care was often involved in transfer discussions 39 and further investigation showed the involvement of palliative care was associated with a decrease in the amount of patient transitions between settings. 40 Moving a terminally ill patient is a multi-faceted process and each individual may face unique challenges.…”
Section: Discussionmentioning
confidence: 99%
“…The diverse designs in the studies included in the review prevented the use of a single appraisal tool (Lin, Myall, & Jarrett, ). Therefore, in this theoretical review, articles were divided into three groups: conceptual sources, qualitative studies and mixed‐method studies.…”
Section: The Reviewmentioning
confidence: 99%
“…The diverse designs in the studies included in the review prevented the use of a single appraisal tool (Lin, Myall, & Jarrett, 2017).…”
Section: Quality Appraisalmentioning
confidence: 99%
“…Researchers have successfully adapted this method to integrate research, as it allows diverse primary sources and multiple perspectives to be combined to gain an in‐depth understanding of a complex phenomenon. This review was conducted in a systematic manner that applied detailed, rigorous and explicit strategies to identifying research questions, searches, developing inclusion and exclusion criteria, appraising and synthesizing data and presenting results (Lin, Myall, & Jarrett, , p. 2866).…”
Section: The Reviewmentioning
confidence: 99%
“…Checklists were used to aid critical considerations of the evidence but scores are not provided since the approaches are not treated equally, making the scores meaningless (e.g. Lin et al., ). Two researchers (KA, TF) independently assessed the studies and discussed and resolved any uncertainty.…”
Section: The Reviewmentioning
confidence: 99%