Exploring the quality of the dying and death experience in the Emergency Department: An integrative literature review

McCallum, KJ; Jackson, D; Walthall, H; Aveyard, H

Exploring the quality of the dying and death experience in the Emergency Department: An integrative literature review

McCallum, KJ Jackson, D

Walthall, H Aveyard, H

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Publication Type:: Journal Article
Citation:: International Journal of Nursing Studies, 2018, 85 pp. 106 - 117
Issue Date:: 2018-09-01

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Field	Value	Language
dc.contributor.author	McCallum, KJ	en_US
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325	en_US
dc.contributor.author	Walthall, H	en_US
dc.contributor.author	Aveyard, H	en_US
dc.date.available	2020-05-25T19:07:30Z
dc.date.issued	2018-09-01	en_US
dc.identifier.citation	International Journal of Nursing Studies, 2018, 85 pp. 106 - 117	en_US
dc.identifier.issn	0020-7489	en_US
dc.identifier.uri	http://hdl.handle.net/10453/127076
dc.description.abstract	© 2018 Elsevier Ltd Aim: The aim of this integrative literature review was to explore the quality of the dying and death experience in the Emergency Department from the perspective of staff and carers. Background: Death in the Emergency Department is common. Understanding the quality of the death and dying experience of patients and their family members is crucial to building knowledge and improving care. Design: Systematic integrative literature review reported following the PRISMA guidelines. Data sources: Pubmed, Cumulative Index to Nursing and Allied Health Literature, Magonline (internurse), and the Cochrane library. Articles used were published in English during 1990- 2017. Review method: Appraisal and thematic analysis. Results: Sixteen articles are included. Eight themes emerged from the literature: care in the Emergency Department is about living not dying, staff perceive that death is a failure, staff feel underprepared to care for the dying patient and family in this environment, there is limited time for safe standards of care, staff stress and distress, staff use of distancing behaviours, the care of the dying role is devolved from medics to nurses at the end of life, and patients and staff perceive that the Emergency Department is not the preferred place of death Conclusion: There are areas of concern about end of life care in the Emergency Department. To improve practice and to ensure that a good death occurs, further research is needed. There is a need to understand more about the experience of caregivers when a relative or friend dies in the Emergency Department.	en_US
dc.relation.ispartof	International Journal of Nursing Studies	en_US
dc.relation.isbasedon	10.1016/j.ijnurstu.2018.05.011	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Death	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Attitude to Death	en_US
dc.subject.mesh	Family	en_US
dc.subject.mesh	Personnel, Hospital	en_US
dc.subject.mesh	Inpatients	en_US
dc.subject.mesh	Emergency Service, Hospital	en_US
dc.title	Exploring the quality of the dying and death experience in the Emergency Department: An integrative literature review	en_US
dc.type	Journal Article
utslib.citation.volume	85	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	85	en_US

Abstract:

© 2018 Elsevier Ltd Aim: The aim of this integrative literature review was to explore the quality of the dying and death experience in the Emergency Department from the perspective of staff and carers. Background: Death in the Emergency Department is common. Understanding the quality of the death and dying experience of patients and their family members is crucial to building knowledge and improving care. Design: Systematic integrative literature review reported following the PRISMA guidelines. Data sources: Pubmed, Cumulative Index to Nursing and Allied Health Literature, Magonline (internurse), and the Cochrane library. Articles used were published in English during 1990- 2017. Review method: Appraisal and thematic analysis. Results: Sixteen articles are included. Eight themes emerged from the literature: care in the Emergency Department is about living not dying, staff perceive that death is a failure, staff feel underprepared to care for the dying patient and family in this environment, there is limited time for safe standards of care, staff stress and distress, staff use of distancing behaviours, the care of the dying role is devolved from medics to nurses at the end of life, and patients and staff perceive that the Emergency Department is not the preferred place of death Conclusion: There are areas of concern about end of life care in the Emergency Department. To improve practice and to ensure that a good death occurs, further research is needed. There is a need to understand more about the experience of caregivers when a relative or friend dies in the Emergency Department.

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http://hdl.handle.net/10453/127076