Gaps in Hospice and Palliative Care Research: A Scoping Review of the North American Literature.


Journal

Journal of aging research
ISSN: 2090-2204
Titre abrégé: J Aging Res
Pays: United States
ID NLM: 101543460

Informations de publication

Date de publication:
2020
Historique:
received: 10 05 2020
revised: 07 09 2020
accepted: 16 09 2020
entrez: 18 11 2020
pubmed: 19 11 2020
medline: 19 11 2020
Statut: epublish

Résumé

The demand for hospice and palliative care is growing as a result of the increase of an aging population, which is most prominent in North America. Despite the importance of the topic and an increase in hospice and palliative care utilization, there still are gaps in research and evidence within the field. To determine what gaps currently exist in hospice and palliative/end-of-life care research within the context of a North American setting to ensure that future directions are grounded in appropriate evidence. Using Arksey and O'Malley's scoping review framework, six peer-reviewed, and four grey electronic literature databases in healthcare and the social sciences were searched in mid-2019. 111 full-text articles were retrieved, with 25 articles and reports meeting the inclusion criteria. Major themes were identified through thematic context analysis: (1) clinical, (2) system access to care, (3) research methodology, and (4) caregiving-related research gaps. Findings include strategies for engaging stakeholder organizations and funding agencies, implications for other stakeholder groups such as clinicians and researchers, and highlight implications for policy (e.g., national framework discussion) and practice (e.g., healthcare provider education and training and public awareness). Reviewing and addressing targeted research gaps is essential to inform future directions in Canada and beyond.

Sections du résumé

BACKGROUND BACKGROUND
The demand for hospice and palliative care is growing as a result of the increase of an aging population, which is most prominent in North America. Despite the importance of the topic and an increase in hospice and palliative care utilization, there still are gaps in research and evidence within the field.
AIM OBJECTIVE
To determine what gaps currently exist in hospice and palliative/end-of-life care research within the context of a North American setting to ensure that future directions are grounded in appropriate evidence.
METHODS METHODS
Using Arksey and O'Malley's scoping review framework, six peer-reviewed, and four grey electronic literature databases in healthcare and the social sciences were searched in mid-2019. 111 full-text articles were retrieved, with 25 articles and reports meeting the inclusion criteria. Major themes were identified through thematic context analysis: (1) clinical, (2) system access to care, (3) research methodology, and (4) caregiving-related research gaps.
RESULTS RESULTS
Findings include strategies for engaging stakeholder organizations and funding agencies, implications for other stakeholder groups such as clinicians and researchers, and highlight implications for policy (e.g., national framework discussion) and practice (e.g., healthcare provider education and training and public awareness).
CONCLUSION CONCLUSIONS
Reviewing and addressing targeted research gaps is essential to inform future directions in Canada and beyond.

Identifiants

pubmed: 33204532
doi: 10.1155/2020/3921245
pmc: PMC7661142
doi:

Types de publication

Journal Article

Langues

eng

Pagination

3921245

Informations de copyright

Copyright © 2020 Rebecca Antonacci et al.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

Références

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Auteurs

Rebecca Antonacci (R)

Institute for Life Course and Aging, Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Suite 238, Toronto, Ontario M5S 1V4, Canada.
National Initiative for the Care of the Elderly, 246 Bloor Street West, Suite 234, Toronto, Ontario M4S 1V4, Canada.

Carol Barrie (C)

Canadian Frailty Network, Kidd House, 100 Stuart Street, Kingston, Ontario K7L 3N6, Canada.
Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.

Sharon Baxter (S)

Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.
Canadian Hospice Palliative Care Association, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.

Sarah Chaffey (S)

Institute for Life Course and Aging, Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Suite 238, Toronto, Ontario M5S 1V4, Canada.

Srini Chary (S)

Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.
Pallium Canada, 75 Bruyère Street, Ottawa, Ontario K1N 5C7, Canada.

Pamela Grassau (P)

School of Social Work, Carleton University, Dunton Tower, 1125 Colonel By Drive, Suite 509, Ottawa, Ontario K1S 5B6, Canada.

Chad Hammond (C)

Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.
Canadian Hospice Palliative Care Association, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.

Mehrnoush Mirhosseini (M)

Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.
Faculty of Medicine and Dentistry, University of Alberta, College Plaza, 112 Street, Suite 205, Edmonton, Alberta T6G 2R3, Canada.

Raza M Mirza (RM)

Institute for Life Course and Aging, Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Suite 238, Toronto, Ontario M5S 1V4, Canada.
National Initiative for the Care of the Elderly, 246 Bloor Street West, Suite 234, Toronto, Ontario M4S 1V4, Canada.

Kate Murzin (K)

Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.
Realize, 1240 Bay Street, Suite 600, Toronto, Ontario M5R 2A7, Canada.

Christopher A Klinger (CA)

National Initiative for the Care of the Elderly, 246 Bloor Street West, Suite 234, Toronto, Ontario M4S 1V4, Canada.
Quality End-of-Life Care Coalition of Canada, Annex D, Saint-Vincent Hospital, 60 Cambridge Street North, Ottawa, Ontario K1R 7A5, Canada.
Pallium Canada, 75 Bruyère Street, Ottawa, Ontario K1N 5C7, Canada.

Classifications MeSH