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The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review

BACKGROUND: Access to community palliative care ‘out-of-hours’ – defined as care provided after the normal hours of work – is advocated globally. Healthcare assistants, who provide care under the direction of a qualified professional, are increasingly employed to help deliver such care, yet there is...

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Autores principales: Fee, Anne, Muldrew, Deborah, Slater, Paul, Payne, Sheila, McIlfatrick, Sonja, McConnell, Tracey, Finlay, Dori-Anne, Hasson, Felicity
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7448826/
https://www.ncbi.nlm.nih.gov/pubmed/32538311
http://dx.doi.org/10.1177/0269216320929559
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author Fee, Anne
Muldrew, Deborah
Slater, Paul
Payne, Sheila
McIlfatrick, Sonja
McConnell, Tracey
Finlay, Dori-Anne
Hasson, Felicity
author_facet Fee, Anne
Muldrew, Deborah
Slater, Paul
Payne, Sheila
McIlfatrick, Sonja
McConnell, Tracey
Finlay, Dori-Anne
Hasson, Felicity
author_sort Fee, Anne
collection PubMed
description BACKGROUND: Access to community palliative care ‘out-of-hours’ – defined as care provided after the normal hours of work – is advocated globally. Healthcare assistants, who provide care under the direction of a qualified professional, are increasingly employed to help deliver such care, yet there is a little understanding regarding their role, responsibilities or contribution. AIM: The aim of this study was to identify the roles, responsibilities and contributions of healthcare assistants in out-of-hours community palliative care. DESIGN: Scoping review DATA SOURCES: Five bibliographic databases (CINAHL, MEDLINE, EMBASE, PsycINFO and Scopus) and grey literature were searched using a predefined search strategy. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews statement. RESULTS: The search yielded six papers using quantitative, qualitative and mixed methods. Results highlighted a lack of recognition of the role and contribution of healthcare assistants. A concurrent theme was that healthcare assistants continually monitored and responded to patient’s and family’s physical and emotional needs; there was also self-reported evidence indicating patient and family benefit, such as maintaining a sense of normality and support to remain at home. DISCUSSION: This review highlighted a dearth of evidence relating to the healthcare assistant role in out-of-hours palliative care. Limited evidence suggests they play a role, but that it is hidden and undervalued. Such invisibility will have a significant impact on the planning and delivery of out-of-hours palliative care. Future research is needed on role development for the benefit of patients and caregivers.
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spelling pubmed-74488262020-09-04 The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review Fee, Anne Muldrew, Deborah Slater, Paul Payne, Sheila McIlfatrick, Sonja McConnell, Tracey Finlay, Dori-Anne Hasson, Felicity Palliat Med Review Articles BACKGROUND: Access to community palliative care ‘out-of-hours’ – defined as care provided after the normal hours of work – is advocated globally. Healthcare assistants, who provide care under the direction of a qualified professional, are increasingly employed to help deliver such care, yet there is a little understanding regarding their role, responsibilities or contribution. AIM: The aim of this study was to identify the roles, responsibilities and contributions of healthcare assistants in out-of-hours community palliative care. DESIGN: Scoping review DATA SOURCES: Five bibliographic databases (CINAHL, MEDLINE, EMBASE, PsycINFO and Scopus) and grey literature were searched using a predefined search strategy. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews statement. RESULTS: The search yielded six papers using quantitative, qualitative and mixed methods. Results highlighted a lack of recognition of the role and contribution of healthcare assistants. A concurrent theme was that healthcare assistants continually monitored and responded to patient’s and family’s physical and emotional needs; there was also self-reported evidence indicating patient and family benefit, such as maintaining a sense of normality and support to remain at home. DISCUSSION: This review highlighted a dearth of evidence relating to the healthcare assistant role in out-of-hours palliative care. Limited evidence suggests they play a role, but that it is hidden and undervalued. Such invisibility will have a significant impact on the planning and delivery of out-of-hours palliative care. Future research is needed on role development for the benefit of patients and caregivers. SAGE Publications 2020-06-15 2020-09 /pmc/articles/PMC7448826/ /pubmed/32538311 http://dx.doi.org/10.1177/0269216320929559 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Articles
Fee, Anne
Muldrew, Deborah
Slater, Paul
Payne, Sheila
McIlfatrick, Sonja
McConnell, Tracey
Finlay, Dori-Anne
Hasson, Felicity
The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review
title The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review
title_full The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review
title_fullStr The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review
title_full_unstemmed The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review
title_short The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review
title_sort roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: a systematic scoping review
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7448826/
https://www.ncbi.nlm.nih.gov/pubmed/32538311
http://dx.doi.org/10.1177/0269216320929559
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