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Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review

BACKGROUND: A growing global shortage of health workers is limiting access to health care, especially in resource-limited countries. Family participation in hospital care could enhance care while tackling health worker shortages. With the same resources, it might deliver additional and more personal...

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Autores principales: Determeijer, Jim J, Leopold, Stije J, Spijker, René, Agyemang, Charles, van Vugt, Michèle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Society of Global Health 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9853090/
https://www.ncbi.nlm.nih.gov/pubmed/36655879
http://dx.doi.org/10.7189/13.04005
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author Determeijer, Jim J
Leopold, Stije J
Spijker, René
Agyemang, Charles
van Vugt, Michèle
author_facet Determeijer, Jim J
Leopold, Stije J
Spijker, René
Agyemang, Charles
van Vugt, Michèle
author_sort Determeijer, Jim J
collection PubMed
description BACKGROUND: A growing global shortage of health workers is limiting access to health care, especially in resource-limited countries. Family participation in hospital care could enhance care while tackling health worker shortages. With the same resources, it might deliver additional and more personalised care. This review assessed the effect and safety of family participation interventions in the care of hospitalised adults in resource-limited settings and, ultimately, if it is a viable strategy to tackle health worker shortages. METHODS: For this systematic review, Medline, Embase, CINAHL and the Global Health Library were searched from inception till April 7, 2022. Clinical studies were included if they described a family participation intervention for hospitalised adults, were performed in a low- or middle-income country and reported on a patient-related outcome. Data were collected on patient, family, staff and health service-related outcomes. Risk of bias was assessed with the ROB2 and ROBINS-I tool. RESULTS: From 4444 studies, six were included for narrative synthesis, with a total of 1794 participants. Four studies were performed in Asia and two in Africa; all were published between 2017 and 2022. In-hospital family participation interventions aimed at medication administration and adherence, delirium prevention, and palliative cancer care were successful in significantly improving patient outcomes. Involving family in post-stroke rehabilitation interventions showed no significant effect on mortality and long-term disability. Few data were reported on participating family members’ outcomes or hospital staffing issues. None of the included studies showed harm from family participation. CONCLUSIONS: The limited data suggest that family participation can be effective and safe in specific contexts. However, more research is needed to determine the effect of family participation and justify further implementation. Family participation research for enhancing care while tackling health worker shortages should be a collaborative priority of researchers, health care professionals, funding agencies and policymakers. REGISTRATION: PROSPERO registration No. CRD42020205878.
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spelling pubmed-98530902023-01-31 Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review Determeijer, Jim J Leopold, Stije J Spijker, René Agyemang, Charles van Vugt, Michèle J Glob Health Articles BACKGROUND: A growing global shortage of health workers is limiting access to health care, especially in resource-limited countries. Family participation in hospital care could enhance care while tackling health worker shortages. With the same resources, it might deliver additional and more personalised care. This review assessed the effect and safety of family participation interventions in the care of hospitalised adults in resource-limited settings and, ultimately, if it is a viable strategy to tackle health worker shortages. METHODS: For this systematic review, Medline, Embase, CINAHL and the Global Health Library were searched from inception till April 7, 2022. Clinical studies were included if they described a family participation intervention for hospitalised adults, were performed in a low- or middle-income country and reported on a patient-related outcome. Data were collected on patient, family, staff and health service-related outcomes. Risk of bias was assessed with the ROB2 and ROBINS-I tool. RESULTS: From 4444 studies, six were included for narrative synthesis, with a total of 1794 participants. Four studies were performed in Asia and two in Africa; all were published between 2017 and 2022. In-hospital family participation interventions aimed at medication administration and adherence, delirium prevention, and palliative cancer care were successful in significantly improving patient outcomes. Involving family in post-stroke rehabilitation interventions showed no significant effect on mortality and long-term disability. Few data were reported on participating family members’ outcomes or hospital staffing issues. None of the included studies showed harm from family participation. CONCLUSIONS: The limited data suggest that family participation can be effective and safe in specific contexts. However, more research is needed to determine the effect of family participation and justify further implementation. Family participation research for enhancing care while tackling health worker shortages should be a collaborative priority of researchers, health care professionals, funding agencies and policymakers. REGISTRATION: PROSPERO registration No. CRD42020205878. International Society of Global Health 2023-01-20 /pmc/articles/PMC9853090/ /pubmed/36655879 http://dx.doi.org/10.7189/13.04005 Text en Copyright © 2023 by the Journal of Global Health. All rights reserved. https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Articles
Determeijer, Jim J
Leopold, Stije J
Spijker, René
Agyemang, Charles
van Vugt, Michèle
Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review
title Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review
title_full Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review
title_fullStr Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review
title_full_unstemmed Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review
title_short Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review
title_sort family participation to enhance care and tackle health worker shortages in resource-limited hospitals: a systematic review
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9853090/
https://www.ncbi.nlm.nih.gov/pubmed/36655879
http://dx.doi.org/10.7189/13.04005
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