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The role of healthcare support workers in providing palliative and end-of-life care in the community

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The role of healthcare support workers in providing palliative and end-of-life care in the community : a systematic literature review. / Herber, Oliver R.; Johnston, Bridget M.

In: Health and Social Care in the Community, Vol. 21, No. 3, 05.2013, p. 225-235.

Research output: Contribution to journalArticle

Harvard

Herber, OR & Johnston, BM 2013, 'The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review' Health and Social Care in the Community, vol 21, no. 3, pp. 225-235., 10.1111/j.1365-2524.2012.01092.x

APA

Herber, O. R., & Johnston, B. M. (2013). The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review. Health and Social Care in the Community, 21(3), 225-235. 10.1111/j.1365-2524.2012.01092.x

Vancouver

Herber OR, Johnston BM. The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review. Health and Social Care in the Community. 2013 May;21(3):225-235. Available from: 10.1111/j.1365-2524.2012.01092.x

Author

Herber, Oliver R.; Johnston, Bridget M. / The role of healthcare support workers in providing palliative and end-of-life care in the community : a systematic literature review.

In: Health and Social Care in the Community, Vol. 21, No. 3, 05.2013, p. 225-235.

Research output: Contribution to journalArticle

Bibtex - Download

@article{656c6a59ec684af38e190e0ea665c097,
title = "The role of healthcare support workers in providing palliative and end-of-life care in the community: a systematic literature review",
keywords = "Health Care Support Workers, Certified nursing assistant, Community setting, End-of-life care, Literature review, Palliative care",
author = "Herber, {Oliver R.} and Johnston, {Bridget M.}",
year = "2013",
doi = "10.1111/j.1365-2524.2012.01092.x",
volume = "21",
number = "3",
pages = "225--235",
journal = "Health and Social Care in the Community",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - The role of healthcare support workers in providing palliative and end-of-life care in the community

T2 - a systematic literature review

A1 - Herber,Oliver R.

A1 - Johnston,Bridget M.

AU - Herber,Oliver R.

AU - Johnston,Bridget M.

PY - 2013/5

Y1 - 2013/5

N2 - Despite the widespread use of Health Care Support Workers (HCSWs) in providing palliative and end-of-life care, there is little information available about their contributions towards supporting patients who want to be cared for at home or to die at home. Between January and April 2011, a systematic review was conducted to address two questions: (i) What particular tasks/roles do HCSWs perform when caring for people at the end of life and their families to comply with their desire to remain at home?; (ii) What are the challenges and supporting factors that influence HCSWs' ability to provide palliative and end-of-life care in the community? Databases searched for relevant articles published between 1990 until April 2011 included CINAHL, EMBASE, PsychINFO, British Nursing Index, Web of Science, Medline and ASSIA. In total, 1695 papers were identified and their titles and abstracts were read. Ten papers met the eligibility criteria of the study. After the methodological quality of the studies was appraised, nine papers were included in the review. Judgements regarding eligibility and quality were undertaken independently by the authors. The findings indicate that HCSWs invest a great deal of their time on emotional and social support as well as on assisting in the provision of personal care. They are also involved in providing care for the dying, respite care for family members and offer domestic support. Although it is important to acknowledge the many positive aspects that HCSWs provide, the findings suggest three challenges in the HCSWs role: emotional attachment, role ambiguity and inadequate training. Support factors such as informal peer grief-support groups, sense of cohesiveness among HCSWs and task orientation enabled HCSWs to overcome these challenges. To conclude, induction and training programmes, a defined period of preceptorship, appropriate support, supervision and clearly defined role boundaries may be helpful in reducing the challenges identified in HCSWs' roles.

AB - Despite the widespread use of Health Care Support Workers (HCSWs) in providing palliative and end-of-life care, there is little information available about their contributions towards supporting patients who want to be cared for at home or to die at home. Between January and April 2011, a systematic review was conducted to address two questions: (i) What particular tasks/roles do HCSWs perform when caring for people at the end of life and their families to comply with their desire to remain at home?; (ii) What are the challenges and supporting factors that influence HCSWs' ability to provide palliative and end-of-life care in the community? Databases searched for relevant articles published between 1990 until April 2011 included CINAHL, EMBASE, PsychINFO, British Nursing Index, Web of Science, Medline and ASSIA. In total, 1695 papers were identified and their titles and abstracts were read. Ten papers met the eligibility criteria of the study. After the methodological quality of the studies was appraised, nine papers were included in the review. Judgements regarding eligibility and quality were undertaken independently by the authors. The findings indicate that HCSWs invest a great deal of their time on emotional and social support as well as on assisting in the provision of personal care. They are also involved in providing care for the dying, respite care for family members and offer domestic support. Although it is important to acknowledge the many positive aspects that HCSWs provide, the findings suggest three challenges in the HCSWs role: emotional attachment, role ambiguity and inadequate training. Support factors such as informal peer grief-support groups, sense of cohesiveness among HCSWs and task orientation enabled HCSWs to overcome these challenges. To conclude, induction and training programmes, a defined period of preceptorship, appropriate support, supervision and clearly defined role boundaries may be helpful in reducing the challenges identified in HCSWs' roles.

KW - Health Care Support Workers

KW - Certified nursing assistant

KW - Community setting

KW - End-of-life care

KW - Literature review

KW - Palliative care

U2 - 10.1111/j.1365-2524.2012.01092.x

DO - 10.1111/j.1365-2524.2012.01092.x

M1 - Article

JO - Health and Social Care in the Community

JF - Health and Social Care in the Community

IS - 3

VL - 21

SP - 225

EP - 235

ER -

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