ICU sedation, delirium & recovery

Implementing palliative care in the intensive care unit: a systematic review and mapping of knowledge to the implementation research logic model

Intensive Care MedPublished Systematic review

Study context

Population
Studies of intensive care units (ICU)-based palliative care (primary and/or specialist) interventions
Participants
84 studies
Outcome
Implementation factors of ICU-PC interventions
Methodological detailsmapping to adapted implementation research logic model (IRLM), Searches up to 2nd December 2023 of MEDLINE, Embase, Cochrane, CINAHL, PsycINFO
  • Mapping to adapted implementation research logic model (IRLM)
  • Searches up to 2nd December 2023 of MEDLINE, Embase, Cochrane, CINAHL, PsycINFO

Pooled result

As reported in the abstract

  • Reporting on implementation factors variable and often lacking, especially patient/family-related determinants and all aspects of mechanisms
  • Main facilitators: adequate resources and collaboration between palliative care (PC) and ICU teams
  • Main barriers: lack of resources, negative perceptions of PC, high ICU acuity
  • Strategies: auditing resources, building stakeholder collaboratives, adaptable interventions, champions, supporting education
  • Mechanisms most commonly worked by facilitating collaborative working
  • 8 process evaluations, 76 effectiveness studies

Original publication

Implementing palliative care in the intensive care unit: a systematic review and mapping of knowledge to the implementation research logic model. Intensive Care Med. Published 12 September 2024. doi:10.1007/s00134-024-07623-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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