Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review
Objective To identify the factors that shape and characterise experiences of prehospital practitioners (PHPs), families and bystanders in the context of death and dying outside of the hospital environment where PHPs respond.Design A scoping review using Arksey and O’Malley’s five-stage framework. Pa...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2020-09-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/9/e036925.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841554284520407040 |
|---|---|
| author | Alison Richardson Michelle Myall Helen Pocock Robert Crouch Charles Deakin Susi Lund Alison Rowsell Mick Arber Joanne Turnbull |
| author_facet | Alison Richardson Michelle Myall Helen Pocock Robert Crouch Charles Deakin Susi Lund Alison Rowsell Mick Arber Joanne Turnbull |
| author_sort | Alison Richardson |
| collection | DOAJ |
| description | Objective To identify the factors that shape and characterise experiences of prehospital practitioners (PHPs), families and bystanders in the context of death and dying outside of the hospital environment where PHPs respond.Design A scoping review using Arksey and O’Malley’s five-stage framework. Papers were analysed using thematic analysis.Data sources MEDLINE; Embase; CINAHL; Scopus; Social Sciences Citation Index (Web of Science), ProQuest Dissertations & Theses A&I (Proquest), Health Technology Assessment database; PsycINFO; Grey Literature Report and PapersFirst were searched from January 2000 to May 2019.Eligibility criteria for selecting studies Qualitative and mixed methods studies reporting the experiences of PHPs, families and bystanders of death and dying in prehospital settings as a result of natural causes, trauma, suicide and homicide, >18 years of age, in Europe, USA, Canada, Australia and New Zealand.Results Searches identified 15 352 papers of which 51 met the inclusion criteria. The review found substantial evidence of PHP experiences, except call handlers, and papers reporting family and bystander experiences were limited. PHP work was varied and complex, while confident in clinical work, they felt less equipped to deal with the emotion work, especially with an increasing role in palliative and end-of-life care. Families and bystanders reported generally positive experiences but their support needs were rarely explored.Conclusions To the best of our knowledge this is the first review that explores the experiences of PHPs, families and bystanders. An important outcome is identifying current gaps in knowledge where further empirical research is needed. The paucity of evidence suggested by this review on call handlers, families and bystanders presents opportunities to investigate their experiences in greater depth. Further research to address the current knowledge gaps will be important to inform future policy and practice. |
| format | Article |
| id | doaj-art-c64f7af837ce441191847a006b209d27 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c64f7af837ce441191847a006b209d272025-01-08T15:25:16ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-036925Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping reviewAlison Richardson0Michelle Myall1Helen Pocock2Robert Crouch3Charles Deakin4Susi Lund5Alison Rowsell6Mick Arber7Joanne Turnbull8School of Health Sciences, University of Southampton, Southampton, Hampshire, UKNIHR ARC Wessex, School of Health Sciences, University of Southampton, Southampton, Hampshire, UK5South Central Ambulance Service NHS Foundation Trust, UKHealth Sciences, University of Southampton, Southampton, UKSouth Central Ambulance Service NHS Foundation Trust, Otterbourne, UKSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UKSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UKYork Health Economics Consortium, University of York, York, North Yorkshire, UKSchool of Health Sciences, University of Southampton, Southampton, UKObjective To identify the factors that shape and characterise experiences of prehospital practitioners (PHPs), families and bystanders in the context of death and dying outside of the hospital environment where PHPs respond.Design A scoping review using Arksey and O’Malley’s five-stage framework. Papers were analysed using thematic analysis.Data sources MEDLINE; Embase; CINAHL; Scopus; Social Sciences Citation Index (Web of Science), ProQuest Dissertations & Theses A&I (Proquest), Health Technology Assessment database; PsycINFO; Grey Literature Report and PapersFirst were searched from January 2000 to May 2019.Eligibility criteria for selecting studies Qualitative and mixed methods studies reporting the experiences of PHPs, families and bystanders of death and dying in prehospital settings as a result of natural causes, trauma, suicide and homicide, >18 years of age, in Europe, USA, Canada, Australia and New Zealand.Results Searches identified 15 352 papers of which 51 met the inclusion criteria. The review found substantial evidence of PHP experiences, except call handlers, and papers reporting family and bystander experiences were limited. PHP work was varied and complex, while confident in clinical work, they felt less equipped to deal with the emotion work, especially with an increasing role in palliative and end-of-life care. Families and bystanders reported generally positive experiences but their support needs were rarely explored.Conclusions To the best of our knowledge this is the first review that explores the experiences of PHPs, families and bystanders. An important outcome is identifying current gaps in knowledge where further empirical research is needed. The paucity of evidence suggested by this review on call handlers, families and bystanders presents opportunities to investigate their experiences in greater depth. Further research to address the current knowledge gaps will be important to inform future policy and practice.https://bmjopen.bmj.com/content/10/9/e036925.full |
| spellingShingle | Alison Richardson Michelle Myall Helen Pocock Robert Crouch Charles Deakin Susi Lund Alison Rowsell Mick Arber Joanne Turnbull Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review BMJ Open |
| title | Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review |
| title_full | Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review |
| title_fullStr | Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review |
| title_full_unstemmed | Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review |
| title_short | Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review |
| title_sort | death and dying in prehospital care what are the experiences and issues for prehospital practitioners families and bystanders a scoping review |
| url | https://bmjopen.bmj.com/content/10/9/e036925.full |
| work_keys_str_mv | AT alisonrichardson deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT michellemyall deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT helenpocock deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT robertcrouch deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT charlesdeakin deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT susilund deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT alisonrowsell deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT mickarber deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview AT joanneturnbull deathanddyinginprehospitalcarewhataretheexperiencesandissuesforprehospitalpractitionersfamiliesandbystandersascopingreview |