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Foo BMY, Sharpe L, Clayton JM, Wiese M, Menzies RE. The role of psychologists in supporting illness-related dying and death: A systematic mixed studies review. Clin Psychol Rev 2024; 110:102393. [PMID: 38615491 DOI: 10.1016/j.cpr.2024.102393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 01/09/2024] [Accepted: 01/18/2024] [Indexed: 04/16/2024]
Abstract
Psychologists remain underrepresented in end-of-life care, and there is limited understanding of their role among healthcare professionals, patients, and caregivers. This systematic mixed-studies review, prospectively registered on PROSPERO (CRD42020215775), explored the role of psychologists, and the facilitators and barriers they experience, in supporting clients with illness-related dying and death. A search of six research databases was conducted in October 2023. Fifty-one studies, mainly qualitative and from the perspectives of psychologists, met inclusion criteria. Thematic synthesis highlighted how psychologists provided expertise across various contexts. They supported clients with preparing for death, and adjusting to dying, provided professional consultancy and support, and undertook leadership in enhancing psychological end-of-life care. Results illustrated the sustaining factors and ongoing challenges working in end-of-life care, namely, the unique nature of navigating the death space, recognition and awareness of psychologists' contribution, and the support, training and development required. Given the universality of dying and death, this review is relevant to psychologists working within and beyond more traditional end-of-life care contexts, such as employee assistance programs, private practice, schools, and other psychological services. Policy, clinical and research implications are discussed, including the need for greater engagement and training of psychologists in the dying and death space.
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Affiliation(s)
- Baby M Y Foo
- School of Psychology, Faculty of Science, The University of Sydney, Sydney, New South Wales 2006, Australia.
| | - Louise Sharpe
- School of Psychology, Faculty of Science, The University of Sydney, Sydney, New South Wales 2006, Australia.
| | - Josephine M Clayton
- The Palliative Centre, HammondCare, Greenwich Hospital, Sydney, Australia; Northern Clinical School, The University of Sydney, Australia.
| | - Michele Wiese
- School of Psychology, Western Sydney University, Penrith, New South Wales 2751, Australia.
| | - Rachel E Menzies
- School of Psychology, Faculty of Science, The University of Sydney, Sydney, New South Wales 2006, Australia.
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Russell L, Howard R, Street M, Johnson CE, Berry D, Flemming-Judge E, Brean S, William L, Considine J. Cancer Decedents' Hospital End-of-Life Care Documentation: A Retrospective Review of Patient Records. J Palliat Care 2023:8258597231170836. [PMID: 37113101 DOI: 10.1177/08258597231170836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
Objective: International standards of end-of-life care (EOLC) intend to guide the delivery of safe and high-quality EOLC. Adequately documented care is conducive to higher quality of care, but the extent to which EOLC standards are documented in hospital medical records is unknown. Assessing which EOLC standards are documented in patients' medical records can help identify areas that are performed well and areas where improvements are needed. This study assessed cancer decedents' EOLC documentation in hospital settings. Methods: Medical records of 240 cancer decedents were retrospectively evaluated. Data were collected across six Australian hospitals between 1/01/2019 and 31/12/2019. EOLC documentation related to Advance Care Planning (ACP), resuscitation planning, care of the dying person, and grief and bereavement care was reviewed. Chi-square tests assessed associations between EOLC documentation and patient characteristics, and hospital settings (specialist palliative care unit, sub-acute/rehabilitation care settings, acute care wards, and intensive care units). Results: Decedents' mean age was 75.3 years (SD 11.8), 52.0% (n = 125) were female, and 73.7% lived with other adults or carers. All patients (n = 240; 100%) had documentation for resuscitation planning, 97.6% (n = 235) for Care for the Dying Person, 40.0% for grief and bereavement care (n = 96), and 30.4% (n = 73) for ACP. Patients living with other adults or carers were less likely to have a documented ACP than those living alone or with dependents (OR 0.48; 95% CI 0.26-0.89). EOLC documentation was significantly greater in specialist palliative care settings than that in other hospital settings (P < .001). Conclusion: The process of dying is well documented among inpatients diagnosed with cancer. ACP and grief and bereavement support are not documented enough. Organizational endorsement of a clear practice framework and increased training could improve documentation of these aspects of EOLC.
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Affiliation(s)
- L Russell
- Deakin University, School of Nursing and Midwifery, Geelong, Australia
- Deakin University, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Geelong, Victoria, Australia
- Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australia
| | - R Howard
- Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australia
| | - M Street
- Deakin University, School of Nursing and Midwifery, Geelong, Australia
- Deakin University, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Geelong, Victoria, Australia
- Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australia
| | - C E Johnson
- Palliative Aged Care Outcomes Program, Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW, Australia
| | - D Berry
- Deakin University, School of Nursing and Midwifery, Geelong, Australia
- Deakin University, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Geelong, Victoria, Australia
- Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australia
| | - E Flemming-Judge
- Consumer Representative, Australian Resuscitation Council, Eastern Health, East Melbourne, VIC, Australia
- Consumer Representative, Safer Care Victoria, Melbourne VIC, Australia
- Consumer Representative, Eastern Health, Box Hill, VIC, Australia
- Consumer Representative, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia
| | - S Brean
- Advance Care Planning, Eastern Health, Melbourne, VIC, Australia
| | - L William
- Supportive and Palliative Care Service, Eastern Health, Melbourne, VIC, Australia
- Faculty of Medicine, Nursing and Health Sciences, Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia
- Public Health Palliative Care Unit, School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | - J Considine
- Deakin University, School of Nursing and Midwifery, Geelong, Australia
- Deakin University, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Geelong, Victoria, Australia
- Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Victoria, Australia
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Hubbard L, Kelly S, Rose‐Ford H, Clark J, Stephens M. Lessons learnt from facilitating care home placements for counselling and psychotherapy students during the COVID‐19 pandemic. COUNSELLING & PSYCHOTHERAPY RESEARCH 2023. [DOI: 10.1002/capr.12631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Affiliation(s)
| | - Siobhan Kelly
- School of Health and Society University of Salford Salford UK
| | - Helen Rose‐Ford
- School of Health and Society University of Salford Salford UK
| | - Jodie Clark
- School of Health and Society University of Salford Salford UK
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Vivekananda K, Parratt C, Tucker M, Leonard R. The impact of online death literacy education on psychology students to have better end‐of‐life conversations. AUSTRALIAN PSYCHOLOGIST 2021. [DOI: 10.1111/ap.12444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Kitty Vivekananda
- Counselling and Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia,
| | - Carrie Parratt
- Counselling and Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia,
| | - Mignon Tucker
- Counselling and Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia,
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Sansom-Daly UM, Lobb EA, Evans HE, Breen LJ, Ugalde A, Best M, Zomerdijk N, Beasley EA, Taylor KL, Clayton J, Sharpe L, Bartula I, Olver I. To be mortal is human: professional consensus around the need for more psychology in palliative care. BMJ Support Palliat Care 2021; 11:401-403. [PMID: 33674282 DOI: 10.1136/bmjspcare-2021-002884] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2021] [Accepted: 02/07/2021] [Indexed: 11/03/2022]
Affiliation(s)
- Ursula M Sansom-Daly
- School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia .,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia.,Sydney Youth Cancer Service, Prince of Wales Hospital, Randwick, NSW, Australia
| | - Elizabeth A Lobb
- IMPACCT, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.,Palliative Care Department, Calvary Health Care Kogarah, Kogarah, New South Wales, Australia.,School of Medicine, The University of Notre Dame, Sydney, New South Wales, Australia
| | - Holly E Evans
- School of Women's and Children's Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia.,Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, New South Wales, Australia
| | - Lauren J Breen
- School of Psychology, Curtin University, Perth, Western Australia, Australia
| | - Anna Ugalde
- Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Victoria, Australia
| | - Megan Best
- Institute for Ethics and Society, The University of Notre Dame Australia, Sydney, New South Wales, Australia.,Department of Palliative Care, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
| | - Nienke Zomerdijk
- Melbourne School of Psychological Sciences, University of Melbourne, Parkville, Victoria, Australia.,Victorian Comprehensive Cancer Centre Alliance, Parkville, Melbourne, Victoria, Australia
| | - Elizabeth A Beasley
- School of Psychology, Faculty of Health and Behavioural Sciences, University of Queensland, St Lucia, Queensland, Australia
| | - Keryn L Taylor
- Victorian Comprehensive Cancer Centre Alliance, Parkville, Melbourne, Victoria, Australia.,Psychosocial Cancer and Palliative Care, St Vincent's Hospital, Fitzroy, Melbourne, Victoria, Australia.,Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Melbourne, Victoria, Australia
| | - Josephine Clayton
- Centre for Learning & Research in Palliative Care, HammondCare, Greenwich Hospital, Sydney, New South Wales, Australia.,Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
| | - Louise Sharpe
- School of Psychology, Faculty of Science, The University of Sydney, Sydney, New South Wales, Australia
| | - Iris Bartula
- Melanoma Institute Australia, The Poche Centre, North Sydney, New South Wales, Australia
| | - Ian Olver
- School of Psychology, University of Adelaide, Adelaide, South Australia, Australia
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