2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'Introduction People who are homeless or vulnerably housed are subject to
|
|
|
|
|
|
|
|
|
|
disproportionately high risks of physical and mental illness and are
|
|
|
|
|
|
|
|
|
|
further disadvantaged by difficulties in access to services. Research
|
|
|
|
|
|
|
|
|
|
has been conducted examining a wide range of issues in relation to
|
|
|
|
|
|
|
|
|
|
end-of-life care for homeless and vulnerably housed people, however, a
|
|
|
|
|
|
|
|
|
|
contemporary scoping review of this literature is lacking. Objectives To
|
|
|
|
|
|
|
|
|
|
understand the provision of palliative care for people who are homeless
|
|
|
|
|
|
|
|
|
|
or vulnerably housed from the perspective of, and for the benefit of,
|
|
|
|
|
|
|
|
|
|
all those who should be involved in its provision. Design Scoping review
|
|
|
|
|
|
|
|
|
|
with thematic synthesis of qualitative and quantitative literature. Data
|
|
|
|
|
|
|
|
|
|
sources MEDLINE, Embase, PsycINFO, Social Policy and Practice and CINAHL
|
|
|
|
|
|
|
|
|
|
databases were searched, from inception to May 2020. Citation chasing
|
|
|
|
|
|
|
|
|
|
and manual searching of grey literature were also employed. Results
|
|
|
|
|
|
|
|
|
|
Sixty-four studies, involving 2117 homeless and vulnerably housed people
|
|
|
|
|
|
|
|
|
|
were included, with wide variation in methodology, population and
|
|
|
|
|
|
|
|
|
|
perspective. The thematic synthesis identified three themes around:
|
|
|
|
|
|
|
|
|
|
experiences, beliefs and wishes; relationships; and end-of-life care.
|
|
|
|
|
|
|
|
|
|
Conclusion Discussion highlighted gaps in the evidence base, especially
|
|
|
|
|
|
|
|
|
|
around people experiencing different types of homelessness. Existing
|
|
|
|
|
|
|
|
|
|
evidence advocates for service providers to offer needs-based and
|
|
|
|
|
|
|
|
|
|
non-judgemental care, for organisations to use existing assets in
|
|
|
|
|
|
|
|
|
|
co-producing services, and for researchers to address gaps in the
|
|
|
|
|
|
|
|
|
|
evidence base, and to work with providers in transforming existing
|
|
|
|
|
|
|
|
|
|
knowledge into evaluable action.'
|
|
|
|
|
affiliation: 'James, R (Corresponding Author), Leeds Teaching Hosp NHS Trust, Publ
|
|
|
|
|
Hlth, Leeds LS9 7TF, W Yorkshire, England.
|
|
|
|
|
|
|
|
|
|
James, Richard, Leeds Teaching Hosp NHS Trust, Publ Hlth, Leeds LS9 7TF, W Yorkshire,
|
|
|
|
|
England.
|
|
|
|
|
|
|
|
|
|
Flemming, Kate, Univ York, Dept Hlth Sci, York, N Yorkshire, England.
|
|
|
|
|
|
|
|
|
|
Hodson, Melanie, Hosp UK, London, England.
|
|
|
|
|
|
|
|
|
|
Oxley, Tammy, Leeds Teaching Hosp NHS Trust, Palliat Med, Leeds, W Yorkshire, England.'
|
|
|
|
|
author: James, Richard and Flemming, Kate and Hodson, Melanie and Oxley, Tammy
|
|
|
|
|
author-email: richard.james14@nhs.net
|
|
|
|
|
author_list:
|
|
|
|
|
- family: James
|
|
|
|
|
given: Richard
|
|
|
|
|
- family: Flemming
|
|
|
|
|
given: Kate
|
|
|
|
|
- family: Hodson
|
|
|
|
|
given: Melanie
|
|
|
|
|
- family: Oxley
|
|
|
|
|
given: Tammy
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1136/bmjspcare-2021-003020
|
|
|
|
|
earlyaccessdate: MAY 2021
|
|
|
|
|
eissn: 2045-4368
|
|
|
|
|
files: []
|
|
|
|
|
issn: 2045-435X
|
|
|
|
|
journal: BMJ SUPPORTIVE \& PALLIATIVE CARE
|
|
|
|
|
keywords: cultural issues; communication
|
|
|
|
|
keywords-plus: 'OF-LIFE CARE; PERSONS EXPERIENCING HOMELESSNESS; HIGH-INCOME COUNTRIES;
|
|
|
|
|
|
|
|
|
|
ADVANCE DIRECTIVES; HEALTH-CARE; END; DEATH; INTERVENTION; INDIVIDUALS;
|
|
|
|
|
|
|
|
|
|
CHALLENGES'
|
|
|
|
|
language: English
|
|
|
|
|
month: 2021 MAY 3
|
|
|
|
|
number-of-cited-references: '101'
|
|
|
|
|
orcid-numbers: James, Richard/0000-0002-9891-7137
|
|
|
|
|
papis_id: a3a9d0c2fd7ede61d707476ae0242b8c
|
|
|
|
|
ref: James2021palliativecare
|
|
|
|
|
researcherid-numbers: James, Richard/GRY-6246-2022
|
|
|
|
|
tags:
|
|
|
|
|
- review
|
|
|
|
|
times-cited: '1'
|
|
|
|
|
title: 'Palliative care for homeless and vulnerably housed people: scoping review
|
|
|
|
|
and thematic synthesis'
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000727502000001
|
|
|
|
|
usage-count-last-180-days: '1'
|
|
|
|
|
usage-count-since-2013: '6'
|
|
|
|
|
web-of-science-categories: Health Care Sciences \& Services
|
|
|
|
|
year: '2021'
|
