Understanding advance care planning in care homes throughout the COVID-19 pandemic: A critical realist review and synthesis.

ABSTRACT:

Background

The COVID-19 pandemic has disrupted advance care planning discussions in care homes, particularly discussions involving relatives and surrogate decision makers. There is a need to collate and examine current evidence to assess the extent of the problem.

Aim

To examine the processes and experiences involved in advance care planning in care homes throughout the COVID-19 pandemic.

Design

A critical realist review and synthesis.

Data sources

MEDLINE, psycINFO, SCOPUS and CINAHL were searched between December 2019 and May 2022.

Results

Eleven studies were included. Communication difficulties associated with remote technologies meant that care home staff's concerns about engaging effectively with relatives further exacerbated the emotional toll of d

SUBMITTER: Spacey A 

PROVIDER: S-EPMC9659704 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature