Effect of Palliative Care Integration on Healthcare Utilization and Quality of Life in Acute Care Setting - A Systematic Review and Meta-Analysis of Randomized Controlled Trial Protocol

Authors

Soumya Liz Jacob MS, Ph.D. Scholar, Department of Community Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education (MAHE), Manipal, India.Follow
N Siva Mr.Follow

Designation

Ph.D. Scholar, Department of Community Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education (MAHE), Manipal, India.

Abstract

Abstract

Background: The last few decades have shown a tremendous increase in the need for Palliative Care (PC). Although solitary evidence of PC in specialized settings and specific disease conditions is available, the effect of integrating this service in acute care settings is lacking. This study explores the realms of PC in healthcare utilization and the quality of life of patients and caregivers in acute care facilities.

Methods: Randomized Controlled Trials where PC is rendered in acute care facilities will be included. A comprehensive search strategy will be undertaken from selected databases including PubMed- Medline, CINHAL, ProQuest, Scopus, Web of Science, and CENTRAL. Two reviewers would independently perform data extraction and quality appraisal. The methodological quality will be assessed using Cochrane Collaboration’s tool for assessing the risk of bias (RoB – 2). The third reviewer will be sought to resolve disagreements. A metanalysis will be performed subject to the availability of data. The study shall adhere to PRISMA-P guidelines.

Results: The two reviewers independently reviewed the studies for inclusion. Currently, full-text screening is ongoing. We propose to publish the result of the actual review towards the end of the first quarter of 2024.

Conclusion: Knowing the effect of integrating PC in acute care settings is crucial to improving its applicability worldwide. The evidence derived from this systematic review will aid in the care decisions of practitioners, guide policymakers, and act as a precursor for future research in the same field.

Protocol Registration: The study has been PROSPERO registered as (CRD42023479263)

Keywords: Palliative care, end of life, acute care setting, psychological distress, bereavement, Quality of Life, healthcare utilization, Length of Stay, Readmission

Recommended Citation

Jacob, Soumya Liz MS and Siva, N Mr. (2024) "Effect of Palliative Care Integration on Healthcare Utilization and Quality of Life in Acute Care Setting - A Systematic Review and Meta-Analysis of Randomized Controlled Trial Protocol," Manipal Journal of Nursing and Health Sciences: Vol. 10: Iss. 1, .
DOI:
Available at: https://impressions.manipal.edu/mjnhs/vol10/iss1/8