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Paediatric palliative care: a systematic review.

Review article
Authors Stefan Nilsson
Joakim Öhlén
Eva Hessman
Margareta Brännström
Published in BMJ Supportive & Palliative Care
Volume 10
Issue 2
ISSN 2045-4368
Publication year 2020
Published at University of Gothenburg Centre for person-centred care (GPCC)
Gothenburg University Library, Biomedical Libraries
Institute of Health and Care Sciences
Language en
Links dx.doi.org/10.1136/bmjspcare-2019-0...
www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Implementation science, Palliative care, Pediatrics, Systematic review
Subject categories Nursing, Palliative medicine

Abstract

To review literature relating to evidence, context and facilitation to describe knowledge translation in paediatric palliative care. Paediatric palliative care requires competences including both paediatric specialists as well as services that are developed for this purpose, and there is a need to facilitate paediatric palliative care knowledge translation. Promoting Action on Research Implementation in the Health Services (PARiHS) is a framework for knowledge translation, which highlights the relationships between evidence, context and facilitation. PARiHS framework has been revised and updated in a new version called i-PARiHS.The electronic databases AgeLine, CINAHL, The Cochrane Library, PsycINFO, PubMed and Scopus were searched. Papers included were limited to English and Swedish publications and restricted to publications dated between 1993 and August 2019. All types of observational and experimental studies using any research design were included.Thirty-eight articles were included and there was a common vision about how and when palliative care should be offered to children. The i-PARiHS was used as a lens to describe the knowledge translation in paediatric palliative care. Symptom relief was the most commonly described evidence-based strategy, and the hospital environment was the most commonly described context. Different types of education were the most commonly used strategies to facilitate knowledge translation. The results mainly focused on increasing knowledge of palliative care in paediatric care. To sum up, the results report strategies to achieve knowledge translation of paediatric palliative care, and these can be interpreted as a guideline for how this process can be facilitated.CRD42018100663.

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