A Systematic Review of Educational Interventions to Equip Health and Social Care Professionals to Promote End-of-Life Supportive Care when a Parent with Dependent Children is Dying with Cancer

Sarah Sheehan, Jeff Hanna, Amanda Drury, Tanya McCance, Cherith Semple, Carla O Neill

Research output: Contribution to journalArticlepeer-review

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Abstract

Objectives
This systematic review aimed to determine the content, mode of delivery, assessment, and outcomes of educational interventions to equip health and social care professionals (HSCPs) when delivering end-of-life (EoL) supportive care for parents dying with cancer who have dependent children.

Data Sources
The review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A search strategy was developed with assistance of subject librarians and peer-reviewed using the Peer Review of Electronic Search Strategies tool. A search of MEDLINE OVID, CINAHL, EMBASE, PsycINFO, Web of Science, and ERIC electronic databases and gray literature was conducted. Quality assessment was conducted on included studies. Data synthesis was conducted using a convergent integrated approach.

Conclusion
The review identified just two educational interventions, highlighting the dearth of educational interventions available to HSCPs to provide supportive care to families when a parent is at EoL with cancer. The identified interventions were of good methodological quality and were positively evaluated by participants, enhancing their confidence to engage in EoL conversations. It is imperative that interventions that use robust evaluation methods are developed and made accessible to HSCPs.

Implications for Nursing Practice
The review highlights the urgent need for the development of interventions for HSCPs to provide supportive care to families when a parent is at EoL with cancer. This is a fundamental aspect of care, and it is imperative that accessible educational interventions are developed to improve the quality of care and reduce distress for patients and their families.

Original languageEnglish
Article number151474
Pages (from-to)1-10
Number of pages10
JournalSeminars in oncology nursing
Early online date21 Jul 2023
DOIs
Publication statusPublished online - 21 Jul 2023

Bibliographical note

Funding Information:
This research received funding from the Higher Education Authority North South Research Programme. The authors alone are responsible for the content of this report. Prof Cherith Semple was a Guest Editor for the Parental Cancer in Young Families’ Special Issue of Seminars in Oncology Nursing. As an author of this paper, she did not participate in any editorial process or decision-making, which was handled by another editor. Dr Amanda Drury an Associate Editor for Seminars in Oncology Nursing. As an author of this paper, she did not participate in any editorial process or decision-making, which was handled by another editor. CON and CS conceptualized and secured funding for this study. JH developed the initial review protocol, with support from CON, CS, AD and TMC. JH developed the search strategy and ran the searches. JH and SS were involved with screening the search results. SS and JH engaged with data extraction and quality assessment of included studies. SS synthesized the findings and drafted the initial paper. All authors (CON, CS, JH, SS, AD, TMC) were involved with the interpretation of the findings, critically reviewed, and approved the final manuscript. Data generated are available from authors by reasonable request. The authors would like to acknowledge the contribution of Dr Katie Gillespie to the review and the contribution of subject librarians at University College Dublin and Ulster University, including Kelly McCoo and Diarmuid Stokes, in the development of the search strategy.

Funding Information:
This research received funding from the Higher Education Authority North South Research Programme. The authors alone are responsible for the content of this report.

Publisher Copyright:
© 2023 The Authors

Keywords

  • Family-centred care
  • End of Life
  • Cancer
  • Children
  • Systematic Review
  • Parents
  • Family-centered care
  • Systematic review
  • End of life

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