Kidney failure patients and end-of-life care decisions
Interventions for patient involvement in decision-making
A recent scoping review has explored empirical evidence concerning patient involvement interventions tailored to assist patients with kidney failure in making decisions about end-of-life care within kidney services.
By compiling and categorising existing empirical evidence, the review aims to offer a comprehensive overview of interventions tailored for kidney failure patients facing decisions about end-of-life care.
The findings of the scoping review point to the importance of engaging a diverse range of stakeholders in end-of-life care decision-making for kidney failure patients.
The Making Informed Decisions Individually and Together (MIND-IT) intervention framework was used to categorise stakeholder involvement, highlighting the common practice of involving patients, family members, and healthcare professionals together, often focusing on shared decision-making.
Figure 1: Stakeholders targeted by patient involvement interventions for patients with kidney failure making end-of-life care decisions
Involving all necessary stakeholders was emphasised as crucial for successful shared decision-making in end-of-life care choices.
Important resources for end-of-life care decisions included advance directives, goals of care, shared decision-making tools, patient decision aids, peer mentoring, patient education, and communication training.
The scoping review is available in the August issue of JBI Evidence Synthesis
Buur, Louise Engelbrecht; Bekker, Hilary Louise; Madsen, Jens Kristian; Søndergaard, Henning; Kannegaard, Michell; Khatir, Dinah Sherzad; Finderup, Jeanette
JBI Evidence Synthesis 21(8):p 1582-1623, August 2023. | DOI: 10.11124/JBIES-22-00261