Evidence map›Paper›PMID 32948555›Full record

ArticleBMJ open2020

Death and dying in prehospital care: what are the experiences and issues for prehospital practitioners, families and bystanders? A scoping review.

Michelle Myall, Alison Rowsell, Susi Lund, Joanne Turnbull, Mick Arber, Robert Crouch, Helen Pocock, Charles Deakin, Alison Richardson

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Michelle MyallSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UK M.Myall@soton.ac.uk.ORCID 0000-0001-8733-7412
Alison RowsellSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UK.
Susi LundSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UK.
Joanne TurnbullSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UK.
Mick ArberYork Health Economics Consortium, University of York, York, North Yorkshire, UK.
Robert CrouchSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UK.
Helen PocockSouth Central Ambulance Service NHS Foundation Trust Southern Headquarters, Otterbourne, Hampshire, UK.
Charles DeakinSouth Central Ambulance Service NHS Foundation Trust Southern Headquarters, Otterbourne, Hampshire, UK.
Alison RichardsonSchool of Health Sciences, University of Southampton, Southampton, Hampshire, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the factors that shape and characterise experiences of prehospital practitioners (PHPs), families and bystanders in the context of death and dying outside of the hospital environment where PHPs respond.

designA scoping review using Arksey and O'Malley's five-stage framework. Papers were analysed using thematic analysis. DATA SOURCES: MEDLINE; Embase; CINAHL; Scopus; Social Sciences Citation Index (Web of Science), ProQuest Dissertations & Theses A&I (Proquest), Health Technology Assessment database; PsycINFO; Grey Literature Report and PapersFirst were searched from January 2000 to May 2019. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Qualitative and mixed methods studies reporting the experiences of PHPs, families and bystanders of death and dying in prehospital settings as a result of natural causes, trauma, suicide and homicide, >18 years of age, in Europe, USA, Canada, Australia and New Zealand.

resultsSearches identified 15 352 papers of which 51 met the inclusion criteria. The review found substantial evidence of PHP experiences, except call handlers, and papers reporting family and bystander experiences were limited. PHP work was varied and complex, while confident in clinical work, they felt less equipped to deal with the emotion work, especially with an increasing role in palliative and end-of-life care. Families and bystanders reported generally positive experiences but their support needs were rarely explored.

conclusionsTo the best of our knowledge this is the first review that explores the experiences of PHPs, families and bystanders. An important outcome is identifying current gaps in knowledge where further empirical research is needed. The paucity of evidence suggested by this review on call handlers, families and bystanders presents opportunities to investigate their experiences in greater depth. Further research to address the current knowledge gaps will be important to inform future policy and practice.

Indexed as

Emergency Medical ServicesAustraliaCanadaEuropeHumansNew Zealandaccident & emergency medicinepalliative carequalitative research

Identifiers

PMID32948555
PMCPMC7511644

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.