Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review.

Mahura, M; Karle, B; Sayers, L; Dick-Smith, F; Elliott, R

Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review.

Mahura, M Karle, B Sayers, L Dick-Smith, F Elliott, R

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: BMC Palliat Care, 2024, 23, (1), pp. 119
Issue Date:: 2024-05-16

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Field	Value	Language
dc.contributor.author	Mahura, M
dc.contributor.author	Karle, B
dc.contributor.author	Sayers, L
dc.contributor.author	Dick-Smith, F
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126
dc.date.accessioned	2024-08-21T03:36:51Z
dc.date.available	2024-04-25
dc.date.available	2024-08-21T03:36:51Z
dc.date.issued	2024-05-16
dc.identifier.citation	BMC Palliat Care, 2024, 23, (1), pp. 119
dc.identifier.issn	1472-684X
dc.identifier.issn	1472-684X
dc.identifier.uri	http://hdl.handle.net/10453/180433
dc.description.abstract	BACKGROUND: In order to mitigate the distress associated with life limiting conditions it is essential for all health professionals not just palliative care specialists to identify people with deteriorating health and unmet palliative care needs and to plan care. The SPICT™ tool was designed to assist with this. AIM: The aim was to examine the impact of the SPICT™ on advance care planning conversations and the extent of its use in advance care planning for adults with chronic life-limiting illness. METHODS: In this scoping review records published between 2010 and 2024 reporting the use of the SPICT™, were included unless the study aim was to evaluate the tool for prognostication purposes. Databases searched were EBSCO Medline, PubMed, EBSCO CINAHL, APA Psych Info, ProQuest One Theses and Dissertations Global. RESULTS: From the search results 26 records were reviewed, including two systematic review, two theses and 22 primary research studies. Much of the research was derived from primary care settings. There was evidence that the SPICT™ assists conversations about advance care planning specifically discussion and documentation of advance care directives, resuscitation plans and preferred place of death. The SPICT™ is available in at least eight languages (many versions have been validated) and used in many countries. CONCLUSIONS: Use of the SPICT™ appears to assist advance care planning. It has yet to be widely used in acute care settings and has had limited use in countries beyond Europe. There is a need for further research to validate the tool in different languages.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	BMC Palliat Care
dc.relation.isbasedon	10.1186/s12904-024-01445-z
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing, 1117 Public Health and Health Services
dc.subject.classification	Gerontology
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Terminal Care
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Terminal Care
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Advance Care Planning
dc.subject.mesh	Terminal Care
dc.title	Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review.
dc.type	Journal Article
utslib.citation.volume	23
utslib.location.activity	England
utslib.for	1110 Nursing
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-08-21T03:36:50Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	23
utslib.citation.issue	1

Abstract:

BACKGROUND: In order to mitigate the distress associated with life limiting conditions it is essential for all health professionals not just palliative care specialists to identify people with deteriorating health and unmet palliative care needs and to plan care. The SPICT™ tool was designed to assist with this. AIM: The aim was to examine the impact of the SPICT™ on advance care planning conversations and the extent of its use in advance care planning for adults with chronic life-limiting illness. METHODS: In this scoping review records published between 2010 and 2024 reporting the use of the SPICT™, were included unless the study aim was to evaluate the tool for prognostication purposes. Databases searched were EBSCO Medline, PubMed, EBSCO CINAHL, APA Psych Info, ProQuest One Theses and Dissertations Global. RESULTS: From the search results 26 records were reviewed, including two systematic review, two theses and 22 primary research studies. Much of the research was derived from primary care settings. There was evidence that the SPICT™ assists conversations about advance care planning specifically discussion and documentation of advance care directives, resuscitation plans and preferred place of death. The SPICT™ is available in at least eight languages (many versions have been validated) and used in many countries. CONCLUSIONS: Use of the SPICT™ appears to assist advance care planning. It has yet to be widely used in acute care settings and has had limited use in countries beyond Europe. There is a need for further research to validate the tool in different languages.

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http://hdl.handle.net/10453/180433