Developing a typology of models of palliative care delivery in prisons in high-income countries: protocol for a scoping review with narrative synthesis

BMJ Open. 2022 Apr 29;12(4):e060886. doi: 10.1136/bmjopen-2022-060886.

Abstract

Introduction: A combination of punitive sentencing practices within ageing populations, compounded by the health challenges faced by people in prison, means that dedicated palliative care provision within prisons is a pressing requirement. However, evidence about exactly how quality palliative and end-of-life care is delivered in this environment remains sparse.This review aims to develop a typology of models of palliative and end-of-life care delivery within prisons in high-income countries to inform service development and policy.

Methods and analysis: We will conduct a scoping review of published studies and grey literature, following the Arksey and O'Malley framework. We will report data on models of palliative and end-of-life care delivery in prisons in high-income countries. Searches will be undertaken in Medline, EMBASE, CINAHL, Social Sciences Citation Index and PsyINFO for all study types, published from 1 January 2000 to December 2021, and reference lists from key reviews and studies will be screened for additional references. We will also screen grey literature from within other high-income countries using a targeted search strategy. For published reports of original research, study quality and risk of bias will be assessed independently by two reviewers using the Mixed Methods Appraisal Tool. A narrative synthesis of the data will be undertaken, integrating the results of the quality assessment.

Ethics and dissemination: Approval by research ethics committee is not required since the review only includes published and publicly accessible data. We will publish our findings in a peer-reviewed journal as per Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidance.

Protocol registration: The final protocol was registered with the Research Registry on 26 November 2021 (www.researchregistry.com).Unique ID number: reviewregistry1260.

Keywords: Adult palliative care; HEALTH SERVICES ADMINISTRATION & MANAGEMENT; PALLIATIVE CARE.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care
  • Developed Countries
  • Hospice and Palliative Care Nursing*
  • Humans
  • Palliative Care
  • Prisons*
  • Review Literature as Topic
  • Systematic Reviews as Topic