Kroeze Visser Angela, Pithan Anne, Kupershmidt Sabina, Kenyon DenYelle B, Puumala Susan E
School of Health Sciences, University of South Dakota, Vermillion, SD, USA.
Dordt University, Sioux Center, IA, USA.
West J Nurs Res. 2025 Feb;47(2):110-124. doi: 10.1177/01939459241304520. Epub 2024 Dec 21.
Rural communities, like other places in the United States, face a growing need for palliative care. Community health workers (CHWs) are one potential way to expand the ability to provide palliative care. This scoping review explores what is known about CHWs involved in palliative care teams in the United States.
This scoping review is intended to outline current evidence related to best practices and factors that lead to the integration of CHWs into palliative care teams.
A scoping review was conducted between June 2022 and April 2023 using 3 databases (CIHAHL, ScienceDirect, and PubMed) to identify included studies. Studies included were published between 2000 and 2022; discussed CHWs, lay health navigators, or associated terms, and palliative care in the United States; and addressed CHWs' integration with health care teams.
The 24 studies included in this review encompassed qualitative and quantitative reports of CHW interventions that successfully increased advanced care planning documentation, improved patient symptoms, and increased hospice use. Home visits and telephone visits allowed CHWs to provide education, advocate, make referrals, and serve as social support. Stakeholders generally support the role of CHWs in palliative care teams and understand the way they can support "cultural translation."
CHWs have the potential to be integrated into palliative care teams, but there is variability in the approach toward roles within palliative care teams, training for CHWs, and strategies for integration within clinical teams.
与美国其他地区一样，农村社区对姑息治疗的需求日益增长。社区卫生工作者（CHW）是扩大提供姑息治疗能力的一种潜在途径。本范围综述探讨了美国参与姑息治疗团队的社区卫生工作者的相关情况。
本范围综述旨在概述与最佳实践以及导致社区卫生工作者融入姑息治疗团队的因素相关的现有证据。
于2022年6月至2023年4月进行了一项范围综述，使用3个数据库（CINAHL、ScienceDirect和PubMed）来识别纳入研究。纳入的研究发表于2000年至2022年之间；讨论了美国的社区卫生工作者、非专业健康导航员或相关术语以及姑息治疗；并涉及社区卫生工作者与医疗团队的整合。
本综述纳入的24项研究涵盖了社区卫生工作者干预措施的定性和定量报告，这些干预措施成功增加了高级护理计划文件记录、改善了患者症状并增加了临终关怀的使用。家访和电话访视使社区卫生工作者能够提供教育、进行倡导、进行转诊并提供社会支持。利益相关者普遍支持社区卫生工作者在姑息治疗团队中的作用，并理解他们支持“文化转换”的方式。
社区卫生工作者有潜力融入姑息治疗团队，但在姑息治疗团队中对其角色的定位方式、对社区卫生工作者的培训以及在临床团队中的整合策略方面存在差异。
