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Palliative medicine · Dec 2021
Arts engagement facilitated by artists with individuals with life-limiting illness: A systematic integrative review of the literature.
- Jenny Baxley Lee, Sonja McIlfatrick, and Lisa Fitzpatrick.
- Institute of Nursing and Health Sciences Research, Ulster University, Northern Ireland, UK.
- Palliat Med. 2021 Dec 1; 35 (10): 1815-1831.
BackgroundLiving with life-limiting illness significantly impacts quality of life. A growing body of evidence suggests that arts engagement facilitated by artists promotes well-being. However, no synthesis of the literature exists to describe arts engagement delivered by artists with individuals receiving palliative care.AimTo systematically review and synthesize evidence to identify outcomes and key knowledge gaps to inform future research and practice.DesignA systematic integrative literature review was conducted using a pre-defined search strategy and reported using PRISMA guidelines. Analysis was conducted iteratively and synthesis achieved using constant comparison to generate themes.Data SourcesPubMed/MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science, and Embase were searched for studies published between database inception and August 2020. Search terms included variations on arts/artists; patients/service users; and palliative or end-of-life care. Eligibility criteria was applied and study quality assessed.ResultsSeven reviewed studies explored literary, performing, and visual arts engagement in hospitals, hospice and community settings in England, the United States, France, and Canada. Study designs, interventions and findings were discussed. Themes identified across studies associated arts engagement with (1) a sense of well-being, (2) a newly discovered, or re-framed, sense of self, (3) connection with others, and (4) challenges associated with practice.ConclusionRecommendations for future research were offered in order to maximize benefits, minimize risks and address complexity of artists' engagement in palliative care including: (1) consistency in methods and reporting; (2) inclusion of wider perspectives; and (3) key considerations for adapting the arts by health condition and art form.
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