• Andrea Bryk, Greg Roberts, Peter Hudson, Louise Harms, and Marie Gerdtz.
• Department of Nursing, School of Health Sciences, The University of Melbourne, Melbourne, VIC, Australia.
• Palliat Med. 2023 Jan 1; 37 (1): 263926-39.

BackgroundWhilst there is a sense of holism existing within palliative care practice, what is not clear is the extent to which holism, as applied in recent palliative care practice, has been adequately researched. Currently, no reviews on this topic were identified through systematic and scoping review registries.AimTo identify and describe the available published evidence on the key features of holism and the core domains underpinning the application of holism in relation to recent palliative care practice.DesignScoping review using the Johanna Briggs Institute design.Data SourcesMEDLINE, EMCARE, and CINAHL (Ovid), PsycINFO, SocINDEX, SCOPUS and Web of Science. (International, peer-reviewed, published papers in the English language from January 2010to December 2020).ResultsFive studies met inclusion criteria. Two studies used qualitative methods, one used mixed-methods, and two were randomised controlled trials. The research investigated (1) frameworks for holistic care and (2) assessment tools applied in palliative care settings.ConclusionsThe results from the review led to identifying key features of palliative care that were presented as interconnected aspects of holistic care domains in both assessments and interventions. The literature revealed a focus on curative and biomedical approaches to disease management with holistic aspects acknowledged, but not in the forefront of core service delivery. Holism was generally conceptualised as an overarching theoretical framework to palliative care service provision and positioned as an adjunct to palliative models of care. These findings point to a gap in research that links the concept of holism to applied palliative care practices.

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