Mapping the Role of the End-Of-Life Doula: A Scoping Review and Logic Model Framing

Abstract

End-of-life doulas (EOLDs) provide non-medical, holistic support to individuals at or near the end-of-life. However, understanding of the factors that enable EOLDs to provide effective support remains limited. This scoping review examines existing literature on the EOLD role and synthesises key components, mapping them onto a logic model. A systematic search was conducted using relevant keywords across five databases. Seventeen articles met the inclusion criteria for the final analysis, all conducted within high-income countries. Key findings highlight the importance of timely referrals, which enable EOLDs to provide relational, person-centred support that promotes the wellbeing of both patients and carers. The review also identifies broader societal benefits, including improved death literacy. The resulting logic model offers a timely and foundational framework to guide discussions on integrating EOLDs into health and social care systems. Further research is recommended to refine the logic model, explore EOLD practices across diverse global contexts, and assess potential cost-benefit implications.</p