2.50
Hdl Handle:
http://hdl.handle.net/10541/72413
Title:
Challenges to end of life care in the acute hospital setting.
Authors:
Willard, Carole; Luker, Karen
Abstract:
BACKGROUND: Research exploring patients' care and treatment preferences at the end of life (EOL) suggests they prefer comfort more than life-extension, wish to participate in decision-making, and wish to die at home. Despite these preferences, the place of death for many patients is the acute hospital, where EOL interventions are reported to be inappropriately invasive and aggressive. AIM: This paper discusses the challenges to appropriate EOL care in acute hospitals in the UK, highlighting how this setting contributes to the patients' and families' care and treatment requirements being excluded from decision-making. METHODS: Twenty-nine cancer nurse specialists from five hospitals participated in a grounded theory study, using observation and semi-structured interviews. Data were collected and analysed concurrently using the constant comparative method. RESULTS: EOL interventions in the acute setting were driven by a preoccupation with treatment, routine practice and negative perceptions of palliative care. All these factors shaped clinical decision-making and prevented patients and their families from fully participating in clinical decision-making at the EOL.
Affiliation:
School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. carole.willard@manchester.ac.uk
Citation:
Challenges to end of life care in the acute hospital setting. 2006, 20 (6):611-5 Palliat Med
Journal:
Palliative Medicine
Issue Date:
Sep-2006
URI:
http://hdl.handle.net/10541/72413
DOI:
10.1177/0269216306071064
PubMed ID:
17060254
Type:
Article
Language:
en
ISSN:
0269-2163
Appears in Collections:
All Christie Publications

Full metadata record

DC FieldValue Language
dc.contributor.authorWillard, Carole-
dc.contributor.authorLuker, Karen-
dc.date.accessioned2009-07-03T11:30:35Z-
dc.date.available2009-07-03T11:30:35Z-
dc.date.issued2006-09-
dc.identifier.citationChallenges to end of life care in the acute hospital setting. 2006, 20 (6):611-5 Palliat Meden
dc.identifier.issn0269-2163-
dc.identifier.pmid17060254-
dc.identifier.doi10.1177/0269216306071064-
dc.identifier.urihttp://hdl.handle.net/10541/72413-
dc.description.abstractBACKGROUND: Research exploring patients' care and treatment preferences at the end of life (EOL) suggests they prefer comfort more than life-extension, wish to participate in decision-making, and wish to die at home. Despite these preferences, the place of death for many patients is the acute hospital, where EOL interventions are reported to be inappropriately invasive and aggressive. AIM: This paper discusses the challenges to appropriate EOL care in acute hospitals in the UK, highlighting how this setting contributes to the patients' and families' care and treatment requirements being excluded from decision-making. METHODS: Twenty-nine cancer nurse specialists from five hospitals participated in a grounded theory study, using observation and semi-structured interviews. Data were collected and analysed concurrently using the constant comparative method. RESULTS: EOL interventions in the acute setting were driven by a preoccupation with treatment, routine practice and negative perceptions of palliative care. All these factors shaped clinical decision-making and prevented patients and their families from fully participating in clinical decision-making at the EOL.en
dc.language.isoenen
dc.subjectHospitalisationen
dc.subject.meshDecision Making-
dc.subject.meshDelivery of Health Care-
dc.subject.meshFamily-
dc.subject.meshHealth Priorities-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshPatient Participation-
dc.subject.meshPatient Satisfaction-
dc.subject.meshTerminal Care-
dc.subject.meshTerminally Ill-
dc.titleChallenges to end of life care in the acute hospital setting.en
dc.typeArticleen
dc.contributor.departmentSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. carole.willard@manchester.ac.uken
dc.identifier.journalPalliative Medicineen

Related articles on PubMed

All Items in Christie are protected by copyright, with all rights reserved, unless otherwise indicated.