Carer and staff perceptions of end-of-life care provision: case of a hospice-at-home service

Ward, A., Sixsmith, J., Spiro, S., Graham, A., Ballard, H., Varvel, S. and Youell, J. (2020) Carer and staff perceptions of end-of-life care provision: case of a hospice-at-home service. British Journal of Community Nursing. 26(1), pp. 30-36. 1462-4753.

Ward_Alison_etal_2020_Exploring_family_carer_and_staff_perceptions_of_end_of_life_care_provision_The_case_ ... (1MB)

Item Type:	Article
Abstract:	People requiring palliative care should have their needs met by services acting in accordance with their wishes. A hospice in the south of England provides such care via a 24/7 hospice at home service. This study aimed to establish how a nurse-led night service supported patients and family carers to remain at home and avoid hospital admissions. Semi-structured interviews were carried out with family carers (n=38) and hospice-at-home staff (n=9). Through night-time phone calls and visits, family carers felt supported by specialist hospice staff whereby only appropriate hospital admission was facilitated. Staff provided mediation between family carer and other services enabling more integrated care and support to remain at home. A hospice-at-home night service can prevent unnecessary hospital admissions and meet patient wishes through specialist care at home.
Uncontrolled Keywords:	Palliative care, hospice at home, hospital admissions, night service, end-of-life, out-of-hours
Creators:	Ward, Alison, Sixsmith, Judith, Spiro, Stephen, Graham, Anne, Ballard, Heather, Varvel, Sue and Youell, Jane
Faculties, Divisions and Institutes:	Research Centres > Centre for Health Sciences and Services ?? FHE ??
Date:	2 November 2020
Date Type:	Acceptance
Page Range:	pp. 30-36
Journal or Publication Title:	British Journal of Community Nursing
Volume:	26
Number:	1
Number of Pages:	7
Language:	English
DOI:	https://doi.org/10.12968/bjcn.2021.26.1.30
ISSN:	1462-4753
Status:	Published / Disseminated
Refereed:	Yes
Related URLs:	https://www.mendeley.com/catalogue/e9b32... https://pure.northampton.ac.uk/en/public...
URI:	http://nectar.northampton.ac.uk/id/eprint/13966

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