Adam Spacey1, Janet Scammell2, Michele Board3, Sam Porter4. 1. PhD student, Faculty of Health and Social Sciences, Bournemouth University, UK. 2. Associate Professor, Faculty of Health and Social Sciences, Bournemouth University, UK. 3. Principal Lecturer in adult nursing, Faculty of Health and Social Sciences, Bournemouth University, UK. 4. Professor of Nursing Sociology, Head of Department of Social Sciences and Social Work, Bournemouth University, UK.
Abstract
BACKGROUND: The number of people requiring end-of-life care provision in care homes has grown significantly. There is a need for a systematic examination of individual studies to provide more comprehensive information about contemporary care provision. AIM: The aim of this study was to systematically review studies that describe end-of-life care in UK care homes. METHOD: A systematic PRISMA review of the literature published between 2008 and April 2017 was carried out. A total of 14 studies were included in the review. RESULTS: A number of areas of concern were identified in the literature in relation to the phases of dying during end-of-life care: end-of-life pre-planning processes; understandings of end-of-life care; and interprofessional end-of-life care provision. CONCLUSIONS: Given that the problems identified in the literature concerning end-of-life care of residents in care homes are similar to those encountered in other healthcare environments, there is logic in considering how generalised solutions that have been proposed could be applied to the specifics of care homes. Further research is necessary to explore how barriers to good end-of-life care can be mitigated, and facilitators strengthened.
BACKGROUND: The number of people requiring end-of-life care provision in care homes has grown significantly. There is a need for a systematic examination of individual studies to provide more comprehensive information about contemporary care provision. AIM: The aim of this study was to systematically review studies that describe end-of-life care in UK care homes. METHOD: A systematic PRISMA review of the literature published between 2008 and April 2017 was carried out. A total of 14 studies were included in the review. RESULTS: A number of areas of concern were identified in the literature in relation to the phases of dying during end-of-life care: end-of-life pre-planning processes; understandings of end-of-life care; and interprofessional end-of-life care provision. CONCLUSIONS: Given that the problems identified in the literature concerning end-of-life care of residents in care homes are similar to those encountered in other healthcare environments, there is logic in considering how generalised solutions that have been proposed could be applied to the specifics of care homes. Further research is necessary to explore how barriers to good end-of-life care can be mitigated, and facilitators strengthened.
Authors: Nuriye Kupeli; Gerard Leavey; Kirsten Moore; Jane Harrington; Kathryn Lord; Michael King; Irwin Nazareth; Elizabeth L Sampson; Louise Jones Journal: BMC Palliat Care Date: 2016-03-10 Impact factor: 3.234
Authors: Cathy Shipman; Marjolein Gysels; Patrick White; Allison Worth; Scott A Murray; Stephen Barclay; Sarah Forrest; Jonathan Shepherd; Jeremy Dale; Steve Dewar; Marilyn Peters; Suzanne White; Alison Richardson; Karl Lorenz; Jonathan Koffman; Irene J Higginson Journal: BMJ Date: 2008-10-01