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

Alison Ward (Lead / Corresponding author), Judith Sixsmith, Stephen Spiro, Anne Graham, Heather Ballard, Sue Varvel, Jane Youell

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    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.
    Original languageEnglish
    Pages (from-to)30-36
    Number of pages7
    JournalBritish Journal of Community Nursing
    Volume26
    Issue number1
    Early online date28 Dec 2020
    DOIs
    Publication statusPublished - 2 Jan 2021

    Keywords

    • Hospice at home
    • Hospital admissions
    • Night service
    • Out-of-hours
    • Palliative care

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