Improving End-of-Life Care in Hospitals: A Qualitative Analysis of Bereaved Families' Experiences and Suggestions

Improving End-of-Life Care in Hospitals: A Qualitative Analysis of Bereaved Families' Experiences and Suggestions
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DOI:
10.1177/1049909113512718
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发表时间:
2015-02-01
影响因子:
1.9
通讯作者:
Weber, Martin
Weber, Martin
中科院分区:
医学4区
文献类型:
--
作者:
Bussmann, Sonja;Muders, Pia;Weber, Martin

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目的:探索和记录的经验和期望的丧亲家庭成员关于他们的已故亲属在一个综合性的hospital setting.Methods:横断面研究,使用问卷调查,包括开放式问题的生命结束(EOL)护理。自由文本的答案进行了评价与定性内容分析。共有270名家庭成员提供了有关改善住院护理的信息。此外,他们要求一个更全面的病人的医疗保健以外的医疗,并表示希望为家庭提供更多的专业支持。讨论:丧亲家属的观点证实,需要改善综合医院的EOL护理。结果强调了更全面的EOL护理的重要性。建议应用沟通技巧培训、结构化家庭会议和综合途径。
Objectives: To explore and document the experiences and expectancies of bereaved family members concerning the end-of-life (EOL) care of their deceased relative in a general hospital setting.Methods: Cross-sectional study using a questionnaire that included open-ended questions. Free-text answers were evaluated with qualitative content analysis. A total of 270 family members provided information about improvements in inpatient care.Results: Families described structural deficiencies. Furthermore, they requested a more holistic patient health care beyond medical treatment and expressed the wish for more professional support for families.Discussion: The view of bereaved families confirmed the need for improvement in general hospital EOL care. The results underline the importance of a more holistic EOL care. The application of communication skills training, structured family meetings, and integrated pathways is recommended.