End-of-life care in acute hospitals: an integrative literature review

Bloomer, Melissa J, Moss, Cheryle and Cross, Wendy M 2011, End-of-life care in acute hospitals: an integrative literature review, Journal of nursing and healthcare of chronic illness, vol. 3, no. 3, pp. 165-173, doi: 10.1111/j.1752-9824.2011.01094.x.

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Title End-of-life care in acute hospitals: an integrative literature review
Author(s) Bloomer, Melissa JORCID iD for Bloomer, Melissa J orcid.org/0000-0003-1170-3951
Moss, Cheryle
Cross, Wendy M
Journal name Journal of nursing and healthcare of chronic illness
Volume number 3
Issue number 3
Start page 165
End page 173
Total pages 9
Publisher Wiley-Blackwell
Place of publication Hoboken, N.J.
Publication date 2011-09
ISSN 1752-9816
Keyword(s) chronic illness
literature review
Summary Aim. To explore and define the current status of published literature related to end-of-life care in the acute hospital setting.
Background. Chronic illness is now the leading cause of death in developed countries because the population is and the advances in health care delivery. In Australia, two-third of people with chronic illness who die is inpatient in an acute hospital. Whilst most of the attention regarding end-of-life care and dying has focused on palliative care settings, there is a need to consider those dying outside of specialist palliative care settings.
Design. Integrative literature review.
Methods. Using an integrative approach, electronic searches of selected databases were undertaken, using comprehensive search terms. Secondary sources were also identified through the reference lists of retrieved literature.
Results. The literature review identified a lack of high-quality scientific evidence to direct end-of-life care as delivered in the acute (non-palliative care) sector. From the literature available, five core themes/issues were generated to reflect the literature.
Conclusions. There is a need for research to investigate end-of-life care in the acute hospital setting. Care pathways are in use to varying degrees without validation, but implementation alone does not ensure quality end-of-life care. Cultural factors can impede/impact practice and the ability of clinicians to recognise ‘active dying’ has been shown to be problematic, delaying the transition to end-of-life care.
Relevance to clinical practice. Given that the majority of deaths in Australia occur in acute hospital settings, clinicians should be delivering expert life-sustaining acute care and also quality end-of-life care.
Language eng
DOI 10.1111/j.1752-9824.2011.01094.x
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
1110 Nursing
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2011, Blackwell
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081914

Document type: Journal Article
Collections: Faculty of Health
Centre for Quality and Patient Safety Research
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