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The hospital environment for end of life care of older adults and their families: an integrative review.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); May2012, Vol. 68 Issue 5, p981-993, 13p, 1 Diagram, 2 Charts
- Publication Year :
- 2012
-
Abstract
- brereton l., gardiner c., gott m., ingleton c., barnes s. & carroll c. (2011) The hospital environment for end of life care of older adults and their families: an integrative review. Journal of Advanced Nursing 68(5), 981-993. Abstract Aim. This article is a report of an integrative review to identify key elements of the physical hospital environment for end of life care of older adults and their families as reported by patients, relatives, staff and policy makers. Background. Globally ageing populations and increases in long-term illness mean that more people will need palliative care in the future. Despite policy initiatives to increase end of life care in the community, many older adults prefer, and will require, end of life care in hospital. Providing an appropriate physical environment for older adults requiring end of life care is important given concerns about hospital environments for this group. Data sources. Thirteen databases from 1966 to 2010 were searched including ASSIA, BNI, Cochrane Library, CINAHL, EMBASE, MEDLINE, PsycINFO, Social Science Citation Index, the Science Citation Index, HMIC and the National Research Register. Reference and citation tracking was performed on included publications. Review methods. An integrative review was conducted. Two reviewers independently screened titles and abstracts for inclusion and completed data extraction. Study quality is not reported as this poses methodological difficulties in integrative reviews. Data synthesis involved thematic analysis informed by the findings of included literature. Results. Ten articles were included. Four themes were identified: privacy as needed; proximity (physically and emotionally) to loved ones, home and nature; satisfaction with the physical environment; and deficiencies in physical environment. Conclusion. Little evidence exists about physical hospital environments for end of life care of older adults and their families. More research is required in this field. [ABSTRACT FROM AUTHOR]
- Subjects :
- HOSPITAL care of older people
CINAHL database
DATABASES
FAMILIES
HEALTH facilities
HEALTH facility administration
HOSPITAL patients
INFORMATION storage & retrieval systems
MEDICAL databases
MEDICAL information storage & retrieval systems
NURSING databases
PSYCHOLOGY information storage & retrieval systems
INTERIOR decoration
MEDICAL ethics
MEDLINE
NOISE
PALLIATIVE treatment
PATIENT satisfaction
PRIVACY
RESEARCH funding
ROOMS
TERMINAL care
TERMINALLY ill
VISITING the sick
SYSTEMATIC reviews
QUALITATIVE research
QUANTITATIVE research
THEMATIC analysis
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 68
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 73552401
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2011.05900.x