ArticlePloS one2015
How could hospitalisations at the end of life have been avoided? A qualitative retrospective study of the perspectives of general practitioners, nurses and family carers.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- End-of-life care in Germany between 2016 and 2020 - A repeated cross-sectional analysis of statutory health insurance data.BMC palliative care · 2024Article
- More older adults died at their preferred place after implementation of a transmural care pathway for older adults at the end of life: a before-after study.BMC palliative care · 2023Article
- Anti-tumor treatment and healthcare consumption near death in the era of novel treatment options for patients with melanoma brain metastases.BMC cancer · 2022Article
- Article
- What are the risk factors for avoidable transitions in the last year of life? A qualitative exploration of professionals' perspectives for improving care in Germany.BMC health services research · 2021Article
- [A palliative approach for severest anorexia nervosa?]Der Nervenarzt · 2020Review
- What are essential elements of high-quality palliative care at home? An interview study among patients and relatives faced with advanced cancer.BMC palliative care · 2019Article
- Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs.BMC palliative care · 2018Article
- Providing end-of-life care in general practice: findings of a national GP questionnaire survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- "It is not the fading candle that one expects": general practitioners' perspectives on life-preserving versus "letting go" decision-making in end-of-life home care.Scandinavian journal of primary health care · 2015Article
- [Every week counts: Use of health services and related costs of a community-based cohort of people with advanced chronic diseases].Atencion primariaObservational
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough many patients prefer to stay and die at home at the end of life, many are hospitalised. Little is known about how to avoid hospitalisations for patients living at home.
aimTo describe how hospitalisation at the end of life can be avoided, from the perspective of the GPs, nurses and family carers.
methodA qualitative design with face-to-face interviews was used. Taking 30 cases of patients who died non-suddenly, 26 GPs, 15 nurses and 18 family carers were interviewed in depth. Of the 30 patients, 20 were hospitalised and 10 were not hospitalised in the last three months of life.
resultsFive key themes that could help avoid hospitalisation at the end of life emerged from the interviews. The key themes were: 1) marking the approach of death, and shifting the mindset; 2) being able to provide acute treatment and care at home; 3) anticipatory discussions and interventions to deal with expected severe problems; 4) guiding and monitoring the patient and family in a holistic way through the illness trajectory; 5) continuity of treatment and care at home. If these five key themes are adopted in an interrelated way, this could help avoid hospitalisations, according to GPs, nurses and family carers.
conclusionsThe five key themes described in this study can be seen as strategies that could help in avoiding hospitalisation at the end of life. It is recommended that for all patients residing at home, GPs and community nurses work together as a team from the moment that it is marked that death is approaching up to the end of life.
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