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Finding privacy from a public death: a qualitative exploration of how a dedicated space for end-of-life care in an acute hospital impacts on dying patients and their families.

Abstract：

AIMS AND OBJECTIVES:To explore the experiences and perceptions of hospital staff caring for dying patients in a dedicated patient/family room (named Lotus Room). BACKGROUND:Dying in hospital is a common outcome for people across the world. However, noise and activity in acute environments present barriers to quality end-of-life care. This is of concern because care provided to dying patients has been shown to affect both the patients and the bereaved families. DESIGN:A qualitative descriptive approach was used. METHODS:Semi-structured interviews were conducted with 17 multidisciplinary staff and seven families provided information through an investigator-developed instrument. RESULTS:Qualitative data analysis generated three categories describing: Dying in an hospital; The Lotus Room; and the Outcomes for patients and families. The Lotus Room was seen as a large, private and, ultimately, safe space for patients and families within the public hospital environment. Family feedback supported staff perspectives that the Lotus Room facilitated family presence and communication. CONCLUSIONS:The privacy afforded by the Lotus Room within this acute hospital provided benefits for the dying patients and grieving families. Improved outcomes included a peaceful death for patients, which may have assisted the family with their bereavement. RELEVANCE TO CLINICAL PRACTICE:This study provides evidence of how the physical environment can address well-established barriers to quality end-of-life care in acute hospitals.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Slatyer S,Pienaar C,Williams AM,Proctor K,Hewitt L

doi

10.1111/jocn.12845

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

2164-74

issue

15-16

eissn

0962-1067

issn

1365-2702

journal_volume

24

pub_type

杂志文章

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