Abstract:
:Hospice has grown considerably but the likelihood that someone gets hospice depends on social and organizational practices. This article shows how staff beliefs and work routines influenced hospice utilization in two nursing homes. In one, 76% of residents died on hospice and in the other 24% did. Staff identified barriers to hospice including families who saw hospice as giving up and gaps in the reimbursement system. At the high-hospice nursing home, staff said hospice care extended beyond what they provided on their own. At the low-hospice nursing home, an influential group said hospice was essentially the same as their own end-of-life care and therefore needlessly duplicative. Staff at the high-hospice nursing home proactively approached families about hospice, whereas staff at the low-hospice nursing home took a reactive approach, getting hospice when families asked for it. Findings demonstrate how staff beliefs and practices regarding hospice shape end-of-life care in nursing homes.
journal_name
J Aging Studjournal_title
Journal of aging studiesauthors
Rodriquez J,Boerner Kdoi
10.1016/j.jaging.2018.06.004subject
Has Abstractpub_date
2018-09-01 00:00:00pages
76-81eissn
0890-4065issn
1879-193Xpii
S0890-4065(18)30082-3journal_volume
46pub_type
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