What Happens in Hospices: A Review of Research Evidence
Seale, Clive F.
Social Science and Medicine. 1989; 28(6): 551-559.
The growth of the modern hospice movement has been accompanied by some evaluative research, although this has been pursued with greater vigour in the United States than in Britain. Most studies employ the method of outcome measurement (patient or carer satisfaction for example) and only incidentally report on processes occurring within hospices or hospitals. A review of the research evidence suggests that processes of patient care may not always be very different between hospices and hospitals. This may be because hospital staff have learned from the example of hospices, but may also be due to hospice staff associated with traditional care systems compromising their ideals. Evidence from evaluative and from participant observation studies is reviewed to examine differences between hospital and hospice care in five major areas: medical therapies, psychosocial care, disclosure of prognosis, carers' involvement, in-patient care and relations between staff....
Attitudes; Biomedical Technologies; Cancer; Communication; Diagnosis; Disclosure; Evaluation; Family Members; Financial Support; Health; Home Care; Hospices; Hospitals; Nurse Patient Relationship; Pain; Patient Care; Patient Care Team; Patients; Physicians; Prognosis; Psychological Stress; Research; Review; Social Workers; Terminal Care; Terminally Ill;
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