Dignity and patient-centred care for people with palliative care needs in the acute hospital setting: A systematic review

September 2, 2015

Source: Palliative Medicine 2015 v.29(8) p675-694

Follow this link for the abstract

Date of publication: September 2015

Publication type: Research article

In a nutshell: A systematic literature review was conducted to examine international evidence relating to dignity and patient-centred care for people with care needs in an acute hospital setting. The article concludes that acute hospital staff require adequate training, including symptom control, and the correct environment in which to deliver dignified and person-centred end-of-life care. Specific models/approaches to care can be beneficial, if adequate training regarding implementation is given. The needs of family members also require consideration, particularly following bereavement.

Length of publication: 20 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.



A case study approach to investigating end-of-life decision making in an acute health service

August 9, 2013

Source: Australian Health Review, vol.37(1) pp93-7

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Date of publication: February 2013

Publication type: Article

In a nutshell: This article aimed to identify end-of-life (EOL) decision making processes for patients with non-cancer illnesses in a major metropolitan hospital in Australia. A retrospective review using a case study framework of 47 randomly selected patient records over  a 6-month period explored issues in End of Life care planning. The article concludes that the development and effective implementation of EOL plans is associated with the active involvement of both family members and health professionals. It also draws attention to the risks of delaying EOL discussions until late in the illness trajectory or later in life as well as pointing to challenges in acting on EOL developed outside the hospital environment.

Length of publication: 5 pages

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library

Living and Dying Well – Progress Report – NHS Boards

August 24, 2012

Source: Scottish Partnership for Palliative Care

Follow this link to download progress report

Date of publication: June 2012

Publication type: Progess report

In a nutshell: This report is a national overview on the implementation of Living and Dying Well: a national action plan for palliative and end of life care which has been compiled by Scottish Partnership for Palliative Care (SPPC) on behalf of the Living and Dying Well National Advisory Group. A number of the key actions which Living and Dying Well identified for NHS Boards have either been fully or nearly achieved on a consistent basis across Scotland. Whilst many key actions have yet to be achieved consistently there is evidence of progress and examples of innovation and good practice in Boards.  The report reinforces the need for focus on areas previously identified as priorities for implementation:-

  • Early identification of patients who may need palliative care
  • Advance/anticipatory care planning
  • Palliative and end of life care in acute hospitals
  • Electronic palliative care summary (ePCS)
  • Do not attempt cardiopulmonary resuscitation (DNACPR)

Length of publication:48 pages

The route to success in end of life care – achieving quality in ambulance services

February 28, 2012

Source: National End of  Life Care Programme

Follow this link  to download the full report

Date of publication: February 2012

Publication type: Report

In a nutshell: Ambulance services make a crucial contribution to enabling people to have their stated care preferences met and to achieve a ‘good death’ – dying with dignity, ideally in the setting of their choice. The End of Life Care Strategy (DH 2008) recognised ambulance services’ key role in three important areas:
1. Rapid transfer of the dying
2. Developing appropriate transport for the person/carer
3. Developing robust information systems to ensure the wishes of the person (i.e. DNACPRs) are communicated to ambulance services and staff.

Length of publication: 40p.

Acknowledgement: National End of Life Care Programme  and Association of Ambulance Chief Executives

Transitions to palliative care in acute hospitals in England: qualitative study

April 26, 2011

Source: BMJ  2011; 342:d1773

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Date: March 2011

Publication Type: Article

Publication Length:7 pages

In a nutshell: This qualitative study explores how transitions to a palliative care approach are perceived to be managed in acute hospital settings in England. The article concludes that significant barriers to implementing a policy of structured transitions to palliative care in acute hospitals were identified by health professionals in both primary and secondary care. These need to be addressed if current UK policy on management of palliative care in acute hospitals is to be established.

Implementation and evaluation of a palliative care resource scheme within a district general hospital.

February 22, 2010

Title: Implementation and evaluation of a palliative care resource scheme within a district general hospital.

Source: International Journal of Palliative Nursing 2009, 15(10) p481-486

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Date of Publication: October 2009

Publication Type: Article

In a nutshell: This article explores the development, implementation and evaluation of a palliative care resource scheme in a district general hospital in Mid Gamorgan, Wales. The evolution of the resource scheme and how the hospital specialist palliative care team identified the need for improved patient care on hospital wards is discussed, in addition to how using their specialist role combined with education can implement change. The resource enhances the knowledge of the practitioners who have completed it and also formalizes and expands the working links between education and clinical practice. It is hoped to continue and develop the scheme to further enhance the collaborative partnerships.

Publication length: 6 pages

Some important notes: An NHS Athens password is required to access this article online. Follow this link to set up an NHS Athens password

Acknowledgements: CINAHL

Supportive Care Pathway in Birmingham

January 25, 2010

Title: Supportive Care Pathway in Birmingham

Source: National End of Life Care Programme

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Date: January 2010

Publication Type: Webpage

In a nutshell: The Pan Birmingham Cancer Network has developed a specially tailored end of life care pathway for all patients in acute hospitals, regardless of diagnosis. The pathway, which is called the Supportive Care Pathway (SCP), is currently being used on seven wards across Sandwell and West Birmingham Hospital NHS Trust with 200 patients having been started on the pathway since January 2009. The trust is committed to extending its use to all its acute wards in due course.

Acknowledgements: Pan Birmingham Cancer Network