Lysaght Susan, Ersek Mary
University of Pennsylvania School of Nursing Philadelphia, PA.
J Hosp Palliat Nurs. 2013 May 1;15(3):171-176. doi: 10.1097/NJH.0b013e3182765a17.
Although place of death has been routinely studied in end-of-life (EOL) care, more analysis on place of death within hospice is needed because of the recent, dramatic rise in the number of hospice patients dying in inpatient settings. Using a case study to illustrate the complexity of determinants of place of death within hospice, this article highlights important known factors and elucidate gaps for further research. Individual and system level factors, sociocultural meanings, caregiving and preferences are shown to have important implications. Additionally, the unique components of home hospice, inpatient hospice and transitions between these settings may have a fundamental role in the future of quality EOL care. Further research on determinants of hospice settings of care is essential to the care of older adults at the end of life.
尽管在临终关怀（EOL）护理中，死亡地点已被常规研究，但由于近期临终关怀患者在住院环境中死亡的人数急剧增加，因此需要对临终关怀机构内的死亡地点进行更多分析。本文通过一个案例研究来说明临终关怀机构内死亡地点决定因素的复杂性，强调了重要的已知因素，并阐明了有待进一步研究的差距。个人和系统层面的因素、社会文化意义、护理及偏好都具有重要影响。此外，居家临终关怀、住院临终关怀以及这些环境之间的转换所具有的独特组成部分，可能在未来高质量的临终护理中发挥重要作用。对临终关怀护理环境决定因素的进一步研究，对于老年人的临终护理至关重要。
