Reyniers Thijs, Houttekier Dirk, Cohen Joachim, Pasman H Roeline, Deliens Luc
End-of-Life Care Research Group, Vrije Universiteit Brussel & Ghent University, Laarbeeklaan 103, 1090 Brussels (Jette), Belgium.
Department of Public and Occupational Health, EMGO Institute for Health and Care Research and Expertise Center for Palliative Care, VU University Medical Center, Van der Boechorstraat 7, 1081 BT Amsterdam, The Netherlands.
Health Place. 2014 May;27:77-83. doi: 10.1016/j.healthplace.2014.02.002. Epub 2014 Feb 25.
While the focus of end-of-life care research and policy has predominantly been on 'death in a homelike environment', little is known about perceptions of the acute hospital setting as a place of final care or death. Using a qualitative design and constant comparative analysis, the perspectives of family physicians, nurses and family carers were explored. Participants generally perceived the acute hospital setting to be inadequate for terminally ill patients, although they indicated that in some circumstances it might be a 'safe haven'. This implies that a higher quality of end-of-life care provision in the acute hospital setting needs to be ensured, preferably by improving communication skills. At the same time alternatives to the acute hospital setting need to be developed or expanded.
虽然临终关怀研究与政策主要聚焦于“在类似家庭的环境中离世”，但对于急症医院作为最终护理场所或死亡之地的认知却知之甚少。采用质性设计与持续比较分析，探究了家庭医生、护士及家庭护理者的观点。参与者普遍认为急症医院环境不适用于绝症患者，不过他们也指出在某些情况下这里可能是个“安全港”。这意味着需要确保在急症医院环境中提供更高质量的临终关怀，最好是通过提高沟通技巧来实现。与此同时，需要开发或扩大急症医院环境的替代方案。
