Advanced Clinical Practitioner, University of Worcester, UK.
Associate Professor of Nursing, University of Worcester, UK.
Int J Palliat Nurs. 2020 Mar 2;26(3):120-132. doi: 10.12968/ijpn.2020.26.3.120.
People experiencing homelessness often die young and without adequate support. In the UK, they fail to access palliative care services and their end-of-life priorities remain poorly understood.
To explore the end-of-life concerns, fears, preferences and priorities of a sample of people experiencing homelessness in the UK.
This is an interpretive phenomenology. Data collected through semi-structured, audio-recorded, face-to-face interviews with 21 homeless participants in the UK were analysed iteratively using thematic analysis. Findings have been interpreted through the lens of Merleau-Ponty's philosophy.
Eight themes are reported: spiritual concerns; practical concerns; fear of needing care; fear of being forgotten; preference for dying suddenly; preference for being somewhere comfortable where people know me; prioritising autonomy and self-determination; and prioritising authenticity.
A strengths-based, trauma-informed, person-centred, collaborative 'compassionate community' approach to care is recommended for people experiencing homelessness at end of life.
无家可归者往往英年早逝，且得不到充分的支持。在英国，他们无法获得姑息治疗服务，其临终关怀的优先事项也未得到充分理解。
探讨英国一组无家可归者的临终关怀关注点、恐惧、偏好和优先事项。
这是一种解释性现象学研究。通过在英国对 21 名无家可归者进行半结构化、录音、面对面访谈收集数据，使用主题分析方法进行迭代分析。研究结果通过梅洛-庞蒂的哲学进行解释。
报告了八个主题：精神关怀；实际问题；对需要护理的恐惧；害怕被遗忘；希望突然离世；希望在舒适的地方，人们知道我；优先考虑自主权和自我决定；以及优先考虑真实性。
建议在临终关怀时为无家可归者提供以优势为基础、以创伤为导向、以人为本、协作的“富有同情心的社区”方法。
