Senior Researcher, University of Northampton, Northampton.
Professor, School of Health Sciences, University of Dundee, Dundee, Scotland.
Br J Community Nurs. 2021 Jan 2;26(1):30-36. doi: 10.12968/bjcn.2021.26.1.30.
People requiring palliative care should have their needs met by services acting in accordance with their wishes. A hospice in the south of England provides such care via a 24/7 hospice at home service. This study aimed to establish how a nurse-led night service supported patients and family carers to remain at home and avoid hospital admissions. Semi-structured interviews were carried out with family carers (n=38) and hospice-at-home staff (n=9). Through night-time phone calls and visits, family carers felt supported by specialist hospice staff whereby only appropriate hospital admission was facilitated. Staff provided mediation between family carer and other services enabling more integrated care and support to remain at home. A hospice-at-home night service can prevent unnecessary hospital admissions and meet patient wishes through specialist care at home.
需要姑息治疗的人应该通过符合其意愿的服务来满足他们的需求。英格兰南部的一家临终关怀院通过 24/7 的上门临终关怀服务提供此类护理。本研究旨在确定护士主导的夜间服务如何支持患者和家庭照顾者留在家里并避免住院。对家庭照顾者（n=38）和临终关怀院工作人员（n=9）进行了半结构化访谈。通过夜间电话和访问，家庭照顾者感到受到专业临终关怀工作人员的支持，只有在适当的情况下才会协助住院。工作人员在家庭照顾者和其他服务之间进行调解，使更多的综合护理和支持能够留在家里。临终关怀院的夜间服务可以通过在家中提供专业护理来预防不必要的住院治疗并满足患者的意愿。
