Faculty of Humanities, Charles University, Prague, Czech Republic.
Centre for Palliative Care, Prague, Czech Republic.
J Gerontol Soc Work. 2023 Oct;66(7):942-959. doi: 10.1080/01634372.2023.2199796. Epub 2023 Apr 12.
A significant percentage of nursing home residents die in hospitals. The objective of this study is to explore the factors that influence decision-making about hospitalizations of nursing home residents in the Czech Republic that become terminal. A total of 27 semi-structured interviews with nurses and social workers registered with nursing homes, as well as general practitioners cooperating with nursing homes, were conducted. Data were analyzed using thematic analysis. Six themes of the factors influencing decision-making about hospitalizations were made: the options of the nursing home, the accessibility of medical decision-making, inadequate care planning, the age of the resident, fear of legal action, and making the decision to hospitalize. Terminality of life seems to have no impact on the decision of nurses about hospitalization. Terminal hospitalization seems to be the result of the limited options that nurses have in different nursing homes in terms of how to organize end-of-life care.
相当大比例的养老院居民在医院去世。本研究的目的是探讨影响捷克共和国临终养老院居民住院决策的因素。共对 27 名注册护士和社会工作者以及与养老院合作的全科医生进行了半结构化访谈。使用主题分析进行数据分析。确定了影响住院决策的因素的六个主题：养老院的选择、医疗决策的可及性、护理计划不足、居民的年龄、害怕法律行动以及决定住院。生命的终末期似乎对护士的住院决策没有影响。临终住院似乎是由于护士在不同养老院组织临终关怀方面的选择有限所致。
