TY - JOUR
T1 - End-of-life care in U.S. nursing homes
T2 - a review of the evidence.
AU - Oliver, Debra Parker
AU - Porock, Davina
AU - Zweig, Steven
PY - 2005/5
Y1 - 2005/5
N2 - OBJECTIVES: The purpose of this study was to systematically review the empiric evidence on end-of-life care in nursing homes in the United States The guiding research question for this review was what is the state of research evidence in end-of-life care in long-term care? DESIGN: We conducted a systematic review of the literature. DATA: The review was limited to published and indexed research in peer-reviewed journals in five major databases between 1995 and October 2002. RESULTS: The initial search yielded a total of 395 articles. The search was narrowed, focusing on nursing homes in the United States and empiric research. The result was 43 articles related to research in end-of-life care in American nursing homes. It was categorized into eight foci: prognosis, pain, hospice, hospitalization, advanced care planning, communication, family perceptions, and miscellaneous. CONCLUSION: There is a dearth of research published in end-of-life care in the nursing home setting. What is available is primarily descriptive. The empiric research only documents poor end-of-life care in U.S. nursing homes. Empiric evidence has grown in this area, but there is now a need for research of creative and innovative solutions aimed at improving the quality of end-of-life care in this setting.
AB - OBJECTIVES: The purpose of this study was to systematically review the empiric evidence on end-of-life care in nursing homes in the United States The guiding research question for this review was what is the state of research evidence in end-of-life care in long-term care? DESIGN: We conducted a systematic review of the literature. DATA: The review was limited to published and indexed research in peer-reviewed journals in five major databases between 1995 and October 2002. RESULTS: The initial search yielded a total of 395 articles. The search was narrowed, focusing on nursing homes in the United States and empiric research. The result was 43 articles related to research in end-of-life care in American nursing homes. It was categorized into eight foci: prognosis, pain, hospice, hospitalization, advanced care planning, communication, family perceptions, and miscellaneous. CONCLUSION: There is a dearth of research published in end-of-life care in the nursing home setting. What is available is primarily descriptive. The empiric research only documents poor end-of-life care in U.S. nursing homes. Empiric evidence has grown in this area, but there is now a need for research of creative and innovative solutions aimed at improving the quality of end-of-life care in this setting.
UR - https://www.scopus.com/pages/publications/18344394792
M3 - Review article
C2 - 15890289
AN - SCOPUS:18344394792
SN - 1525-8610
VL - 6
SP - S21-30
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 3 Suppl
ER -