Hospice Decision Making: Diagnosis Makes a Difference

Autor/inn/en	Waldrop, Deborah P.; Meeker, Mary Ann
Titel	Hospice Decision Making: Diagnosis Makes a Difference
Quelle	In: Gerontologist, 52 (2012) 5, S.686-697 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0016-9013
DOI	10.1093/geront/gnr160
Schlagwörter	Identification; Chronic Illness; Decision Making; Content Analysis; Caregivers; Qualitative Research; Data Analysis; Patients; Hospices (Terminal Care); Clinical Diagnosis; Case Studies; Semi Structured Interviews; Conflict; Theories; Guidelines; Referral + Suchen Sie Ihr Suchwort? Identifikation; Identifizierung; Chronic disease; Chronische Krankheit; Decision-making; Entscheidungsfindung; Inhaltsanalyse; Caregiver; Carer; Betreuungsperson; Pfleger; Qualitative Forschung; Auswertung; Patient; Hospice; Hospiz; Case study; Fallstudie; Case Study; Konflikt; Theory; Theorie; Richtlinien
Abstract	Purpose: This study explored the process of decision making about hospice enrollment and identified factors that influence the timing of that decision. Methods: This study employed an exploratory, descriptive, cross-sectional design and was conducted using qualitative methods. In-depth in-person semistructured interviews were conducted with 36 hospice patients and 55 caregivers after 2 weeks of hospice care. The study was guided by Janis and Mann's conflict theory model (CTM) of decision making. Qualitative data analysis involved a directed content analysis using concepts from the CTM. Results: A model of hospice enrollment decision making is presented. Concepts from the CTM (appraisal, surveying and weighing the alternatives, deliberations, adherence) were used as an organizing framework to illustrate the dynamics. Distinct differences were found by diagnosis (cancer vs. other chronic illness, e.g., heart and lung diseases) during the pre-encounter phase or before the hospice referral but no differences emerged during the post-encounter phase. Implications: Differences in decision making by diagnosis suggest the need for research about effective means for tailored communication in end-of-life decision making by type of illness. Recognition that decision making about hospice admission varies is important for clinicians who aim to provide person-centered and family-focused care. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10