Barriers of home-based hospice care from different caregiver perspectives: a Meta-synthesis of qualitative research
10.3760/cma.j.cn115682-20230818-00578
- VernacularTitle:不同照护者视角下实施居家安宁疗护阻碍因素质性研究的Meta整合
- Author:
Chen CHEN
1
;
Wei ZHANG
;
Xiyang LIU
Author Information
1. 江苏大学医学院，镇江 212013
- Keywords:
Hospice care;
Home care;
Implementation barriers;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2024;30(21):2830-2836
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the experience of home-based hospice care from two different perspectives of professional caregivers and family caregivers, and summarize the barriers faced by caregivers.Methods:This study was Meta-synthesis. Qualitative studies on the barriers of home-based hospice care among professional caregivers or family caregivers were electronically searched on China National Knowledge Infrastructure, WanFang Data, VIP, PubMed, Web of Science, Cochrane Library, Embase, CINAHL and Medline. The search period was from database establishment to October 3, 2023. The quality evaluation of literature was conducted using the quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center. The aggregation Meta-synthesis method was used to integrate the included article.Results:A total of ten articles were included, all had a quality evaluation level of B. Thirty-five results were extracted and summarized into eight new categories. Two integrated results were formed, including barriers to implementation of home-based hospice care by patients' family members (three categories) and barriers to implementation of home-based hospice care by professional caregivers (five categories) .Conclusions:Due to various factors such as external policies, organizations, and personnel, there are still many challenges in the practical development of home-based hospice care. Government and medical institutions can formulate or improve policies and service processes to address the obstacles to implementing home hospice care for different caregivers, and promote the development of home-based hospice care.
