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What does effective end-of-life care at home for children look like? : a qualitative interview study exploring the perspectives of bereaved parents
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BACKGROUND: End-of-life care for children with life-shortening conditions is provided in a range of settings including hospital, hospice and home. What home-based, end-of-life care should entail or what best practice might look like is not widely reported, particularly from the perspective of parents who experienced the death of a child at home.
AIM: To explore the value and assess the effectiveness of an innovative model of care providing home-based, end-of-life care as perceived by families who accessed the service.
DESIGN: A qualitative descriptive study design was employed with in-depth semi-structured interviews conducted with bereaved parents.
SETTING/PARTICIPANTS: Thirteen bereaved parents of 10 children supported by the home-based end-of-life care service.
RESULTS: Parents reported effective aspects of end-of-life care provided at home to include: (1) ability to facilitate changes in preferred place of death; (2) trusted relationships with care providers who really know the child and family; (3) provision of child and family-centred care; (4) specialist care and support provided by the service as and when needed; and (5) quality and compassionate death and bereavement care. Parents proposed recommendations for future home-based end-of-life care including shared learning, improving access to home-based care for other families and dispelling hospice myths.
CONCLUSION: Parents with experience of caring for a dying child at home offer valuable input to future the policy and practice surrounding effective home-based, end-of-life care for children. New models of care or service developments should consider the key components and attributes for effective home-based end-of-life identified by bereaved parents in this study.
http://dx.doi.org/10.1177/02692163211023300
Voir la revue «PALLIATIVE MEDICINE, 35»
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