PMID- 37651687
OWN - NLM
STAT- Publisher
LR  - 20230831
IS  - 1938-2715 (Electronic)
IS  - 1049-9091 (Linking)
DP  - 2023 Aug 31
TI  - The Efficacy of Hospice-In-Place Care Versus Traditional Inpatient Care.
PG  - 10499091231199722
LID - 10.1177/10499091231199722 [doi]
AB  - Introduction: The hospice-in-place program at Vanderbilt University Medical 
      Center (VUMC) is available to patients and families who elect for hospice 
      benefits and are too unstable to be transported for hospice care. The goal of 
      this study was to assess the satisfaction of family members of patients who died 
      while hospitalized at VUMC and received hospice-in-place compared to the families 
      of patients who did not receive hospice care. Methods: Next-of-kin satisfaction 
      was measured through the administration of qualitative interviews and 
      quantitative questionnaires. Semi-structured interviews were audio-recorded, and 
      transcripts were analyzed using an iterative inductive-deductive approach to 
      develop a conceptual framework. Participants were also asked to respond to a 
      10-question satisfaction questionnaire. Results: Forty participants were 
      enrolled: 20 next-of-kin of patients who received hospice-in-place and 20 
      next-of-kin of patients who passed without hospice. Factors influencing 
      satisfaction were organized into a conceptual framework with three categories: 
      individual-level factors, systems-level factors, and modifying factors. For the 
      questionnaires, the hospice-in-place group had a mean satisfaction score of 4.54 
      (0.76) out of five, while the non-hospice group had a mean score of 4.14 (1.00). 
      A comparison of the two groups' responses did not show a statistically 
      significant difference (P = 0.06). Discussion: Quantitative findings of this 
      study showed improved satisfaction but were unable to show a significant 
      difference in satisfaction with hospice-in-place compared to traditional care. 
      Questionnaire results suggest that both types of care yield high satisfaction 
      scores and are successfully supporting patients and families. The conceptual 
      framework also adds to the understanding of end-of-life experiences at VUMC.
FAU - Butler, Emily
AU  - Butler E
AUID- ORCID: 0000-0002-9581-5549
AD  - Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
FAU - Hanson, Claire
AU  - Hanson C
AD  - Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
FAU - Khan, Taaseen
AU  - Khan T
AD  - Vanderbilt University, Nashville, TN, USA. RINGGOLD: 5718
FAU - Mwarumba, Tuzo
AU  - Mwarumba T
AD  - Emory University School of Medicine, Atlanta, GA, USA. RINGGOLD: 12239
FAU - Daniels, Derek
AU  - Daniels D
AD  - Vanderbilt University, Nashville, TN, USA. RINGGOLD: 5718
FAU - Turchan, Maxim
AU  - Turchan M
AD  - Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
FAU - Bonnet, Kemberlee
AU  - Bonnet K
AD  - Qualitative Research Core, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
FAU - Schlundt, David
AU  - Schlundt D
AD  - Qualitative Research Core, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
FAU - Harper, Kelly
AU  - Harper K
AUID- ORCID: 0000-0003-4504-6232
AD  - Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
FAU - Bennett, Marc
AU  - Bennett M
AD  - Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, 
      TN, USA. RINGGOLD: 12328
FAU - Charles, David
AU  - Charles D
AD  - Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, 
      USA. RINGGOLD: 12328
LA  - eng
PT  - Journal Article
DEP - 20230831
PL  - United States
TA  - Am J Hosp Palliat Care
JT  - The American journal of hospice & palliative care
JID - 9008229
SB  - IM
OTO - NOTNLM
OT  - Hospice-in-place
OT  - end-of-life care
OT  - family satisfaction
OT  - inpatient
OT  - next-of-kin
OT  - qualitative research
EDAT- 2023/08/31 18:41
MHDA- 2023/08/31 18:41
CRDT- 2023/08/31 16:13
PHST- 2023/08/31 18:41 [medline]
PHST- 2023/08/31 18:41 [pubmed]
PHST- 2023/08/31 16:13 [entrez]
AID - 10.1177/10499091231199722 [doi]
PST - aheadofprint
SO  - Am J Hosp Palliat Care. 2023 Aug 31:10499091231199722. doi: 
      10.1177/10499091231199722.