Who cares for the carers at hospital discharge at the end of life? A qualitative study of current practice in discharge planning and the potential value of using The Carer Support Needs Assessment Tool (CSNAT) Approach

Palliative Medicine
Gail EwingGunn Grande

Abstract

Carer factors prevent patients achieving timely and appropriate hospital discharge. There is a lack of research into interventions to support carers at hospital discharge. To explore whether and how family carers are currently supported during patient discharge at end of life; to assess perceived benefits, acceptability and feasibility of using The Carer Support Needs Assessment Tool (CSNAT) Approach in the hospital setting to support carers. Qualitative. Three National Health Service Trusts in England: focus groups with 40 hospital and community-based practitioners and 22 carer interviews about experiences of carer support during hospital discharge and views of The CSNAT Approach. Two workshops brought together 14 practitioners and five carers to discuss implementation issues. Framework analysis was conducted. Current barriers to supporting carers at hospital discharge were an organisational focus on patients' needs, what practitioners perceived as carers' often 'unrealistic expectations' of end-of-life caregiving at home and lack of awareness of patients' end-of-life situation. The CSNAT Approach was viewed as enabling carer support and addressing difficulties of discussing the realities of supporting someone at home towards ...Continue Reading

References

Feb 10, 2006·BMJ : British Medical Journal·Barbara Gomes, Irene J Higginson
Oct 1, 2008·BMJ : British Medical Journal·Peter CraigUNKNOWN Medical Research Council Guidance
Jan 30, 2009·Health & Social Care in the Community·Rachel BorthwickLucy Stuttard
Feb 5, 2009·Journal of Clinical Nursing·Michael ConnollyChristi Deaton
Feb 24, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Alberto Alonso-BabarroManuel González-Barón
Mar 28, 2012·Palliative Medicine·Gail EwingUNKNOWN National Association for Hospice at Home
Dec 19, 2012·Journal of Pain and Symptom Management·Gail EwingUNKNOWN National Association for Hospice at Home
Feb 19, 2013·BMC Palliative Care·Barbara GomesIrene J Higginson
Dec 5, 2015·British Journal of Community Nursing·Gail EwingGunn Grande
Aug 19, 2016·JBI Database of Systematic Reviews and Implementation Reports·Anja BraetWalter Sermeus
Nov 5, 2016·British Journal of Community Nursing·Candice Pellett
Apr 4, 2017·Journal of the American Geriatrics Society·Juleen RodakowskiA Everette James

❮ Previous
Next ❯

Citations

Nov 12, 2020·Revista brasileira de enfermagem·Bruna Alexandra da Silva FerreiraÓscar Manuel Ramos Ferreira
Feb 6, 2021·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Brid McCarthyFiona Timmins
Mar 30, 2021·International Journal of Integrated Care·Sian WhiteSuzanne Lewis
Jun 26, 2021·BMC Palliative Care·Anna O'SullivanCecilia Larsdotter
Oct 26, 2021·Journal of Clinical Nursing·Joanne HiattJudith Bauer

❮ Previous
Next ❯

Software Mentioned

CSNAT

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.