Barriers to effective end of life care in the acute sector: a literature review
Intended for healthcare professionals
Evidence and practice    

Barriers to effective end of life care in the acute sector: a literature review

Mei Hui Bowerman Sister, Imperial College Healthcare NHS Trust, London, England
Mary Williams Senior lecturer, Buckinghamshire New University, Buckinghamshire, England

Why you should read this article:
  • To recognise the need to improve end of life care for acute hospital inpatients

  • To be aware of the barriers to delivering effective end of life care in acute care settings

  • To understand the elements required for effective end of life care delivery in acute care settings

The acute hospital is the place of care and death for many people at the end of life, but not all hospital inpatients who are approaching death receive appropriate end of life care (EOLC). There are major barriers to the provision of effective EOLC to patients and their families in the acute setting.

This article describes the findings of a literature review that aimed to explore these barriers. The main barriers that emerged related to communication with patients and families, staff education and training, advance care planning, resources, multidisciplinary team working, and leadership and organisational culture. In the acute sector, as in healthcare in general, EOLC should be regarded as everyone’s business and all staff should be prepared to care for patients at the end of life and their families.

Cancer Nursing Practice. doi: 10.7748/cnp.2024.e1874

Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Correspondence

mei-hui.bowerman@nhs.net

Conflict of interest

None declared

Bowerman MH, Williams M (2024) Barriers to effective end of life care in the acute sector: a literature review. Cancer Nursing Practice. doi: 10.7748/cnp.2024.e1874

Published online: 25 October 2024

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