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Learning Objective 1: This review reinforces the importance of providing appropriate palliative care education programs to facility and hospice staffs.
Learning Objective 2: To provide better care, it is recommended that an inventory regarding palliative hospice care for health policy and clinical use be constructed.
Methods: A review of English language literature published after 1990 to 2011 relating to provision hospice services to residents with dementia for nurses in the long-term care facility. Five databases (i.e. Cochrane Library, CIHNAL, PubMed, EBSCO, ProQuest) were utilized.
Results: Eleven articles met inclusion criteria for the review. All originated were qualitative study. Five key themes were identified: patient performances factors (time of the referral): lack of accuracy prognostic guidelines, difficulty predicting. Professional factors (feel ineligible): competition not cooperation, lack of knowledge and skill about hospice care in dementia. Family factors: communication and misunderstanding. policy and organization factors: payment issues, organizational commitment and staff management. environment factors: equipments and privacy.
Conclusion: This review identifies the barriers to facility staffs extending hospice service provision when facility nurses caring for residents with end-stage dementia. This review reinforces the importance of providing appropriate palliative care education programs to facility and hospice staffs. To provide better care, it is recommended that an inventory regarding palliative hospice care for health policy and clinical use be constructed.