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Hospital Executives’ Perceptions of End-of-Life Care

Bibliographic Data

ID16911200
AuthorsKimberly K Garner (Geriatric Research Education and Clinical Center), Leanne L Lefler (0000-0002-0187-7272, University of Arkansas for Medical Sciences), Jean C Mcsweeney (0000-0003-0830-8993, University of Arkansas for Medical Sciences), Patricia M Dubbert (Geriatric Research Education and Clinical Center), Dennis H Sullivan (0000-0001-5420-5245, Geriatric Research Education and Clinical Center), Joann E Kirchner (0000-0002-2090-4248, Geriatric Research Education and Clinical Center)
Year2015
Volume5
Issue2
Publication date2015-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSAGE Open (JOURNAL)
Journal identifiersISSN: 2158-2440 • E-ISSN: 2158-2440
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/2158244015590610
OpenAlexW1946426685
LanguageEN
References cited32

Hospital executives are key stakeholders in the hospital setting. However, despite extensive medical and nursing literature on the importance of end-of-life (EOL) care in hospitals, little is known about hospital executives’ perceptions of the provision of EOL care in their facilities. The objective of this study was to capture hospital executives’ perceptions of the provision of EOL care in the hospital setting. This descriptive, naturalistic phenomenological, qualitative study utilized in-person interviews to explore executives’ opinions and beliefs. The sample consisted of 14 individuals in the roles of medical center directors, chiefs of staff, chief medical officers, hospital administrators, hospital risk managers, and regional counsel in Arkansas, Louisiana and Texas. An interview guide was developed and conducted utilizing a global question followed by probes concerning perceptions of EOL care provision. Hospital executives acknowledged that EOL care was a very important issue, and more attention should be paid to it in the hospital setting. Their comments and suggestions for improvement focused on (a) current EOL care, (b) barriers to changing EOL care, and (c) enhancing provision of EOL care in the hospital setting. The findings of this study suggest that hospital executives although key change agents, may have insufficient EOL information to implement steps toward cultural and infrastructural change and should therefore be included in any EOL discussions and education

End-of-life care · Palliative care · Perception · Ethics in medical practice · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient Dignity and Privacy · Psychology

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  • Family Perspectives on End-of-Life Care at the Last Place of Care

    Joan M Teno•JAMA•2004

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    Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

  • Organizational Determinants of Hospital End-of-Life Treatment Intensity

    Caroline Y Lin, Max H Farrell et al.•Medical Care•2009

  • Naturalistic inquiry

    Open Access•Yvonna S Lincoln, Egon G Guba et al.•International Journal of…•1985

Citation velocityhistorical
Highly citedNo

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