  What Are Palliative Care Patients And Their Carers’ Perceptions Of The Quality Of End Of Life Care? (2008) Ref: nursing0001 Palliative
care is becoming a prevalent issue within
contemporary nursing practice.
Tools to
improve the standard of palliative care have been implemented
throughout the
National Health Service (NHS), therefore recognising the importance of
high
quality palliative care. The purpose of this critical review is to
determine
the perceptions and experiences of palliative care patients and their
carers.
In order to do so
a number of issues will be
explored.
They include,
individuality,
choice, preferred place of care, involvement of the district nurse and
the
tools used in practice that influence perceptions of quality of care.
This review uses qualitative research papers to explore
these concepts.
The data used was
found
as a result of a structured search of online databases, the Cochrane
library
and also hand searched grey literature. A
wealth of research was uncovered as a result. The final selection of
research to be used was carried out by using standardised forms which
first
aimed to see if the research met the PIO structure of the focused
question by
looking at the title and abstract and secondly, by seeing if they met
the PIO
structure by studying the whole document. This left seven research
articles to
be used within the review. The results of this review reflect current
literature. Preferred place of care, although widely recognised as an
important
issue, was not always where the patient was cared for. The reasons
behind a
patient’s choice to be cared for at home included quality of
care issues and
being close to their family. Those stating that they wished to be cared
for
elsewhere gave reasons such as poor past experiences of death at home,
fear of
being a burden to others and availability of carers.
15,000 words- 110 pages in length Excellent use of literature Good in depth analyses Excellent piece of work Chapter 1 Current literature Chapter 2 Aims and Objectives Operational Definitions Chapter 3 Criteria for considering studies in the review Types of studies to be included Exclusion and Inclusion criteria Chapter 4 Sources of evidence Terms searched Number of articles found Chapter 5 Selection for inclusion in review First selection on titles and abstracts only Final selection based on full article Assessment of methodological quality Data extraction Chapter 6 Results of the search Themes Chapter 7 Discussion Chapter 8 Conclusion References Appendices Two examples of the data extraction forms used in this review Assessment of methodological quality 
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