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Improving inpatient hospice environments for older people in England: a documentary analysis

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Improving inpatient hospice environments for older people in England : a documentary analysis . / Rigby, Janet; Milligan, Christine; Payne, Sheila.

In: Progress in Palliative Care, Vol. 22, No. 4, 2014, p. 187-194.

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@article{0cd9a29951654b7c9d72e6c7bb144b1b,
title = "Improving inpatient hospice environments for older people in England: a documentary analysis",
abstract = "Objective: To assess the extent to which a grants programme to fund improvements to English inpatient hospice buildings achieved its goals of involving and directly benefiting older people.Method: Qualitative content analysis was undertaken of all grant application forms which (a) resulted in funding, and (b) proposed to refurbish or replace inpatient hospice buildings. Data were extracted, and themes identified, on the nature and extent of the benefits envisaged for older people, and how older people were involved in the proposed building projects.Results: Of 227 grant applications, 139 (from 111 hospices) met the inclusion criteria. Four categories of building improvement were identified: interior decoration or equipment (n = 386, or 36{\%} of the total); public spaces (n= 291, or 27{\%}), private spaces (n = 283, or 26{\%}), and health and safety (n= 116, or11{\%}). These improvements, while generally beneficial, were rarely targeted at older people. Most grant applicants stated that they had consulted service users, but only 13 specified that they consulted older people. Limited information was supplied about the methods or findings of these consultations. In 15 grant applications, older people were not mentioned at all.Conclusions: Older hospice inpatients, their relatives and advocacy groups should be involved more fully in decisions relating to the physical environment of care. Staff who prepare funding bids should receive training in conducting consultations with service users, and identifying and evaluating other relevant evidence. Toensure a consistently high standard of environmental provision for older people in hospices, evidence based assessment tools and guidelines should be developed.",
keywords = "Hospices, Palliative care , Facility design and construction , Environment design , Aged",
author = "Janet Rigby and Christine Milligan and Sheila Payne",
year = "2014",
doi = "10.1179/1743291X13Y.0000000073",
language = "English",
volume = "22",
pages = "187--194",
journal = "Progress in Palliative Care",
issn = "0969-9260",
publisher = "Maney Publishing",
number = "4",

}

RIS

TY - JOUR

T1 - Improving inpatient hospice environments for older people in England

T2 - a documentary analysis

AU - Rigby, Janet

AU - Milligan, Christine

AU - Payne, Sheila

PY - 2014

Y1 - 2014

N2 - Objective: To assess the extent to which a grants programme to fund improvements to English inpatient hospice buildings achieved its goals of involving and directly benefiting older people.Method: Qualitative content analysis was undertaken of all grant application forms which (a) resulted in funding, and (b) proposed to refurbish or replace inpatient hospice buildings. Data were extracted, and themes identified, on the nature and extent of the benefits envisaged for older people, and how older people were involved in the proposed building projects.Results: Of 227 grant applications, 139 (from 111 hospices) met the inclusion criteria. Four categories of building improvement were identified: interior decoration or equipment (n = 386, or 36% of the total); public spaces (n= 291, or 27%), private spaces (n = 283, or 26%), and health and safety (n= 116, or11%). These improvements, while generally beneficial, were rarely targeted at older people. Most grant applicants stated that they had consulted service users, but only 13 specified that they consulted older people. Limited information was supplied about the methods or findings of these consultations. In 15 grant applications, older people were not mentioned at all.Conclusions: Older hospice inpatients, their relatives and advocacy groups should be involved more fully in decisions relating to the physical environment of care. Staff who prepare funding bids should receive training in conducting consultations with service users, and identifying and evaluating other relevant evidence. Toensure a consistently high standard of environmental provision for older people in hospices, evidence based assessment tools and guidelines should be developed.

AB - Objective: To assess the extent to which a grants programme to fund improvements to English inpatient hospice buildings achieved its goals of involving and directly benefiting older people.Method: Qualitative content analysis was undertaken of all grant application forms which (a) resulted in funding, and (b) proposed to refurbish or replace inpatient hospice buildings. Data were extracted, and themes identified, on the nature and extent of the benefits envisaged for older people, and how older people were involved in the proposed building projects.Results: Of 227 grant applications, 139 (from 111 hospices) met the inclusion criteria. Four categories of building improvement were identified: interior decoration or equipment (n = 386, or 36% of the total); public spaces (n= 291, or 27%), private spaces (n = 283, or 26%), and health and safety (n= 116, or11%). These improvements, while generally beneficial, were rarely targeted at older people. Most grant applicants stated that they had consulted service users, but only 13 specified that they consulted older people. Limited information was supplied about the methods or findings of these consultations. In 15 grant applications, older people were not mentioned at all.Conclusions: Older hospice inpatients, their relatives and advocacy groups should be involved more fully in decisions relating to the physical environment of care. Staff who prepare funding bids should receive training in conducting consultations with service users, and identifying and evaluating other relevant evidence. Toensure a consistently high standard of environmental provision for older people in hospices, evidence based assessment tools and guidelines should be developed.

KW - Hospices

KW - Palliative care

KW - Facility design and construction

KW - Environment design

KW - Aged

U2 - 10.1179/1743291X13Y.0000000073

DO - 10.1179/1743291X13Y.0000000073

M3 - Journal article

VL - 22

SP - 187

EP - 194

JO - Progress in Palliative Care

JF - Progress in Palliative Care

SN - 0969-9260

IS - 4

ER -