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Need satisfaction in terminal care settings.

N J Dawson1

  • 1School of Nursing, Widener University, Chester, PA 19013.

Social Science & Medicine (1982)
|January 1, 1991
PubMed
Summary
This summary is machine-generated.

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Hospice care, particularly home hospice, better meets families' emotional needs than conventional care. Higher satisfaction with hospice is linked to met needs and perceived nurse support.

Area of Science:

  • Palliative Care
  • Oncology Nursing
  • Bereavement Support

Background:

  • Limited measurable differences exist between hospice and conventional care.
  • Hospice recipients report higher overall satisfaction.
  • Emotional needs of families during terminal illness are crucial.

Purpose of the Study:

  • Compare hospice and conventional care in meeting families' emotional needs.
  • Explore relationships between needs satisfaction, nurse support, and overall satisfaction.

Main Methods:

  • Survey of 100 bereaved family caregivers.
  • Comparison of four care settings: home hospice, hospital-affiliated hospice, hospital hospice, conventional hospital care.
  • Quantitative analysis of questionnaire data.

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Main Results:

  • Conventional care showed lowest needs satisfaction and nurse support satisfaction.
  • All hospice settings reported consistent overall satisfaction.
  • Home hospice provided superior needs satisfaction and nurse support satisfaction.
  • Unmet needs negatively correlated with satisfaction (r = -0.69).
  • Nurse support positively correlated with satisfaction (r = 0.73).

Conclusions:

  • Hospice care, especially home-based, superiorly addresses families' emotional needs.
  • Perceived nurse support and met emotional needs are key drivers of satisfaction.
  • Findings highlight the importance of specialized hospice care models.