Umberger Telehospice Literature Review Proposal


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A proposal to conduct a systematic literature concerning telehospice patient care

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Umberger Telehospice Literature Review Proposal

  1. 1. Proposal for Systematic Review of Telehospice Literature Paul R. Umberger, III, RNP Northern Arizona University
  2. 2.  In 2011, 44.6% of all U.S. deaths occurred in hospice.  75 million ‘Boomers’ will require hospice & palliative care services.  60 million Americans currently caring for a fragile child or elder at home.  66.4% of hospice care delivered in-home. Background & Significance
  3. 3.  U.S. health care system provides advanced technologies that attempt to cure illness and prolong life.  Curative technology focus may sacrifice a peace filled quality at the end of life.  May not meet a person’s goals for care at the end of life.  Hospice is a model for compassionate care of the dying. Background & Significance
  4. 4.  Hospice patients may be distributed throughout a large geographic area.  There are geographic and cost challenges in providing hospice care.  Telemedicine technology offers a possible solution to these challenges. Background & Significance
  5. 5.  Telemedicine overcomes geographic barriers, increases access to care in rural and underserved communities.  Telehospice is the use of telemedicine technology in providing home hospice care. Practice Implications
  6. 6.  Telehospice is an emerging area for hospice care services.  Telehospice holds promise for increased access, which may lead to increased comfort at the end of life.  Challenge: Maintain the quality of care while using technology. Nurses need to ensure caring. Practice Implications
  7. 7.  Ruland and Moore’s (1998) theory of a peaceful end of life. Care that reduces suffering makes the end of life meaningful.  Boykin and Schoenhofer's (2001) Nursing as Caring. Caring phenomenon occurs where a peace filled end of life may be realized.  A belief in patient centered focus and caring brings a unique perspective to health technology discussions. Theorectical Framework
  8. 8. What is the current state of telehospice?  Who is using telehospice technology and how is it being used? Proposed Research Question
  9. 9.  Systematic review of literature re: telehospice will identify, appraise, and synthesize evidence of telehospice technology (IOM, 2011), and  Contribute to discussion of increased need for and access to hospice services. Telehospice Review Proposal
  10. 10.  The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, 2009) guidelines.  PRISMA: accepted academic standard for conducting systematic reviews. Proposed Action Plan
  11. 11.  PRISMA checklist: 27-item guide for essentials of a systematic review.  PRISMA flow diagram to detail steps: search, review, inclusion/exclusion. Proposed Methods
  12. 12.  Mendeley, a reference manager, assists in the organizing, citation and collaboration of research.  Data results will be reported using the PRISMA Statement for Reporting Systematic Reviews. Proposed Data Management
  13. 13. Thank you for viewing. May you enjoy the flow of the journey.