A proposal to conduct a systematic literature concerning telehospice patient care

1. Proposal for Systematic Review
of Telehospice Literature
Paul R. Umberger, III, RNP
Northern Arizona University

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.  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.  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.  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.  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.  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. What is the current state of
telehospice?
 Who is using telehospice technology and
how is it being used?
Proposed Research Question

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.  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.  PRISMA checklist: 27-item guide for essentials
of a systematic review.
 PRISMA flow diagram to detail steps: search,
review, inclusion/exclusion.
Proposed Methods

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. Thank you for viewing. May you
enjoy the flow of the journey.