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End-of-life care in UK care homes: a systematic review of the literature

Spacey, Adam; Scammell, Janet; Board, Michele; Porter, Sam


Janet Scammell

Michele Board

Sam Porter


The number of people requiring end-of-life care provision in care homes has grown significantly. There is a need for a systematic examination of individual studies to provide more comprehensive information about contemporary care provision.
The aim of this study was to systematically review studies that describe end-of-life care in UK care homes.
A systematic PRISMA review of the literature published between 2008 and April 2017 was carried out. A total of 14 studies were included in the review.
A number of areas of concern were identified in the literature in relation to the phases of dying during end-of-life care: end-of-life pre-planning processes; understandings of end-of-life care; and interprofessional end-of-life care provision.
Given that the problems identified in the literature concerning end-of-life care of residents in care homes are similar to those encountered in other healthcare environments, there is logic in considering how generalised solutions that have been proposed could be applied to the specifics of care homes. Further research is necessary to explore how barriers to good end-of-life care can be mitigated, and facilitators strengthened.


Spacey, A., Scammell, J., Board, M., & Porter, S. (2018). End-of-life care in UK care homes: a systematic review of the literature. Journal of Research in Nursing, 23(2-3),

Journal Article Type Article
Publication Date Mar 19, 2018
Deposit Date Sep 28, 2023
Journal Journal of Research in Nursing
Print ISSN 1744-9871
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 23
Issue 2-3