The article has proposed new ways which can be used to provide quality palliative care in acute hospitals. Several studies have suggested that the current palliative care should be shifted from the hospital setting into a community setting. The authors of the article argue that the perception of a shift is caused by the variable quality of care experienced by patients and the preference of a patient. Some people prefer to stay at home and die while in beds at home but all the same, almost half the patients also die while receiving care in hospitals. The authors argue that when patients die in hospitals, the quality of care within the hospital system is castigated. Specific challenges were identified to result in the variation in the quality of End of Life Care.  The failure of the hospital care unit to familiarize with their functions and the inability to take responsibility to enhance discharges reduces the quality of care among acute hospital patients. Sometimes the hospital may fail to recognize that the continued treatment is not what the patient prefers. Several developments have been proposed in hospitals that deliver EoLC to address the issue of variability in the quality of care. Care organizations have emerged to apply different strategies to manage the EoLC in hospitals. Patients can be referred to a hospice and acute trust to ensure that patients are handled in the most relevant setting. The article has also proposed the remodeling of the specialists palliative team in hospitals so that they can quickly identify the critical issues with the patients. A well designed physical healthcare environment with the Patient Care Unit is proposed in the article so that patients, families, and friends can benefit from a supportive environment.

Statement relevance

The article covers some of the problems experienced within the End of Life Care (EoLC) units where acute patients fail to receive quality care. Lack of quality care for those in the hospital is caused majorly by the failure of the nurses and physicians within the hospital to recognize the interest of a patient on treatment and an inability to acknowledge their roles in EoLC.  The study is a crucial source for our project since it provides some of the methods that can be used to improve the quality of care in EoLC for acute patients. The process of remodeling the palliative care teams in hospitals is essential in the research since it encourages accurate triaging of patients to determine those who can benefit from the palliative care bed and those who can get home.

Effect of the article to the current nursing practice

My current nursing practice is positively affected by the research since it acts as informative research to identify some of the reasons why EoLC sometimes does not succeed. As a nurse practitioner, I can identify acute patients who should be at the palliative bed and those who should get home for quick recovery. In nursing, certain patients are always subjected to the hospital beds while they are in acute conditions and medical practitioners have consistently failed to recognize their interest of not wanting to continue staying in the hospital beds (Paes, Ellershaw, Khodabukus & O’Brien, 2018). Patients end up dying while they should have survived by staying at home. In nursing practice, I will be able to recognize my role as a nurse and what is expected of me to deliver quality care in EoLC. The research has provided nurses with the best practices in End of Life Care in hospital settings. Through the information from the study, the rate of death among acute hospital patients is likely to reduce since nurses can fully recognize their roles and the interest of the patients.

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