Supportive Care in Cancer

, Volume 14, Issue 5, pp 462–468 | Cite as

Patient satisfaction with hospice day care

  • W. George Kernohan
  • Felicity HassonEmail author
  • Patricia Hutchinson
  • Barbara Cochrane
Original Article


Day hospice allows patients to remain living at home while attending a specialist palliative care center. This paper describes patient feedback (n=26) on medical, social and therapeutic out-patient palliative care services provided at one such facility in Northern Ireland. Medical records of all attending patients (n=50) were reviewed, and patients completed a semi-structured questionnaire. Patients’ comments on day hospice were largely positive. A number of suggestions for new service activities were made, and the need for education of multi-professional team members was recognized. Respondents recognized that day hospice allowed respite care for the family. Patients were very appreciative of the care that was offered—their concern for its continuance perhaps restraining any criticism they had. Such findings provide the opportunity for health professionals to gain further insights into day care to better meet patients’ needs.


Palliative care Hospice Day care Patient satisfaction 



We would like to thank the patients who contributed to this study and Lorna Dickson who helped facilitate data collection.


  1. 1.
    Noble S, Hargreaves P (2002) Hospice day care. Eur J Palliat Care 9:153–155Google Scholar
  2. 2.
    National Institute for Clinical Excellence (2004) Supportive and palliative care for people with cancer NICE. Cited 3 March 2005
  3. 3.
    Higginson IJ, Hearn J, Myers K, Naysmith A (2000) Palliative day care: what do services do? Palliat Med 14:277–286PubMedCrossRefGoogle Scholar
  4. 4.
    Grande GE, Addington-Hall JM, Todd CJ (1998) Place of death and access to home care services: are certain patient groups at a disadvantage? Soc Sci Med 47:565–579PubMedCrossRefGoogle Scholar
  5. 5.
    Bellamy S (1981) A day care system to support the terminally ill. In: Tiffany R (ed) Cancer nursing update. Balliere-Tindall, LondonGoogle Scholar
  6. 6.
    Sharma K, Oliver D, Blatchdord G, Higginbottom P, Khan V (1993) Medical care in hospice day care. J Palliat Care 9:42–43PubMedGoogle Scholar
  7. 7.
    Leiper M (1995) Day hospice. In: Scottish Partnership Agency for Palliative and Cancer Care. Day hospice report of a meeting of the health service group of the Scottish Partnership Agency for Palliative and Cancer Care. Scottish Partnership Agency 2–3, EdinburghGoogle Scholar
  8. 8.
    Langley-Evans A, Payne S (1997) Light-hearted death talk in palliative day care context. J Adv Nurs 26:1091–1097PubMedCrossRefGoogle Scholar
  9. 9.
    St. Christopher’s Hospice Information Service (1989) Hospice day care: the experience of St Christopher’s Hospice Day Care Centre. St Christopher’s Hospice, LondonGoogle Scholar
  10. 10.
    Gotay CC (1983) Models of terminal care: a review of the research literature. Clin Invest Med 6:131–141PubMedGoogle Scholar
  11. 11.
    Clark D, Neale B (1992) Independent hospice care in the community: two case studies. Health Soc Care 2:203–12Google Scholar
  12. 12.
    Fisher RA, McDaid P (1986) Palliative day care. Arnold, LondonGoogle Scholar
  13. 13.
    Edwards A, Livingstone H, Daley A (1997) Does hospice day care need doctors? Palliat Care Today 6:36–37Google Scholar
  14. 14.
    Levin E, Sinclair I, Gorbach P (1989) Families, services and confusion in old age. Gower, AldershotGoogle Scholar
  15. 15.
    Olson S (1989) Hospice day care standards development in Michigan. Am J Hospice Care March/April:35–39Google Scholar
  16. 16.
    Goodwin D, Higginson I, Myers K, Douglas H, Normand C (2003) Effectiveness of Palliative Day care in improving pain, symptom control, and quality of life. J Pain Symptom Manage 25:202–212PubMedCrossRefGoogle Scholar
  17. 17.
    Corr CA, Corr DM (1992) Adult hospice day care. Death Stud 16:155–171PubMedCrossRefGoogle Scholar
  18. 18.
    McRobbie C (1995) Strathcarron hospice day care unit. In: Scottish Partnership Agency for Palliative and Cancer Care. Day hospice report of a meeting of the health service group of the Scottish Partnership Agency for Palliative and Cancer Care. Scottish Partnership Agency 5–7, EdinburghGoogle Scholar
  19. 19.
    Faulkner A, Higginson I, Egerton H, Power M, Sykes N, Wilkes E (1993) Hospice day care: a qualitative study. Trent Palliative Care Centre Center and Help the Hospices, SheffieldGoogle Scholar
  20. 20.
    Copp G, Richardson A, McDaid P, Marshall-Searson DA (1998) A telephone survey of the provision of palliative day care services. Palliat Med 12:161–70PubMedCrossRefGoogle Scholar
  21. 21.
    O’Neill B, Rodway A (1998) ABC of palliative care. Care in the community. BMJ 316:373–377Google Scholar
  22. 22.
    Hearne J, Higginson IJ (2000) What does palliative day care do? Results of a questionnaire survey in North and South Thames Regions, England. In: Douglas H, Higginson, I, Myers K, Normand C (eds) Assessing structure, process and outcome in palliative day care: a pilot study for a multicentre trial. Health Soc Care Community 8:336–344CrossRefGoogle Scholar
  23. 23.
    Lee L (2002) Interprofessional working in hospice day care and the patient’s experience of the service. Int J Palliat Nurs 8:389–400PubMedGoogle Scholar
  24. 24.
    Holmes J (2001) The changing face of the day hospice. Eur J Palliat Care 8:166–169Google Scholar
  25. 25.
    Stevens E (1996) Promoting self-worth in the terminally ill. Eur J Palliat Care 3:60–64Google Scholar
  26. 26.
    Hopkinson JB, Hallett CE (2001) Patients’ perceptions of hospice day care: a phenomenological study. Int J Nurs Stud 38:117–125PubMedCrossRefGoogle Scholar
  27. 27.
    Goodwin D, Higginson I, Myers K, Douglas H, Normand C (2002) What is palliative day care? Support Care Cancer 10:556–562PubMedCrossRefGoogle Scholar
  28. 28.
    Daniels L, Notter J (1996) Day hospice care through the eyes of the consumer. Paper presented at the 9th International Conference on Cancer Nursing, BrightonGoogle Scholar
  29. 29.
    Ingleton C, White F, Clark D (1996) What did we do without it? An evaluation of the services provided by Newark and District Hospice Aid (Beaumond House) 1992–1995. Trent Palliative Care Centre, SheffieldGoogle Scholar
  30. 30.
    Thompson B (1990) Hospice day care. Am J Hospice Care 7:28–30CrossRefGoogle Scholar
  31. 31.
    Seely S (1990) Why hospice day care? Am J Hospice Care January/February:16–17Google Scholar
  32. 32.
    Northern Ireland Hospice (1997) Beyond 2000 towards excellence, strategy for the Northern Ireland Hospice 1997–2002. Northern Ireland Hospice, BelfastGoogle Scholar
  33. 33.
    Higginson IJ (1993) Palliative care: a review of past changes and future trends. J Public Health Med 15:3–8PubMedGoogle Scholar
  34. 34.
    Caan W, Lawton J, Walton S (1994) Palliative care services. Evaluation of day care pilot. Lifespan Healthcare (NHS) Trust, CambridgeGoogle Scholar
  35. 35.
    Horobin G (1987) Why day care? Research highlights in social care no. 14. Jessica Kingsley, LondonGoogle Scholar
  36. 36.
    Scottish Partnership Agency for Palliative and Cancer Care (1995) Day Hospice: a report of a meeting of a health service group. Scottish Partnership Agency for Palliative and Cancer Care, EdinburghGoogle Scholar
  37. 37.
    Coyle J (1999) Exploring the measuring of ‘dissatisfaction’ with health care: the importance of ‘personal identify threat’. Sociol Health Illness 21:95–124CrossRefGoogle Scholar
  38. 38.
    Avis M, Bond M, Arthur A (1997) Questioning patient satisfaction: an empirical investigation in two outpatient clinical. Soc Sci Med 44:85–92CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • W. George Kernohan
    • 1
  • Felicity Hasson
    • 1
    Email author
  • Patricia Hutchinson
    • 2
  • Barbara Cochrane
    • 2
  1. 1.Institute of Nursing Research, School of NursingUniversity of UlsterNorthern IrelandUK
  2. 2.Northern Ireland HospiceNorthern IrelandUK

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