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The difficulties of discharging hospice patients to care homes at the end of life: A focus group study

Overview of attention for article published in Palliative Medicine, April 2018
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About this Attention Score

  • Good Attention Score compared to outputs of the same age (68th percentile)

Mentioned by

7 tweeters
2 Facebook pages


2 Dimensions

Readers on

58 Mendeley
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The difficulties of discharging hospice patients to care homes at the end of life: A focus group study
Published in
Palliative Medicine, April 2018
DOI 10.1177/0269216318772735
Pubmed ID

Tabitha Thomas, Gemma Clarke, Stephen Barclay


Discharge from inpatient palliative care units to long-term care can be challenging. In the United Kingdom, hospice inpatients move to a care home if they no longer require specialist palliative care and cannot be discharged home. There is evidence to suggest that patients and families find the prospect of such a move distressing. To investigate the issues that arise when patients are transferred from hospice to care home at the end of life, from the perspective of the hospice multidisciplinary team. A qualitative study, using thematic analysis to formulate themes from focus group discussions with hospice staff. Five focus groups were conducted with staff at five UK hospices. Participants included multidisciplinary team members involved in discharge decisions. All groups had representation from a senior nurse and doctor at the hospice, with group size between three and eight participants. All but one group included physiotherapists, occupational therapists and family support workers. A major focus of group discussions concerned dilemmas around discharge. These included (1) ethical concerns (dilemmas around the decision, lack of patient autonomy and allocation of resources); (2) communication challenges; and (3) discrepancies between the ideals and realities of hospice palliative care. Hospice palliative care unit staff find discharging patients to care homes necessary, but often unsatisfactory for themselves and distressing for patients and relatives. Further research is needed to understand patients' experiences concerning moving to care homes for end of life care, in order that interventions can be implemented to mitigate this distress.

Twitter Demographics

The data shown below were collected from the profiles of 7 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 58 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 58 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 12 21%
Student > Bachelor 6 10%
Student > Ph. D. Student 6 10%
Student > Doctoral Student 4 7%
Researcher 3 5%
Other 9 16%
Unknown 18 31%
Readers by discipline Count As %
Nursing and Health Professions 14 24%
Medicine and Dentistry 7 12%
Psychology 5 9%
Social Sciences 3 5%
Engineering 2 3%
Other 8 14%
Unknown 19 33%

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 September 2019.
All research outputs
of 15,864,860 outputs
Outputs from Palliative Medicine
of 1,572 outputs
Outputs of similar age
of 280,042 outputs
Outputs of similar age from Palliative Medicine
of 42 outputs
Altmetric has tracked 15,864,860 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 1,572 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.7. This one is in the 30th percentile – i.e., 30% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 280,042 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 42 others from the same source and published within six weeks on either side of this one. This one is in the 2nd percentile – i.e., 2% of its contemporaries scored the same or lower than it.