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Table 3 Quality appraisal scores (using tool from Hawker et al. 2002 [27])

From: Challenges to access and provision of palliative care for people who are homeless: a systematic review of qualitative research

Source Paper (n = 12) Title of paper Abstract/Title Intro/Aims Method/Data Sampling Data Analysis Ethics/Bias Results Transferability Implications Comments Quality score (out of 36)
Hakanson et al., (2015) [6] Providing Palliative Care in a Swedish Support Home for People Who Are Homeless 4 3 – literature review good but no objectives 4 – good description of data collection and recording methods 2/3 – no justification of sampling size but reports that all staff at the hostel were invited…? 4 4 – good description of ethical considerations. Researchers role reflected upon in design section 4 – finding relate to aims and are supported by quotes 4 – the context and setting of the research are well described 4 – insights from Sweden, ideas for research – perspectives of participants, practice – apply interventions based on this research to other pall care settings for HP   33/34
Ko & Nelson-Becker (2014) [33] Does end-of-life decision making matter? Perspectives of older homeless adults 4 2/3 – no objectives. Literature review brief 3 – brief but includes some of the Qs asked. 2/3 recruitment no justification of sample size. 4 2 – insufficient detail for full assessment to be made 4 – clear & relate to aims, supported by quotes 3 – setting more needed to replicate 4 – insights of older HP, research – mixed site, practice – recommendations for discussing EoL   28/30
Ko, Kwak & Nelson-Becker (2015) [32] What Constitutes a Good and Bad Death?: Perspectives of Homeless Older Adults 4 3 – no objectives, good lit review 3 – Brief but includes some of the Qs asked. 2/3 recruitment & participant characteristics described, no justification of sample size. 4 2 – insufficient detail for full assessment to be made 4 2 setting- more needed to replicate 4 – themes relating to good death for older HP – research – include HP from multiple sites – practice – HCP need better understanding of HP and EoL Same participants as previous study 28/29