Objective To comprehensively review and synthesize qualitative research on the perceptions of hospice care among the elderly and to provide reference for medical staff to implement good end-of-life care services in line with the wishes of the elderly. Methods Qualitative studies exploring elderly individuals′ perspectives on a peaceful death were systematically gathered through computerized search in various databases up to November 2023. The quality of the selected literature was assessed using JBI′s criteria, and an aggregative integration approach was employed for data synthesis. Results The analysis included 11 articles yielding 37 research findings, which were categorized into 8 categories and further integrated into 3 overarching results:physical level (avoiding becoming a burden, maintaining independent self-care, giving up ineffective treatment, hoping for painless death, hoping for decent death, and shortening the dying process); spiritual level (friend support, family company, looking for spiritual comfort, passing down good qualities, overcoming negative emotions, and natural calm death); social level (contributing to society, cherishing the life, completing life mission, and properly handling future affairs). Conclusion The elderly are eager to achieve a good death in their later years, and family members and medical staff are the key persons in smooth implementation of this process. It is suggested that medical staff fully understand their cognition and understanding of good death and help them achieve the purpose.