Key Components for the Delivery of Palliative and End-of-Life Care in Care Homes in Hong Kong: A Modified Delphi Study

被引:5
作者
Chan, Helen Yue-Lai [1 ]
Chan, Cecilia Nim-Chee [2 ]
Man, Chui-Wah [2 ]
Chiu, Alice Dik-Wah [2 ]
Liu, Faith Chun-Fong [2 ]
Leung, Edward Man-Fuk [2 ]
机构
[1] Chinese Univ Hong Kong, Nethersole Sch Nursing, Hong Kong, Peoples R China
[2] Hong Kong Assoc Gerontol, Hong Kong, Peoples R China
关键词
palliative care; end of life; long-term care; older adults; residential care home; quality of care; service development; GUIDELINES; QUALITY;
D O I
10.3390/ijerph19020667
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Integrating the palliative care approach into care home service to address the complex care needs of older adults with frailty or advanced diseases has been increasingly recognized. However, such a service is underdeveloped in Hong Kong owing to socio-cultural and legal concerns. We adopted a modified Delphi study design to identify the key components for the delivery of palliative and end-of-life care in care home settings for the local context. It was an iterative staged method to assimilate views of experts in aged care, palliative care, and care home management. A multidisciplinary expert panel of 18 members consented to participate in the study. They rated their level of agreement with 61 candidate statements identified through a scoping review in two rounds of anonymous surveys. The steering group revised the statements in light of the survey findings. Eventually, the finalized list included 28 key statements concerning structure and process of care in seven domains, namely policy and infrastructure, education, assessment, symptom management, communication, care for dying patients, and family support. The findings of this study underscored concerns regarding the feasibility of statements devised at different levels of palliative care development. This list would be instrumental for regions where the development of palliative and end-of-life care services in care home setting is at an initial stage.
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页数:9
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