Developing and testing a nursing home end -of -life care chart audit tool

被引：2

作者：

Thompson, Genevieve N. ^{[1
]}

McClement, Susan E. ^{[1
]}

Labun, Nina ^{[2
]}

Klaasen, Kathleen ^{[3
]}

机构：

[1] Univ Manitoba, Coll Nursing, Rady Fac Hlth Sci, Winnipeg, MB R3T 2N2, Canada

[2] Donwood Manor, 171 Donwood Dr, Winnipeg, MB R2G 0V9, Canada

[3] Winnipeg Reg Hlth Author, 4th Floor,650 Main St, Winnipeg, MB R3B 1E2, Canada

来源：

BMC PALLIATIVE CARE | 2018年 / 17卷

关键词：

Palliative care; Nursing home; Quality of care; Audit tool; Tool development; Tool validation; Focus groups; LONG-TERM-CARE; PALLIATIVE CARE; DAILY PAIN; RESIDENTS; QUALITY; DOCUMENTATION; DEMENTIA; RECORD; DEATH; TIME;

D O I：

10.1186/s12904-018-0301-9

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Nursing home (NH) administrators need tools to measure the effectiveness of care delivered at the end of life so that they have objective data on which to evaluate current practices, and identify areas of resident care in need of improvement. Methods: A three-phase mixed methods study was used to develop and test an empirically derived chart audit tool aimed at assessing the care delivered along the entire dying trajectory. Results: The Auditing Care at the End of Life (ACE) instrument contains 27 questions captured across 6 domains, which are indicative of quality end-of-life care for nursing home residents. Conclusions: By developing a brief chart audit tool that captures best practices derived from expert consensus and the research literature, NH facilities will be equipped with one means for monitoring and assessing the care delivered to dying residents.

引用

页数：7

共 33 条

[1]

Allison J J, 2000, Jt Comm J Qual Improv, V26, P115

[2]

[Anonymous], 2008, HLTH MEASUREMENT SCA, DOI DOI 10.1093/ACPROF:OSO/9780199231881.001.0001

[3]

[Anonymous], 2008, GERONTOLOGICAL NURSI

[4] Designing medical record abstraction forms [J].

Banks, MJ .

INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE, 1998, 10 (02) :163-167

[5] Potential underuse of analgesics for recognized pain in nursing home residents with dementia: A cross-sectional study [J].

Barreto, Philipe de Souto ;

Lapeyre-Mestre, Maryse ;

Vellas, Bruno ;

Rolland, Yves .

PAIN, 2013, 154 (11) :2427-2431

[6]

Bosek Marcia Sue DeWolf, 2003, JONAS Healthc Law Ethics Regul, V5, P34, DOI 10.1097/00128488-200306000-00006

[7]

Charlton Rodger, 2002, Am J Hosp Palliat Care, V19, P397, DOI 10.1177/104990910201900610

[8] Clinicians are right not to like Cohen's κ [J].

de Vet, Henrica C. W. ;

Mokkink, Lidwine B. ;

Terwee, Caroline B. ;

Hoekstra, Otto S. ;

Knol, Dirk L. .

BMJ-BRITISH MEDICAL JOURNAL, 2013, 346

[9]

Doupe Malcolm., 2011, POPULATION AGING CON

[10] Measuring What Matters: Top-Ranked Quality Indicators for Hospice and Palliative Care From the American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association [J].

Dy, Sydney Morss ;

Kiley, Kasey B. ;

Ast, Katherine ;

Lupu, Dale ;

Norton, Sally A. ;

McMillan, Susan C. ;

Herr, Keela ;

Rotella, Joseph D. ;

Casarett, David J. .

JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2015, 49 (04) :773-781

← 1 2 3 4 →