Utilization of palliative care principles in nursing home care: Educational interventions

被引:23
|
作者
Cronfalk, Berit Seiger [1 ,2 ,3 ]
Ternestedt, Britt-Marie [1 ,4 ]
Larsson, Lise-Lotte Franklin [1 ,5 ]
Henriksen, Eva [6 ]
Norberg, Astrid [1 ,7 ]
Osterlind, Jane [1 ]
机构
[1] Ersta Skondal Univ Coll, Palliat Res Ctr, Stockholm, Sweden
[2] Karolinska Inst, Dept Oncol Pathol, Stockholm, Sweden
[3] Stord Haugesund Univ Coll, Dept Nursing Sci, Haugesund, Norway
[4] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
[5] Sophiahemmet Univ Coll, Dept Nursing Sci, Stockholm, Sweden
[6] Stockholm Cty Council, Res & Dev FOUnu, Stockholm, Sweden
[7] Umea Univ, Dept Nursing, Umea, Sweden
关键词
Palliative care; Nursing home staff; Competence-building programs; FOCUS;
D O I
10.1017/S1478951515000668
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
Objective: This study is part of the overarching PVIS (Palliative Care in Nursing Homes) project aimed at building competence in palliative care for nursing home staff. Our objective was to describe nursing home staff's attitudes to competence-building programs in palliative care. Method: Three different programs were developed by specialist staff from three local palliative care teams. In all, 852 staff at 37 nursing homes in the greater Stockholm area participated. Staff from 7 nursing homes participated in 11 focus-group discussions. Variation in size between the seven nursing homes initiated purposeful selection of staff to take part in the discussions, and descriptive content analysis was used. Results: The results suggest that staff reported positive experiences as they gained new knowledge and insight into palliative care. The experiences seemed to be similar independent of the educational program design. Our results also show that staff experienced difficulties in talking about death. Enrolled nurses and care assistants felt that they carried out advanced care without the necessary theoretical and practical knowledge. Further, the results also suggest that lack of support from ward managers and insufficient collaboration and of a common language between different professions caused tension in situations involved in caring for dying people. Significance of results: Nursing home staff experienced competence-building programs in palliative care as useful. Even so, further competence is needed, as is long-term implementation strategies and development of broader communication skills among all professions working in nursing homes.
引用
收藏
页码:1745 / 1753
页数:9
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