Palliative care in nursing homes: exploring care assistants' knowledge

被引:19
作者
Whittaker, Evelyn [1 ]
Kernohan, W. George [2 ,3 ]
Hasson, Felicity [4 ,5 ]
Howard, Valerie [6 ]
McLaughlin, Dorry [6 ]
机构
[1] Northern Ireland Hospice, Palliat Care Educ, Belfast, Antrim, North Ireland
[2] Univ Ulster, Inst Nursing Res, Hlth Res, Newtownabbey, Ulster, North Ireland
[3] Univ Ulster, Sch Nursing, Newtownabbey, Ulster, North Ireland
[4] Univ Ulster, Inst Nursing Res, Shore Rd, Newtownabbey BT37 0QB, Ulster, North Ireland
[5] Univ Ulster, Sch Nursing, Newtownabbey, Ulster, North Ireland
[6] No Ireland Hospice, Palliat Care, Belfast, Antrim, North Ireland
关键词
care assistants; dying; nursing homes; older people; palliative care;
D O I
10.1111/j.1748-3743.2007.00038.x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Aim. To explore the level of palliative care knowledge and to identify educational needs of care assistants (CAs) working within a nursing home context. Background. In the United Kingdom (UK) many patients at the end-of-life are admitted to (or reside in) nursing homes, where they receive care from unqualified CAs who have little formal training. Mandatory training in specific skills to meet palliative care needs are absent. Method. Questionnaire to CAs in 48 of 91 private nursing homes in one UK region. Findings. A population of 1135 CAs were targeted with a response rate of 45% (n = 508). A high proportion of CAs in this sample required information about the philosophy and principles of palliative care. Results support the need for an educational initiative to improve palliative care in nursing homes. Conclusion. Although recognized as a common place of death for older people, CAs are often unprepared to provide end-of-life care to nursing home residents. It is recommended that attention be given towards developing the skills and knowledge of this staff group.
引用
收藏
页码:36 / 44
页数:9
相关论文
共 51 条
[1]   Evaluation of a project providing community palliative care support to nursing homes [J].
Avis, M ;
Jackson, JG ;
Cox, K ;
Miskella, C .
HEALTH & SOCIAL CARE IN THE COMMUNITY, 1999, 7 (01) :32-38
[2]  
BURNS N, 1995, PRACTICE NURSING RES
[3]  
Care Standards Commission, 2002, CAR STAND COMM 2002
[4]  
Chibnall John T, 2004, Am J Hosp Palliat Care, V21, P419, DOI 10.1177/104990910402100607
[5]  
Clark D., 2002, ETHICS PALLIATIVE CA
[6]  
CORMACK DFS, 1992, RES PROCESS NURSING
[7]  
Dalley G., 2001, 28 CTR POL AG
[8]   The educational preparation of staff in nursing homes: relationship with resident autonomy [J].
Davies, S ;
Slack, R ;
Laker, S ;
Philp, I .
JOURNAL OF ADVANCED NURSING, 1999, 29 (01) :208-217
[9]  
Department of Health, 2001, CAR HOM OLD PEOPL NA
[10]  
Department of Health, 2001, COMM CAR STAT PRIV N