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Developing Strategies to Improve Advance Care Planning in Long Term Care Homes : Giving Voice to Residents and Their Family Members
Joint Authors
Kelley, Mary Lou
Ramsbottom, Kimberly
Source
International Journal of Palliative Care
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-04-14
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Long term care (LTC) homes, also known as residential care homes, commonly care for residents until death, making palliative care and advance care planning (ACP) important elements of care.
However, limited research exists on ACP in LTC.
In particular, research giving voice to family members and substitute decision makers is lacking.
The objective of this research was to understand experiences, perspectives, and preferences to guide quality improvement of ACP in LTC.
This qualitative descriptive study conducted 34 individual semistructured interviews in two LTC homes, located in Canada.
The participants were 31 family members and three staff, consisting of a front line care worker, a registered nurse, and a nurse practitioner.
All participants perceived ACP conversations as valuable to provide “resident-centred care”; however, none of the participants had a good understanding of ACP, limiting its effectiveness.
Strategies generated through the research to improve ACP were as follows: educating families and staff on ACP and end-of-life care options; better preparing staff for ACP conversations; providing staff skills training and guidelines; and LTC staff initiating systematic, proactive conversations using careful timing.
These strategies can guide quality improvement of palliative care and development of ACP tools and resources specific to the LTC home sector.
American Psychological Association (APA)
Ramsbottom, Kimberly& Kelley, Mary Lou. 2014. Developing Strategies to Improve Advance Care Planning in Long Term Care Homes : Giving Voice to Residents and Their Family Members. International Journal of Palliative Care،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-465624
Modern Language Association (MLA)
Ramsbottom, Kimberly& Kelley, Mary Lou. Developing Strategies to Improve Advance Care Planning in Long Term Care Homes : Giving Voice to Residents and Their Family Members. International Journal of Palliative Care No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-465624
American Medical Association (AMA)
Ramsbottom, Kimberly& Kelley, Mary Lou. Developing Strategies to Improve Advance Care Planning in Long Term Care Homes : Giving Voice to Residents and Their Family Members. International Journal of Palliative Care. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-465624
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465624