A model long-term care hospice unit: care, community, and compassion.

Departmennt of Physiological Nursing and UCSF/John A. Hartford Center of Geriatric Nursing Excellence, University of California, San Francisco, USA.
Geriatric Nursing (Impact Factor: 0.92). 01/2005; 26(1):16-20, 64. DOI: 10.1016/j.gerinurse.2004.11.001
Source: PubMed

ABSTRACT The purpose of this study was to investigate the factors that influenced the quality of care of terminally ill nursing home residents on a hospice unit in a city and county long-term care facility. The findings disclosed that the hospice team had created a cultural environment in which care, community, and compassion were the predominant components of their philosophy of palliative care. Communication at all levels-among staff, family, friends, and residents-was found to be a core hospice value, essential to community development. The results of this study illustrate that exemplary palliative care can be provided when an interdisciplinary team is dedicated to creating an environment where the principles of palliative care can be fully implemented. The authors conclude that there is a developing role for geriatric nurses to participate in further defining and providing palliative care for older people in their homes, hospitals, nursing homes, and residential care.

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    ABSTRACT: Scand J Caring Sci; 2012; Psychometric properties of the Norwegian Person-centred Climate Questionnaire from a nursing home context Background:  The physical and psychosocial environments in nursing homes influence the residents' everyday life as well as their well-being and thriving. The staff's perceptions of and relationships with the residents are crucially important to quality care. Quality care is described often as person-centred. Few measurement tools exist that focus on person-centred care in nursing homes. Objective:  The aim of this study was to evaluate the psychometric properties of the Norwegian version of the Person-centred Climate Questionnaire-Staff version (PCQ-S). Design:  This study had a cross-sectional survey design. Participants and Settings:  Two hundred and nine healthcare and support staff in five nursing homes in the eastern part of Norway. Methods:  The Swedish PCQ-S was translated into Norwegian with forward and backward translation. The relevance of the items included in the questionnaire was assessed by an expert panel of 10 nursing home care staff, because the questionnaire has not been used in this context previously. A psychometric evaluation using statistical estimates of validity and reliability was performed. The discriminatory capacity of the questionnaire was also tested. Results:  The content validity index was satisfactory (0.78). The PCQ-S showed high internal consistency reliability in that Cronbach's α was satisfactory for the total scale (0.92) and the three subscales (0.81, 0.89 and 0.87). The test-retest reliability was also satisfactory as evident from a Spearman's correlation coefficient of 0.76 (p < 0.01) between the total PCQ scores at test and retest. The Norwegian version retained the original factor structure of the Swedish version. Conclusion:  As the psychometric evaluation showed satisfactory validity and reliability scores, this study supports the Norwegian version of the PCQ-S when applied to a sample of nursing home staff.
    Scandinavian Journal of Caring Sciences 03/2012; 26(4). DOI:10.1111/j.1471-6712.2012.00979.x · 0.89 Impact Factor
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    ABSTRACT: This work aims at documenting the representations that health professionals in Kinshasa have of palliative care and end-of-life support. This qualitative study was conducted among 30 doctors and 90 nurses with at least one year of experience in six hospitals in Kinshasa that receive patients at the end of life. The results show that health professionals believe that this care is time-consuming and that the inability to say some things to patients and families generates misunderstandings and concerns likely to prevent the application of palliative care. For them, it is often a futile therapeutic obstinacy, added hygienic care, and neglect of the patient. The obstacles to implementing this care might be linked to the lack of training about this approach and a health system based essentially on curative approaches. The representation of health professionals about palliative care and support are many and varied. They are, however, more structured among physicians than nurses.
    04/2014; DOI:10.1684/mst.2014.0311


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Dec 4, 2014