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

Department of Physiological Nursing, University of California, San Francisco, San Francisco, California, United States
Geriatric Nursing (Impact Factor: 1.2). 01/2005; 26(1):16-20, 64. DOI: 10.1016/j.gerinurse.2004.11.001
Source: PubMed


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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Available from: Alison Kris, Dec 04, 2014
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    ABSTRACT: Health promotion and disease prevention in nursing homes (NHs) are important but highly neglected issues. This study compares the care of residents in 2 proprietary NHs (a dependency-promoting environment) with the care of residents on a hospice unit at a government-owned facility (a health-promoting environment). Inadequate staffing, supervision, and education contributed to the lack of health promotion and ultimately a low quality of care. The care in proprietary NHs, however, must be examined within the context of NH corporations, a multibillion dollar profit-making industry. When making profits is a priority, it is challenging for staff to provide quality care.
    Full-text · Article · Jan 2009 · Family & community health
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    ABSTRACT: This paper is a report of an explorative study describing the perceptions and beliefs about palliative care among nurses and care assistants working in residential aged care facilities in Australia. Internationally, the number of people dying in residential aged care facilities is growing. In Australia, aged care providers are being encouraged and supported by a positive policy platform to deliver a palliative approach to care, which has generated significant interest from clinicians, academics and researchers. However, a little is known about the ability and capacity of residential aged care services to adopt and provide a palliative approach to care. Focus groups were used to investigate the collective perceptions and beliefs about palliative care in a convenience sample of nurses and care assistants working in residential aged care facilities in Australia. Thematic content analysis was used to analyse the data, which were collected during 2004. Four major themes emerged: (1) being like family; (2) advocacy as a key role; (3) challenges in communicating with other healthcare providers; (4) battling and striving to succeed against the odds. Although participants described involvement and commitment to quality palliative care, they also expressed a need for additional education and support about symptom control, language and access to specialist services and resources. The residential aged care sector is in need of support for providing palliative care, yet there are significant professional and system barriers to care delivery. The provision of enhanced palliative care educational and networking opportunities for nurses and care assistants in residential aged care, augmented by a supportive organizational culture, would assist in the adoption of a palliative approach to service delivery and requires systematic investigation.
    No preview · Article · Sep 2006 · Journal of Advanced Nursing
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