Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis
Abstract Background Older people in long-term care facilities are at a greater risk of receiving care at the end of life that does not adequately meet their needs, yet staff in long-term care are often unprepared to provide palliative care. The objective of the study was to explore palliative care n...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-11-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12904-019-0488-4 |
| _version_ | 1819227676302376960 |
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| author | Rosemary Frey Deborah Balmer Michal Boyd Jackie Robinson Merryn Gott |
| author_facet | Rosemary Frey Deborah Balmer Michal Boyd Jackie Robinson Merryn Gott |
| author_sort | Rosemary Frey |
| collection | DOAJ |
| description | Abstract Background Older people in long-term care facilities are at a greater risk of receiving care at the end of life that does not adequately meet their needs, yet staff in long-term care are often unprepared to provide palliative care. The objective of the study was to explore palliative care nurse specialists’ experiences regarding the benefits of and barriers to the implementation of a palliative care educational intervention, Supportive Hospice Aged Residential Exchange (SHARE) in 20 long-term care facilities. Methods Reflective logs (465), recorded over the course of the yearlong SHARE intervention by the three palliative care nurse specialists from two local hospices, who were the on-site mentors, were qualitatively analyzed by two researchers utilizing inductive content analysis. Results Categories emerging from the logs include the importance of relationships, knowledge exchange, communication, and the challenges of providing palliative care in a long-term care setting. Conclusion Evidence from the logs indicated that sustained relationships between the palliative care nurse specialists and staff (registered nurses, healthcare assistants) as well as reciprocal learning were key factors supporting the implementation of this palliative care educational intervention. Challenges remain however in relation to staffing levels, which further emphasizes the importance of palliative care nurse specialist presence as a point of stability. |
| first_indexed | 2024-12-23T10:45:10Z |
| format | Article |
| id | doaj.art-5a2d2cf3ab614ce0ba1914326054adf9 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-23T10:45:10Z |
| publishDate | 2019-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-5a2d2cf3ab614ce0ba1914326054adf92022-12-21T17:50:03ZengBMCBMC Palliative Care1472-684X2019-11-011811910.1186/s12904-019-0488-4Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysisRosemary Frey0Deborah Balmer1Michal Boyd2Jackie Robinson3Merryn Gott4School of Nursing, Faculty of Medical and Health Sciences University of AucklandSchool of Nursing, Faculty of Medical and Health Sciences University of AucklandSchool of Nursing, Faculty of Medical and Health Sciences University of AucklandSchool of Nursing, Faculty of Medical and Health Sciences University of AucklandSchool of Nursing, Faculty of Medical and Health Sciences University of AucklandAbstract Background Older people in long-term care facilities are at a greater risk of receiving care at the end of life that does not adequately meet their needs, yet staff in long-term care are often unprepared to provide palliative care. The objective of the study was to explore palliative care nurse specialists’ experiences regarding the benefits of and barriers to the implementation of a palliative care educational intervention, Supportive Hospice Aged Residential Exchange (SHARE) in 20 long-term care facilities. Methods Reflective logs (465), recorded over the course of the yearlong SHARE intervention by the three palliative care nurse specialists from two local hospices, who were the on-site mentors, were qualitatively analyzed by two researchers utilizing inductive content analysis. Results Categories emerging from the logs include the importance of relationships, knowledge exchange, communication, and the challenges of providing palliative care in a long-term care setting. Conclusion Evidence from the logs indicated that sustained relationships between the palliative care nurse specialists and staff (registered nurses, healthcare assistants) as well as reciprocal learning were key factors supporting the implementation of this palliative care educational intervention. Challenges remain however in relation to staffing levels, which further emphasizes the importance of palliative care nurse specialist presence as a point of stability.http://link.springer.com/article/10.1186/s12904-019-0488-4PalliativeLong-term careEducational interventionHospice |
| spellingShingle | Rosemary Frey Deborah Balmer Michal Boyd Jackie Robinson Merryn Gott Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis BMC Palliative Care Palliative Long-term care Educational intervention Hospice |
| title | Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis |
| title_full | Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis |
| title_fullStr | Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis |
| title_full_unstemmed | Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis |
| title_short | Palliative care nurse specialists’ reflections on a palliative care educational intervention in long-term care: an inductive content analysis |
| title_sort | palliative care nurse specialists reflections on a palliative care educational intervention in long term care an inductive content analysis |
| topic | Palliative Long-term care Educational intervention Hospice |
| url | http://link.springer.com/article/10.1186/s12904-019-0488-4 |
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