Prepared to Accompany the End of Life during Pandemics in Nursing Homes
Background: The COVID-19 pandemic confronted nursing homes with a variety of challenges to ensure the provision of palliative care for residents. <i>PallPan-Implement</i> aimed to adapt the recommendations of the National Strategy for the Care of Seriously Ill, Dying Adults and their Fam...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-10-01
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| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/20/6075 |
| _version_ | 1797472514707816448 |
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| author | Norbert Krumm Cordula Gebel Lars Kloppenburg Roman Rolke Ulrich Wedding |
| author_facet | Norbert Krumm Cordula Gebel Lars Kloppenburg Roman Rolke Ulrich Wedding |
| author_sort | Norbert Krumm |
| collection | DOAJ |
| description | Background: The COVID-19 pandemic confronted nursing homes with a variety of challenges to ensure the provision of palliative care for residents. <i>PallPan-Implement</i> aimed to adapt the recommendations of the National Strategy for the Care of Seriously Ill, Dying Adults and their Families in Times of Pandemic (PALLPAN) in such a way that nursing facilities can use and implement them. Methods: Based on 33 PALLPAN recommendations, we developed a questionnaire, conducted a pilot implementation for selected nursing homes, and asked for qualitative feedback. Results: The developed questionnaire contains 22 main questions. A three-stage pilot implementation with an introductory event, processing phase, and evaluation event took place in seven facilities. The facilities evaluated the developed questionnaire as helpful. Feedback from the facilities identified three major categories: (a) requirements for facilities should be realistic to avoid frustration, (b) the creation of a pandemic plan for palliative care only is impractical, (c) measures for the psychosocial support of staff is particularly necessary, but was perceived as difficult to implement. Conclusions: The practical implementation of recommendations requires a concept and material tailored to facilities and areas. The strategy of PallPan Implement developed in this project appears to be target-oriented, well-received, and can be recommended for further implementation. |
| first_indexed | 2024-03-09T20:02:49Z |
| format | Article |
| id | doaj.art-5a57eb08baef49d7af3f1f346c8269df |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T20:02:49Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5a57eb08baef49d7af3f1f346c8269df2023-11-24T00:40:23ZengMDPI AGJournal of Clinical Medicine2077-03832022-10-011120607510.3390/jcm11206075Prepared to Accompany the End of Life during Pandemics in Nursing HomesNorbert Krumm0Cordula Gebel1Lars Kloppenburg2Roman Rolke3Ulrich Wedding4Department of Palliative Medicine, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Internal Medicine II, Division of Palliative Medicine, University Hospital Jena, 07747 Jena, GermanyDepartment of Internal Medicine II, Division of Palliative Medicine, University Hospital Jena, 07747 Jena, GermanyDepartment of Palliative Medicine, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Internal Medicine II, Division of Palliative Medicine, University Hospital Jena, 07747 Jena, GermanyBackground: The COVID-19 pandemic confronted nursing homes with a variety of challenges to ensure the provision of palliative care for residents. <i>PallPan-Implement</i> aimed to adapt the recommendations of the National Strategy for the Care of Seriously Ill, Dying Adults and their Families in Times of Pandemic (PALLPAN) in such a way that nursing facilities can use and implement them. Methods: Based on 33 PALLPAN recommendations, we developed a questionnaire, conducted a pilot implementation for selected nursing homes, and asked for qualitative feedback. Results: The developed questionnaire contains 22 main questions. A three-stage pilot implementation with an introductory event, processing phase, and evaluation event took place in seven facilities. The facilities evaluated the developed questionnaire as helpful. Feedback from the facilities identified three major categories: (a) requirements for facilities should be realistic to avoid frustration, (b) the creation of a pandemic plan for palliative care only is impractical, (c) measures for the psychosocial support of staff is particularly necessary, but was perceived as difficult to implement. Conclusions: The practical implementation of recommendations requires a concept and material tailored to facilities and areas. The strategy of PallPan Implement developed in this project appears to be target-oriented, well-received, and can be recommended for further implementation.https://www.mdpi.com/2077-0383/11/20/6075palliative carenursing homeisolationemotional supportpandemic |
| spellingShingle | Norbert Krumm Cordula Gebel Lars Kloppenburg Roman Rolke Ulrich Wedding Prepared to Accompany the End of Life during Pandemics in Nursing Homes Journal of Clinical Medicine palliative care nursing home isolation emotional support pandemic |
| title | Prepared to Accompany the End of Life during Pandemics in Nursing Homes |
| title_full | Prepared to Accompany the End of Life during Pandemics in Nursing Homes |
| title_fullStr | Prepared to Accompany the End of Life during Pandemics in Nursing Homes |
| title_full_unstemmed | Prepared to Accompany the End of Life during Pandemics in Nursing Homes |
| title_short | Prepared to Accompany the End of Life during Pandemics in Nursing Homes |
| title_sort | prepared to accompany the end of life during pandemics in nursing homes |
| topic | palliative care nursing home isolation emotional support pandemic |
| url | https://www.mdpi.com/2077-0383/11/20/6075 |
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