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    Enabling a family caregiver-led assessment of support needs in home-based palliative care: Potential translation into practice.

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    Fulltext not available
    Authors
    Aoun, Samar
    Toye, Christine
    Deas, Kathy
    Howting, Denise
    Ewing, G.
    Grande, G.
    Stajduhar, K.
    Date
    2015
    Type
    Journal Article
    
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    Citation
    Aoun, S. and Toye, C. and Deas, K. and Howting, D. and Ewing, G. and Grande, G. and Stajduhar, K. 2015. Enabling a family caregiver-led assessment of support needs in home-based palliative care: Potential translation into practice. Palliative Medicine. 29 (10): pp. 929-938.
    Source Title
    Palliat Med
    DOI
    10.1177/0269216315583436
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/36252
    Collection
    • Curtin Research Publications
    Abstract

    BACKGROUND: Systematic assessment of family caregivers' support needs and integrating these into service planning according to evidence-based research are vital to improving caregivers' outcomes and their capacity to provide care at end of life. AIM: To describe the experience with and feedback of nurses on implementing a systematic assessment of support needs with family caregivers in home-based palliative care, using the Carer Support Needs Assessment Tool. METHODS: This study was conducted during 2012-2014 in Silver Chain Hospice Care Service in Western Australia. This article reports on one part of a three-part evaluation of a stepped wedge cluster trial. Forty-four nurses who trialled the intervention with 233 family caregivers gave their feedback via surveys with closed- and open-ended questions (70.5% response rate). Analyses of quantitative and qualitative data were undertaken. RESULTS: The feedback of nurses was overwhelmingly positive in terms of perceived benefits in comparison to standard practice both from the family caregiver and service provider perspectives. Using the Carer Support Needs Assessment Tool was described by nurses as providing guidance, focus and structure to facilitate discussion with family caregivers and as identifying needs and service responses that would not otherwise have been undertaken in a timely manner. CONCLUSION: Our study has successfully addressed the call for alternatives to the professional assessment paradigm using the Carer Support Needs Assessment Tool approach as a caregiver-led intervention facilitated by health professionals. Integrating the Carer Support Needs Assessment Tool in existing practice is fundamental to achieving better caregiver outcomes.

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