Multi-faceted palliative care intervention: aged care nurses' and care assistants' perceptions and experiences
|dc.contributor.author||Phillips, J. L.|
|dc.identifier.citation||Phillips, Jane L. and Davidson, Patricia M. and Jackson, Debra and Kristjanson, Linda J. 2008. Multi-faceted palliative care intervention: Aged care nurses' and care assistants' perceptions and experiences. JAN Original Research. 62 (2): pp. 216-227.|
AIM: This paper is a report of a study to describe residential aged care nurses' and care assistants' perceptions of a multi-faceted palliative care intervention to identify potential areas to be addressed during subsequent action research phases. BACKGROUND: Action research was used to enhance the delivery of a palliative approach in residential aged care. The chronic care model guided the development of a multi-faceted intervention. This involved the: (1) establishment of a 'link nurse' role; (2) learning and development strategies for nurses, care assistants and general practitioners; (3) use of multi-disciplinary team meetings; and (4) access to specialist consultation. METHOD: A purposive sample (n = 28) of aged care nurses and care assistants participated in a series of four focus groups conducted in July 2005. Thematic content analysis of the transcripts was performed. FINDINGS: Four themes emerged: (1) targeted education can make a difference; (2) a team approach is valued; (3) clinical assessment tools are helpful; and (4) using the right language is essential. Participants described increased understanding of palliative care concepts, enhanced competencies, greater confidence to deliver palliative care and a desire to adopt a multi-disciplinary approach to care planning. CONCLUSION: Sustaining a culture that is committed to ongoing learning and development interventions and creating multi-disciplinary teams in the aged care setting is critical to embedding a palliative approach. The chronic care model is a useful framework to guide the development of interventions leading to better palliative care outcomes for residents and their families.
|dc.publisher||Blackwell Publishing Ltd|
|dc.title||Multi-faceted palliative care intervention: aged care nurses' and care assistants' perceptions and experiences|
|dcterms.source.title||JAN ORIGINAL RESEARCH|
Copyright © 2008 John Wiley & Sons, Ltd.
|curtin.accessStatus||Fulltext not available|
|curtin.faculty||Faculty of Health Sciences|
|curtin.faculty||Centre for Cardiovascular and Chronic Care|