Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

Bökberg, Christina; Behm, Lina; Wallerstedt, Birgitta; Ahlström, Gerd

doi:10.1002/nop2.408

Cited by 5 publications

(4 citation statements)

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“…The evaluation of the intervention has a non-randomized experimental design with both quantitative and qualitative methods. Baseline and a few follow-up studies are published in respect of staff [ 17 ], leaders [ 18 ], older persons [ 19 , 20 , 21 ], and next of kin [ 22 , 23 , 24 ], and additional follow-ups are in progress. One quantitative follow-up study was based on the World Health Organization QoL questionnaire (WHOQOL-BREF).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life among Next of Kin of Frail Older People in Nursing Homes: An Interview Study after an Educational Intervention concerning Palliative Care

Ahlström

Rosén

Persson

2022

IJERPH

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One cornerstone of palliative care is improving the family’s quality of life (QoL). The principles of palliative care have not been sufficiently applied in nursing homes. The aim of this study was to investigate the experiences of QoL of next of kin of frail older persons in nursing homes after an educational intervention concerning palliative care. This qualitative interview study with 37 next of kin used an abductive design with deductive and inductive content analysis. The deductive analysis confirmed the three themes of QoL from the study before the implementation: (1) orientation to the new life-situation, (2) challenges in the relationship, and (3) the significance of the quality of care in the nursing home. The inductive analysis resulted in the sub-theme “Unspoken palliative care”. Being the next of kin of an older person living in a nursing home can be distressing despite round-the-clock care, so staff need to apply a more explicitly palliative care perspective. Future research needs to evaluate the influence of meaning-focused coping on next of kin’s QoL and integrate this knowledge in psychosocial interventions. Clinical Trial Database for Clinical Research: KUPA project NCT02708498.

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Section: Introductionmentioning

confidence: 99%

Quality of Life among Next of Kin of Frail Older People in Nursing Homes: An Interview Study after an Educational Intervention concerning Palliative Care

Ahlström

Rosén

Persson

2022

IJERPH

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“… 28 45 46 The patient version of P-CAT was used previously by the research group as a complementary assessment in the evaluation of palliative care interventions. 47 Another application is in the evaluation of workplace education about palliative care for staff in the nursing home context. 30 In this current project, 29 30 for instance, it is being used in order to investigate whether the staff’s attitude towards person-centredness has changed as a result of education.…”

Section: Discussionmentioning

confidence: 99%

Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool

Cai

Tang

et al. 2020

BMJ Open

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ObjectiveThis study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties.DesignP-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made.SettingTwo hospitals covering urban and suburban areas of Kunming in the Yunnan province of China.Participants152 female hospital staff completed the survey.Main outcome measure(s)Construct validity and reliability, including internal consistency and test–retest reliability, were assessed among a sample of hospital staff.ResultsThe factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach’s alpha of 0.91–0.94 for the scales and a test–retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95).ConclusionP-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.

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“…Healthcare professional engagement and social support are considered as facilitators of person-centred care in Grol et al's case studies [30]. The mixed method of interview data by Bokberg et al shows that human-centered care is positively correlated with the quality of life of elderly people [31]. Based on a regression model, Skoldunger et al draw the conclusion that person-centred care is beneficial to quality of elderly life and burden alleviation of care staff [32].…”

Section: Research Hotspotsmentioning

confidence: 99%

Knowledge Structure and Evolution of Elderly Care Services: A Visualized Analysis

2023

socsam

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The irreversible global aging trend brings a rapid growth in demand for elderly care services, which also promotes the rapid development of relevant research, but there lacks a holistic review on it. This paper aims to conduct an analysis to reveal research hotspots and future directions with a visual display. The "Web of Science Core Collection" database is searched, and CiteSpace software is used to sort out the characteristics of related research and draw a scientific map of keywords clustering. Elderly care services research has obtained continuous attention for a long time and rapidly developed since 2017. Based on the keywords clustering, focuses of the research can be divided into five categories, namely care goals, basic pension models, innovation and provision of elderly services, as well as the demands of special elderly groups. It can be seen from keywords with strong burst that research frontiers contain care goal, endowment service institutions, frailty of the elderly, work of supply entities, and service for the aged in China. This paper proposes three directions for future research, including a multidimensional dynamic measurement of elders' demands, the interaction between elders' behavioral characteristics and services for them, and an integrated pension model combine actual contexts and novel technologies.

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Evaluating person‐centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

Cited by 5 publications

References 35 publications

Quality of Life among Next of Kin of Frail Older People in Nursing Homes: An Interview Study after an Educational Intervention concerning Palliative Care

Quality of Life among Next of Kin of Frail Older People in Nursing Homes: An Interview Study after an Educational Intervention concerning Palliative Care

Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool

Knowledge Structure and Evolution of Elderly Care Services: A Visualized Analysis

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