Residential Aged-Care Workers and the Palliative Approach

McInerney, Fran; Ford, Rosemary; Simpson, Angela; Willison, Michelle

doi:10.1097/njh.0b013e3181bd03df

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…When discussing what the CHS understood EOLC to encompass, we observed a focus on the terminal phase and on symptom control and comfort specifically in those final days. Similar findings were reported in a study conducted in Australia which noted that CHS associated EOLC with the final days (McInerney, Ford, & Simpson, 2009). Our study highlighted an increased awareness among the CHS that an EOLC approach is relevant early on, in particular, a number of the care homes described initiating ACP on admission.…”

Section: Discussionsupporting

confidence: 89%

Providing End-of-Life Care in Care Homes for Older People

et al. 2011

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The study aimed to explore the views of care home staff (CHS) and community nurses (CNs) on providing end-of-life care (EOLC) in care homes. Participants were randomly selected and qualitative interviews conducted with 80 CHS and 10 CNs. Themes emerging from the data included the following: The meaning of EOLC; starting EOLC; dying in the care home; stress of providing EOLC; improving EOLC; and the role of the CN. CHS felt that planning for the end of life was important before residents reached the dying phase, which some found difficult to determine. Although CHS wished to avoid residents being transferred to hospital to die, they acknowledged that improvements in their skills and the resources available to them were needed to manage EOLC effectively. CNs were critical of the EOLC provided in some care homes, reporting tensions over their relationship with CHS. As the number of older people who die in care homes increases, there is a need to overcome these barriers to provide good EOLC.

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Section: Discussionsupporting

confidence: 89%

Providing End-of-Life Care in Care Homes for Older People

et al. 2011

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“…Reflective of the hierarchical power relations in RACFs, 19,41,42 a care assistant in the FARG argued that "[staff] do not feel that they are responsible for making changes" and so struggled to envisage their role in promoting change in developing evidence-informed falls prevention practices.…”

Section: Reconnaissance: Understanding the Issue Of Professional Isolmentioning

confidence: 99%

Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

Andrews¹,

Lea²,

Haines³

et al. 2012

Advances in Nursing Science

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This study aimed to examine whether an action research approach was effective in reducing the isolation of staff in 2 residential aged care facilities, within the context of an evidence-informed falls prevention program. A Falls Action Research Group comprising 12 nursing/nonnursing staff across 2 residential aged care facilities was established and engaged in critical dialogue and action over 12 months to improve their fall prevention activities. Through the group members' engagement, a research community was established that diminished staff isolation by engaging members in a sustained process of collaboration around falls prevention, which worked to disrupt occupational silos and challenge traditional staff hierarchies.

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An Evaluation of Aged-Care Workers’ Knowledge of and Attitudes Toward the Palliative Approach

Ford¹,

McInerney²

2011

Research in Gerontological Nursing

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This study, a cross-sectional survey, evaluated the knowledge of the palliative approach to care of an entire care workforce in an Australian residential aged-care organization (n = 116, 30% response rate). Knowledge deficits were found at all staff levels: RNs lacked a full comprehension of pain and symptom management, and personal care attendants' knowledge scores were not statistically different from those of ancillary staff. RN division 1 reported a more positive attitude toward caring for dying patients than other staff groups. Increasing experience in the field was found to be the main determinant of knowledge of, and attitudes toward, the palliative approach, while increasing hours of palliative care education and higher post-school educational level conferred some benefit. Study findings provide strong impetus for education in the palliative approach to care for the entire interdisciplinary team. With targeted education and support, older residents' needs for a palliative approach to care can be identified by all members of the care team, and appropriate response and/or referral can be achieved.

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Residential Aged-Care Workers and the Palliative Approach

Cited by 3 publications

References 33 publications

Providing End-of-Life Care in Care Homes for Older People

Providing End-of-Life Care in Care Homes for Older People

Reducing Staff Isolation and Developing Evidence-Informed Practice in the Aged Care Environment Through an Action Research Approach to Falls Prevention

An Evaluation of Aged-Care Workers’ Knowledge of and Attitudes Toward the Palliative Approach

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