The provision of emotional labour by health care assistants caring for dying cancer patients in the community: A qualitative study into the experiences of health care assistants and bereaved family carers

Lovatt, Melanie; Nanton, Veronica; Roberts, Julie; Ingleton, Christine; Noble, Bill; Pitt, Elizabeth; Seers, Kate; Munday, Daniel

doi:10.1016/j.ijnurstu.2014.10.013

Cited by 32 publications

(36 citation statements)

References 30 publications

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“…Conferring a value on psychosocial aspects of care, and demonstrating it in multidisciplinary practice situations, can support and encourage flexibility in other professionals. This aspect was exemplified through the enhanced role of HCAs in Macmillan Specialist Care at Home and may reflect findings from other research [70] which suggests that their input is significant in community palliative care to complement existing provision.…”

Section: Discussionmentioning

confidence: 69%

Impact of the Macmillan specialist Care at Home service: a mixed methods evaluation across six sites

et al. 2018

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Background: The Midhurst Macmillan Specialist Palliative Care at Home Service was founded in 2006 to improve community-based palliative care provision. Principal components include; early referral; home-based clinical interventions; close partnership working; and flexible teamwork. Following a successful introduction, the model was implemented in six further sites across England. This article reports a mixed methods evaluation of the implementation across these 'Innovation Centres'. The evaluation aimed to assess the process and impact on staff, patients and carers of providing Macmillan Specialist Care at Home services across the six sites. Methods: The study was set within a Realist Evaluation framework and used a longitudinal, mixed methods research design. Data collection over 15 months (2014)(2015)(2016) Qualitative data methods included: focus groups with project team and staff (n = 32 groups with n = 190 participants), and, volunteers (n = 6 groups with n = 32 participants). Quantitative data were analysed using SPPS Vs. 21 and qualitative data was examined via thematic analysis. Results: Comparison of findings across the six sites revealed the impact of their unique configurations on outcomes, compounded by variations in stage and mode of implementation. PPS, PPI and IPOS data revealed disparity in early referral criteria, complicated by contrasting interpretations of palliative care. The qualitative analysis, CSNAT and VOICES-SF data confirmed the value of the Macmillan model of care but uptake of specialist home-based clinical interventions was limited. The Macmillan brand engendered patient and carer confidence, bringing added value to existing services. Significant findings included better co-ordination of palliative care through project management and a single referral point and multi-disciplinary teamwork including leadership from consultants in palliative medicine, the role of health care assistants in rapid referral, and volunteer support. Conclusions: Macmillan Specialist Care at Home increases patient choice about place of death and enhances the quality of end of life experience. Clarification of key components is advocated to aid consistency of implementation across different sites and support future evaluative work.

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Section: Discussionmentioning

confidence: 69%

Impact of the Macmillan specialist Care at Home service: a mixed methods evaluation across six sites

et al. 2018

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“…Literature findings for this workforce have been published in relation to educational interventions (Ingleton et al, 2011, Murray, 2012, Pesut et al, 2015, Weir, 2015, and Kyle et al, 2015; job satisfaction, (Holmberg et al, 2013, andVan der Linde, 2014); role development, patient safety and quality of care , Lovatt et al, 2015, and Swedberg et al, 2013). …”

Section: Evolution Of Hswsmentioning

confidence: 99%

“…Additionally, care workers not only clinically contribute to holistic care but also contribute to psychological care in the community setting. Lovatt et al (2015) identified that HSWs provide emotional support for patients in end stage life. This is an enhanced key aspect of their role.…”

Section: Role Developmentmentioning

confidence: 99%

“…What is evident from the literature in this research enquiry is that many studies have addressed the impact of training or educational interventions from a qualitative design (Mc Kenna et al, 2005, Hancock et al, 2005, Lovatt et al, 2015and Nash and Fitzpatrick, 2015. These designs employed an inductive approach to generate new knowledge and maximise the potential to gain insight about HSW views and experiences that occurred throughout the training process.…”

Section: Evidence-based Practice and The Role Of Researchmentioning

confidence: 99%

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The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

Clarke¹,

Moore

Patton

et al. 2017

Br J Community Nurs

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Objective: To investigate the impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage. Method: A repeated measure design was employed to quantify the effectiveness of an educational intervention, consisting of one pre-test and two post-tests. Results: Education was provided to home support workers and this was followed by an assessment of their ability to correctly classify 20 photographs detailing varying stages of skin damage severity. At the baseline (pre-education), 58% of the photographs were classified correctly. At post-test 1, 55% of the photographs were classified correctly. In post-test 2 this increased to 58%, achieving the original baseline scores. There was a moderate negative relationship between pre-training and post-test 2 scores (r=-0.44; n=27; p=0.02). Conclusions: The educational intervention has been shown not to have a statistically significantly positive effect on home support workers' ability to detect early pressure ulcer damage. The moderate negative relationship between pre-training and post-test 2 scores concur with the aforementioned qualitative findings, and similarly indicate behaviour associated with individuals experiencing difficulty comprehending new health terms.

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“…The grown connections between patients and the PCA are what feeds the PCA's passion. According to Lovatt et al [3] PCAs possess the sentiment that one of their essential roles is delivering emotional support for patients. A fire can be seen behind the eyes of PCAs when they begin to speak about the method in which they ensure high-quality care.…”

Section: The Passion Of the Pcamentioning

confidence: 99%

Behind our eyes: The voice of the patient care assistant

Hawthorne-Spears

Whitlock

2016

JNEP

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This is a discussion paper regarding a role that often goes overlooked in many health care environments; the patient care assistant (PCA). This individual is charged with performing highly skilled tasks that may seem mundane and insignificant to some, yet are essential to achieving optimal outcomes for our patients. Nurses depend on the PCA to being properly educated and trained to accomplish the many duties of caring for the complex patients that enter today's health care setting. Ultimately, the day to day responsibilities of the PCA are delegated by the licensed nurse. Therefore, it is imperative for nursing to understand the complicated nature of their role and how to best equip them with essential tools for success. A method that has been introduced at Houston Methodist Hospital to ensure the PCA is seen as an integral part of the health care team is the development of the Patient Care Advancement Program (PCAP), also known as a clinical ladder. The PCAP is a comprehensive platform that was implemented to grow the interprofessional team members at the bedside. In this article, we discuss the passion that the PCA must possess to be committed to perform daily care, how the PCA operates as a part of the health care team and the significance of professional growth opportunities for the PCA.

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The provision of emotional labour by health care assistants caring for dying cancer patients in the community: A qualitative study into the experiences of health care assistants and bereaved family carers

Cited by 32 publications

References 30 publications

Impact of the Macmillan specialist Care at Home service: a mixed methods evaluation across six sites

Impact of the Macmillan specialist Care at Home service: a mixed methods evaluation across six sites

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

Behind our eyes: The voice of the patient care assistant

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