Implikationen zur Verbesserung der Versorgungsqualität und -sicherheit von palliativen Bewohner*innen in der stationären Pflege: eine qualitative Studie

Bußmann, Anna; Pomorin, Natalie

doi:10.1016/j.zefq.2023.04.005

Cited by 1 publication

(3 citation statements)

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“…From an employee perspective, the following subjectively identified problem areas and fields of action as well as the effects of the COVID-19 pandemic on hospice and palliative care were subsumed in survey periods T0 and T1. Findings from the T0 survey period, as a baseline, are summarised in Table 3 and can be looked up in more detail in [ 45 ].…”

Section: Resultsmentioning

confidence: 99%

“…subsumed in survey periods T0 and T1. Findings from the T0 survey period, as a baseline, are summarised in Table 3 and can be looked up in more detail in [45].…”

Section: Plos Onementioning

confidence: 99%

“…(BF_4) 44 "I haven't heard anything of that [hospice care]." (BF_7) 45 "Yes, well the relatives, they come. They are allowed again, but us, we are not allowed into the rooms."…”

Section: "It Was Bad But I Survived (Laughs) But No Fear I Had Nothin...mentioning

confidence: 99%

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Effects of the COVID-19 pandemic on hospice and palliative care in nursing homes—A qualitative study from a multiperspective view

Bußmann,

Pomorin,

Gerling

et al. 2023

PLoS ONE

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In Germany, nursing homes are characterised by challenging conditions for adequately supporting residents at their end of life, which have even amplified due to the COVID-19 pandemic. This article therefore analyses how hospice and palliative care in nursing homes has changed due to the COVID-19 pandemic and how the pandemic has affected residents, relatives and employees. Semi-structured interviews with employees, residents and relatives were conducted before and during the COVID-19 pandemic in two nursing homes in North Rhine-Westphalia, Germany. In a pre-post comparison, data were qualitatively evaluated using content analysis according to Mayring. Shifts, congruities and discrepancies in challenges in hospice and palliative care were identified between T0 and T1. Due to contact restrictions, important parts of end-of-life care were missing, and the roles of individuals providing hospice and palliative care were redefined. The interviewed groups experienced changes differently and contradictory statements on satisfaction and expectations about hospice and palliative care were reported. Employees and relatives predominantly perceived the pandemic to be very stressful, while residents endured this period more composedly. Employees stated that, despite the pandemic, they were mostly able to meet residents’ requests. However, relatives and residents expressed that minor requests were not reliably fulfilled, neither at T0 nor at T1. Drawing together the different perspectives from employees, residents and relatives offers a bigger picture of challenges in hospice and palliative care in nursing homes and the pandemic effects. Stronger communication of requests and needs as well as greater collaboration, especially under crisis conditions, are essential for a better quality of end-of-life care. There is an urgent need to break down the taboos around the topics of dying and death in nursing homes.

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Section: Resultsmentioning

confidence: 99%

“…subsumed in survey periods T0 and T1. Findings from the T0 survey period, as a baseline, are summarised in Table 3 and can be looked up in more detail in [45].…”

Section: Plos Onementioning

confidence: 99%