Quality of life of older persons in nursing homes after the implementation of a knowledge‐based palliative care intervention

Bökberg, Christina; Behm, Lina; Ahlström, Gerd

doi:10.1111/opn.12258

Cited by 13 publications

(14 citation statements)

References 38 publications

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“…Resident outcomes were assessed in terms of quality of care, quality of life, quality of death, care satisfaction, symptom experience, comfort and staff and resident/family communication, which had been mostly assessed or reported by family/carers or staff members. One study directly asked residents regarding their quality of life (Bökberg, Behm, & Ahlström, 2019), while five studies conducted surveys to deceased residents’ family. Resident outcome measures that were selected to assess quality of life, comfort, care quality, symptom management and satisfaction included Symptom Management for EOL Care in Dementia, the Comfort Assessment in Dying scales (Van den Block et al, 2019; Verreault et al, 2018) and the Quality of Dying in Long‐Term Care (Hall, Longhurst, & Higginson, 2009).…”

Section: Resultsmentioning

confidence: 99%

Palliative and end‐of‐life educational interventions for staff working in long‐term care facilities: An integrative review of the literature

Iida

Ryan

Hasson

et al. 2020

Int J Older People Nursing

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BackgroundGiven the increase in the number of deaths within long‐term care facilities (LTCFs), the need for palliative and end‐of‐life (EOL) care education among such facilities has been increasing. As such, a systematic synthesis of global palliative and EOL care educational approaches and evaluation can aid further educational development.ObjectiveTo synthesise the current literature on palliative and EOL care educational interventions for staff working in LTCFs and identify barriers to, and facilitators of, intervention implementation.MethodsThe study used an integrative review framework wherein indexed databases, namely, CINAHL, EMBASE, MEDLINE, PsycINFO, Web of Science, Cochrane Library and Japan Medical Abstract Society, were systematically searched for studies published in English and Japanese between 2007 and 2019. Search terms that are related to palliative care, LTCF, and education were combined to increase search sensitivity. The quality of the papers was assessed using Joanna Briggs Institute Critical Appraisal Tools and the Mixed‐Methods Appraisal Tool.ResultsA total of 52 studies were included in the review. Our results suggested that although studies in this area and setting have been evolving, suboptimal developmental research and educational practices, global variability and unstandardised approaches to education and lacking viewpoints from service users have remained. Barriers to intervention implementation were also reported due to the specific characteristics of LTCFs, which include high staff turnover and considerable variation in professional skills and experience.ConclusionsGiven the different LTCF types, systems and policies across each country or region, further research on standardised educational interventions with contextual considerations using large‐scale studies with robust methodology is needed to meet the increasing demand for palliative and EOL care among the global ageing population.Implications for practicePalliative and EOL care educational intervention for LTCF staff need to include more consideration of context, organisational culture and the user involvement throughout the process of education and research to enhance the quality of care in this complex setting.

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Section: Resultsmentioning

confidence: 99%

Palliative and end‐of‐life educational interventions for staff working in long‐term care facilities: An integrative review of the literature

Iida

Ryan

Hasson

et al. 2020

Int J Older People Nursing

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“…71 Training on violence prevention and detection 1 Teresi et al 72 Staff training targeting resident-to-resident elder mistreatment. 72 Training on palliative care assessment 2 Bökberg et al 73 Hanson et al 74 Training on palliative care need identification and symptom management for staff in nursing home, 73 Goals of care to improve decision making and palliative care for PWAD. 74 Training to manage pain 1 Rostad et al 75 Training on pain assessment and analgesic use on residents with severe dementia.…”

Section: Interventions For the Maintenance Of Intrinsic Capacitymentioning

confidence: 99%

What long-term care interventions have been published between 2010 and 2020? Results of a WHO scoping review identifying long-term care interventions for older people around the world

Arias-Casais

Thiyagarajan

Perracini³

et al. 2022

BMJ Open

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ObjectiveThe global population is rapidly ageing. To tackle the increasing prevalence of older adults’ chronic conditions, loss of intrinsic capacity and functional ability, long-term care interventions are required. The study aim was to identify long-term care interventions reported in scientific literature from 2010 to 2020 and categorise them in relation to WHO’s public health framework of healthy ageing.DesignScoping review conducted on PubMed, CINHAL, Cochrane and Google Advanced targeting studies reporting on long-term care interventions for older and frail adults. An internal validated Excel matrix was used for charting.Setting nursing homes, assisted care homes, long-term care facilities, home, residential houses for the elderly and at the community.Inclusion criteriaStudies published in peer-reviewed journals between 1 January 2010 to 1 February 2020 on implemented interventions with outcome measures provided in the settings mentioned above for subjects older than 60 years old in English, Spanish, German, Portuguese or French.Results305 studies were included. Fifty clustered interventions were identified and organised into four WHO Healthy Ageing domains and 20 subdomains. All interventions delved from high-income settings; no interventions from low-resource settings were identified. The most frequently reported interventions were multimodal exercise (n=68 reports, person-centred assessment and care plan development (n=22), case management for continuum care (n=16), multicomponent interventions (n=15), psychoeducational interventions for caregivers (n=13) and interventions mitigating cognitive decline (n=13).ConclusionThe identified interventions are diverse overarching multiple settings and areas seeking to prevent, treat and improve loss of functional ability and intrinsic capacity. Interventions from low-resource settings were not identified.

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“…The evaluation of the KUPA project addresses several different outcomes reported in previous papers (Alftberg et al, ; Bökberg Behm, & Ahlström, , ; Bökberg, Behm, Wallerstedt, & Ahlström, ; Bökberg et al, ) and will be further reported in future papers. The intervention was implemented during a 6‐month period with different staff and front leaders (8–12 in each nursing home) in 20 nursing homes in two different counties in southern Sweden (Ahlström et al, ).…”

Section: Methodsmentioning

confidence: 71%

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

et al. 2019

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AimTo evaluate person‐centeredness in nursing homes from the perspective of frail older persons, before and after implementing an educational intervention about palliative care.DesignA crossover design.MethodsForty‐four older persons living in nursing homes were interviewed. A convergent mixed‐method was used to analyse data.ResultsThe older persons expressed feelings of unsafety related to shortcomings in staff. These shortcomings implied that the responsibilities of everyday activities and making the residents’ existence more bearable were transferred to the next of kin. The dropout rate related to death and not enough energy was considerably high (51%) even though one of the inclusion criteria was to have enough energy to manage a 1‐hr interview. This result supports previous research describing the difficulties in retaining older persons in research and indicated that the dose of the intervention was not sufficient to improve person‐centred care.

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Quality of life of older persons in nursing homes after the implementation of a knowledge‐based palliative care intervention

Cited by 13 publications

References 38 publications

Palliative and end‐of‐life educational interventions for staff working in long‐term care facilities: An integrative review of the literature

Palliative and end‐of‐life educational interventions for staff working in long‐term care facilities: An integrative review of the literature

What long-term care interventions have been published between 2010 and 2020? Results of a WHO scoping review identifying long-term care interventions for older people around the world

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

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