Staff Perceptions of End-of-Life Care in Aged Residential Care: A New Zealand Perspective

Marshall, Bridget M.; Clark, Jean; Sheward, Karen; Allan, Simon

doi:10.1089/jpm.2010.0471

Cited by 34 publications

(31 citation statements)

References 45 publications

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“…For more than a decade, researchers have documented the challenges and barriers to providing a palliative approach to older people in ARC 3 6 16 23. What is required now are actions that address these challenges.…”

Section: Discussionmentioning

confidence: 99%

“…ARC mortality in New Zealand is high 12. A prospective follow-up study of 6828 ARC residents in 152 facilities reported that 861 residents (12.6%) had died within 6 months of ARC entry 16. Indeed, ARC facilities in New Zealand have been characterised as ‘de facto hospices’, in contrast with their previous role as rehabilitation centres 6…”

Section: The New Zealand Contextmentioning

confidence: 99%

See 1 more Smart Citation

Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery

Frey

Boyd

Foster

et al. 2016

BMJ Support Palliat Care

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Section: Discussionmentioning

confidence: 99%

Section: The New Zealand Contextmentioning

confidence: 99%

Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery

Frey

Boyd

Foster

et al. 2016

BMJ Support Palliat Care

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“…41 Previous research has also examined selfconfidence as both motivator and outcome of palliative care education. [42][43][44] The current research goes further to explore the predictive value of both socioenvironmental and psychological factors. The regression results indicate the need for a better understanding of burnout among RAC healthcare staff.…”

Section: Discussionmentioning

confidence: 99%

“…37,43,51 Previous research has also highlighted the communication environment as a key component in providing effective palliative care. 52,53 Drawing on complexity science (In complexity science healthcare organizations, including aged care facilities, are defined as complex adaptive systems (CAS).…”

Section: Discussionmentioning

confidence: 99%

Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training

Frey¹,

Boyd²,

Foster³

et al. 2014

Progress in Palliative Care

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Introduction: Palliative care delivery has become integral to the role of healthcare staff in residential aged care (RAC) internationally. Challenges within this work environment (e.g. workload, staffing levels, resources) may impact on healthcare staffs' willingness to undertake formal palliative care education. The study described herein explored factors (socioenvironmental and psychological) that influence staff willingness to engage in palliative care education. Methods: The predictors of palliative care education uptake for healthcare staff (n = 431) from 52 New Zealand RAC facilities in one large urban District Health Board were assessed. Logistic regression was used to explore willingness to engage in education. Results: Higher scores for burnout predicted a decreased likelihood of engaging in palliative care education (odds ratio (OR) 0.41, P = 0.01). The identified predictor of willingness to engage in education was previous palliative care experience (OR 1.59, P = 0.027). Discussion: These results can inform the design and delivery of future palliative care education programmes within RAC.

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“…"(…) at the start it was hard on me (…) because I had to train, I wasn't trained yet (…)" E1. In the study by Marshall et al 27 , the team describes how certain members avoid caring for elderly persons at the end of life, citing a lack of knowledge and experience in the area. For this reason, it may be difficult for them to deal with elderly persons in terminal situations, which was also mentioned by the professional caregivers in the present study.…”

Section: Negative Experiences and Feelingsmentioning

confidence: 99%

Palliative Care for Institutionalized Elderly Persons: Experience of Caregivers

Carvalho

Martins

2016

Rev. bras. geriatr. gerontol.

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The number of elderly persons institutionalized in residential facilities that provide various types of care is increasing all the time. Care is provided by caregivers who, often unknowingly, are delivering palliative care, and in doing so, are accompanying the elderly persons to their death. The aim of the present study was to investigate how terminal illness and death are experienced by caregivers. A qualitative explorativedescriptive study was carried out, featuring a phenomenological approach, in accordance with Giorgi. The sample was comprised of nine individuals who worked in residential facilities, with data collected through a semi-structured interview. Following data analysis, eight categories were defined: relationship with the elderly person; positive experiences, positive feelings, negative experiences, negative feelings, strategies, consequences and training. These categories were then divided into subcategories. It can be concluded that the caregivers experienced great difficulty when dealing with suffering at the end of life. This did not prevent them from enjoying their work, and a number of positive aspects of their relationships with the elderly were mentioned. The need to provide more support for these professionals, whether through further training or the level of psychological support provided, is also fundamental in this area of palliative care, as only in this way will individuals feel more able and confident about performing their tasks, brining greater benefit for the elderly persons.

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Staff Perceptions of End-of-Life Care in Aged Residential Care: A New Zealand Perspective

Cited by 34 publications

References 45 publications

Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery

Necessary but not yet sufficient: a survey of aged residential care staff perceptions of palliative care communication, education and delivery

Burnout matters: The impact on residential aged care staffs’ willingness to undertake formal palliative care training

Palliative Care for Institutionalized Elderly Persons: Experience of Caregivers

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