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Vellani S, Maradiaga Rivas V, Nicula M, Lucchese S, Kruizinga J, Sussman T, Kaasalainen S. Palliative Approach to Care Education for Multidisciplinary Staff of Long-Term Care Homes: A Pretest Post-Test Study. Gerontol Geriatr Med 2023; 9:23337214231158470. [PMID: 36845318 PMCID: PMC9947670 DOI: 10.1177/23337214231158470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 01/20/2023] [Accepted: 02/02/2023] [Indexed: 02/24/2023] Open
Abstract
This study used a single-group pre-test and post-test design to evaluate an educational workshop for multidisciplinary staff working in long-term care homes on implementing a palliative approach to care and perceptions about advanced care planning conversations. Two outcomes were measured to assess the preliminary efficacy of the educational workshop at baseline and 1-month post-intervention. Knowledge regarding implementing a palliative approach to care was assessed using the End-of-Life Professional Caregivers Survey and changes in staff perception toward ACP conversations were assessed using the Staff Perceptions Survey. Findings suggest that staff experienced an improvement in self-reported knowledge regarding a palliative approach to care (p ≤ .001); and perceptions of knowledge, attitude, and comfort related to advance care planning discussions (p ≤ .027). The results indicate that educational workshops can assist in improving multidisciplinary staff's knowledge about a palliative approach to care and comfort in carrying out advance care planning discussions with residents, family care partners, and among long-term care staff.
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Affiliation(s)
- Shirin Vellani
- Faculty of Health Sciences, School of
Nursing, McMaster University, Hamilton, ON, Canada
| | | | - Maria Nicula
- Faculty of Health Sciences, School of
Nursing, McMaster University, Hamilton, ON, Canada
| | - Stephanie Lucchese
- Faculty of Health Sciences, School of
Nursing, McMaster University, Hamilton, ON, Canada
| | - Julia Kruizinga
- Faculty of Health Sciences, School of
Nursing, McMaster University, Hamilton, ON, Canada
| | - Tamara Sussman
- Faculty of Arts, School of Social Work,
McGill University, Montreal, QC, Canada
| | - Sharon Kaasalainen
- Faculty of Health Sciences, School of
Nursing, McMaster University, Hamilton, ON, Canada,Sharon Kaasalainen, Faculty of Health
Sciences, School of Nursing, McMaster University, 1280 Main Street West,
Hamilton, ON L8S 4L8, Canada.
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Slam Bam, Thank you, Ma’am: The Challenges of Advance Care Planning Engagement in Long-Term Care. Can J Aging 2022; 41:443-450. [DOI: 10.1017/s0714980821000738] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Abstract
This interpretative, qualitative study explored residents’ and families’ perspectives on advance care planning (ACP) in long-term care (LTC). Perspectives on when, how, and with whom ACP discussions should be introduced and barriers and solutions to improving ACP engagement were examined. Fifty-one residents and families participated in seven focus groups. The findings revealed that residents and families prioritized caring connections over professional rank when reflecting on staff involvement in ACP. The findings further revealed that the caring and compassionate environment considered to be a critical pre-condition for ACP engagement was more typically enacted at end of life when ACP was no longer an option. Our findings suggest that work practices and organizational structures within LTC play an important role in inhibiting ACP engagement.
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