Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes.
Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes.
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DOI：
10.3390/ijerph18020829
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发表时间：
2021-01-19
影响因子：
--
通讯作者：
Leemans K
中科院分区：
文献类型：
--
作者：
Dupont C;De Schreye R;Cohen J;De Ridder M;Van den Block L;Deliens L;Leemans K
养老院中日益虚弱的人口突出了在生命结束时对高质量护理的需求，并在此背景下更好地获得姑息治疗。姑息治疗的实施及其结果可以通过使用质量指标进行监测。因此，我们开发了一个质量指标集的姑息治疗在疗养院和量身定制的测量程序，同时使用混合方法设计。我们分三个阶段开发了该工具：（1）文献检索，（2）专家访谈，（3）通过专家共识（兰德/加州大学洛杉矶分校）选择指标和测量。第二，我们在比利时的弗兰德斯的九家疗养院对该仪器进行了试点测试和评估。在文献和专家访谈中确定了26个指标后，通过专家共识选择了其中的19个指标。具体设置的主题是提前护理规划，自主权，与家人沟通。定量和定性分析表明，指标是可测量的，有良好的初步表面效度和区分力，并认为是有用的质量监测方面的照顾者。质量指标可以用于一个大的实施研究和过程评估，以实现持续监测的所有居民在养老院的姑息治疗。
An increasingly frail population in nursing homes accentuates the need for high quality care at the end of life and better access to palliative care in this context. Implementation of palliative care and its outcomes can be monitored by using quality indicators. Therefore, we developed a quality indicator set for palliative care in nursing homes and a tailored measurement procedure while using a mixed-methods design. We developed the instrument in three phases: (1) literature search, (2) interviews with experts, and (3) indicator and measurement selection by expert consensus (RAND/UCLA). Second, we pilot tested and evaluated the instrument in nine nursing homes in Flanders, Belgium. After identifying 26 indicators in the literature and expert interviews, 19 of them were selected through expert consensus. Setting-specific themes were advance care planning, autonomy, and communication with family. The quantitative and qualitative analyses showed that the indicators were measurable, had good preliminary face validity and discriminative power, and were considered to be useful in terms of quality monitoring according to the caregivers. The quality indicators can be used in a large implementation study and process evaluation in order to achieve continuous monitoring of the access to palliative care for all of the residents in nursing homes.
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影响因子：
4.1
作者：
Hall S;Goddard C;Stewart F;Higginson IJ
通讯作者：
Higginson IJ
影响因子：
11.4
作者：
Grol, R;Wensing, M
通讯作者：
Wensing, M
影响因子：
9.3
作者：
Etkind, S. N.;Bone, A. E.;Murtagh, F. E. M.
通讯作者：
Murtagh, F. E. M.
DOI：
10.1016/j.jamda.2019.01.144
发表时间：
2019-09-01
影响因子：
7.6
作者：
Hoben, Matthias;Chamberlain, Stephanie A.;Estabrooks, Carole A.
通讯作者：
Estabrooks, Carole A.
人口衰老对未来临终护理提供的影响有何影响？基于人群的死亡地点预测。
影响因子：
4.4
作者：
Bone AE;Gomes B;Etkind SN;Verne J;Murtagh FEM;Evans CJ;Higginson IJ
通讯作者：
Higginson IJ