Hospice attitudes among assisted living and nursing home administrators, and the long-term care hospice attitudes scale
Hospice attitudes among assisted living and nursing home administrators, and the long-term care hospice attitudes scale
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DOI：
10.1089/jpm.2006.9.1388
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发表时间：
2006-12-01
影响因子：
2.8
通讯作者：
Munn, Jean
中科院分区：
文献类型：
--
作者：
Dobbs, Debra Jean;Hanson, Laura;Munn, Jean
目的：要检查的住宅护理/辅助生活（RC/AL）和护理之家（NH）管理员对临终关怀的态度，并评估设施和管理员的特点，这些attitudes.Design：两个探索性因素分析的临终关怀态度问卷调查使用的主要因素与promax（斜）旋转进行。一个是来自四个州（佛罗里达、马里兰州、北卡罗来纳州和新泽西）的390名RC/AL和NH管理人员的样本，另一个包括来自该样本和第二个样本的NH（n = 244）。结果：经探索性因素分析后，编制出由12个条目组成的长期照护安宁疗护态度量表（LTC-HAS），其中包含4个分量表：（1）情绪与精神支持（3项，α = 0.83）;（2）护理质量（4项，α = 0.78）;（3）死亡速度（3项，α = 0.66）和（4）临终护理协调（2项，α = 0.73）。12项量表的总体α为0.81。当仅对NH数据进行探索性因素分析时，还出现了与融资和计费相关的三项子量表（α = 0.66）。四个设施和三个管理员的特点，显着相关的临终关怀的态度，包括国家，设施类型，设施的年龄，与另一个层次的护理联系;和年龄，种族，和护士training.Conclusion：本文的调查结果提供了有关RC/AL设施和NH管理员的态度临终关怀使用规模数据，一个研究有限的领域。他们表示积极的态度临终关怀协调，临终关怀应该补充，而不是取代，设施提供的护理。调查结果还提出了可建议开展有针对性的外联和进一步研究的领域。
Objectives: To examine the attitudes of residential care/assisted living (RC/AL) and nursing home (NH) administrators toward hospice and to assess facility and administrator characteristics related to those attitudes.Design: Two exploratory factor analyses of the Hospice Attitudes Questionnaire using principal factors with a promax (oblique) rotation were conducted. One was in a sample of 390 RC/AL and NH administrators from four states (Florida, Maryland, North Carolina, and New Jersey) and the other included NHs from this and a second sample (n = 244). Association between facility and administrator characteristics and administrator attitudes towards hospice were examined among the 146 RC/AL administrators.Results: Exploratory factor analysis in the full sample resulted in the 12-item Long-Term Care Hospice Attitudes Scale (LTC-HAS) with four component subscales: (1) emotional and spiritual support (three items, alpha = 0.83); (2) quality of care (four items, alpha = 0.78); (3) rapidity of death (three items, alpha = 0.66) and (4) end-of-life care coordination (two items, alpha = 0.73). The overall alpha for the 12-item scale was 0.81. When exploratory factor analysis was conducted on the NH data only, a three-item subscale related to financing and billing (alpha = 0.66) also emerged. Four facility and three administrator characteristics that were significantly related to hospice attitudes included state, facility type, facility age, affiliation with another level of care; and age, race, and nurse training.Conclusion: Findings from this paper provide insight about RC/AL facility and NH administrators' attitudes towards Hospice using scale data, an area with limited research. They indicate positive attitudes toward Hospice care coordination, and that Hospice should supplement, as opposed to replace, the care provided by facilities. Findings also suggest areas where targeted outreach and further study may be recommended.