Promoting end-of-life care in nursing homes using an 'integrated care pathway for the last days of life'
Promoting end-of-life care in nursing homes using an 'integrated care pathway for the last days of life'
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DOI：
10.1177/174498710501000209
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发表时间：
2005-03-01
影响因子：
3.1
通讯作者：
Watson, Julie
中科院分区：
文献类型：
--
作者：
Hockley, Jo;Dewar, Belinda;Watson, Julie
本研究的目的是促进质量的临终关怀在八个独立的疗养院使用“综合护理路径（ICP）的最后几天的生命”的文件。本研究以行动研究方法为基础，以促进护理院员工与研究团队之间的合作，使员工能够实践高质量的临终关怀，并促进临终关怀的可持续发展。养老院内部的相当大的障碍突出了最初的困难。这在别处有报道（沃森等人，（桥梁倡议，2004年）。然而，在每个养老院任命的关键倡导者及其随后的支持是促进实施比较方案的一个主要部分。本文报告的定性分析，从总结性评价的研究。一个总体模式的“死亡是更核心的护理在养老院”出现的结果，研究;五个主题，促成了这种转变是：更大的“开放”围绕死亡和死亡;承认死亡和承担责任;更好的“团队合作”;批判性地使用姑息治疗知识，以影响实践;更有意义的沟通。
The purpose of this study was to promote quality end-of-life care in eight independent nursing homes using an 'integrated care pathway (ICP) for the last days of life' document. Action research methodology underpinned the design of this study in order to promote collaboration between staff in the nursing homes and the research team, empower staff in the practice of quality end-of-life care, and promote sustainable development of end-of-life care once the study finished. Considerable barriers within the nursing home context highlighted initial difficulties. This is reported elsewhere (Watson et al., in press) (Bridges Initiative, 2004). However, key champions appointed in each nursing home and their subsequent support was a major part of facilitating the ICP implementation. This paper reports the qualitative analysis from the summative evaluation of the study. One overarching pattern of 'dying being more central to care in the nursing homes' emerged as a result of the study; five themes that contributed to this shift were: greater 'openness' around death and dying; recognising dying and taking responsibility; better 'teamwork'; critically using palliative care knowledge to influence practice; more meaningful communication.