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Developing, implementing and evaluating an end of life care intervention

Cox, Anna, Arber, Anne, Bailey, F, Dargan, S, Gannon, C, Lisk, R, Quinn, B, Samarasinghe, J, Wrigley, M and Gallagher, A (2017) Developing, implementing and evaluating an end of life care intervention Nursing Older People, 29 (1). pp. 27-35.

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Abstract

To develop, implement and evaluate a collaborative intervention in care homes seeking to increase the confidence and competence of staff in end of life care and enable more people to receive end of life care in their usual place of residence. Aim To develop, implement and evaluate a collaborative intervention in care homes seeking to increase the confidence and competence of staff in end of life care and enable more people to receive end of life care in their usual place of residence. Method A two-phase exploratory mixed methods design was used, evaluating the effect of an end of life care toolkit and associated training in care homes, facilitated by a specialist palliative care team. Six care homes in England were recruited to the intervention; 24 staff participated in discussion groups; 54 staff attended at least one training session; and pre- and post-intervention questionnaires were completed by 78 and 103 staff respectively. Results Staff confidence in receiving emotional and clinical support and managing end of life care symptoms increased post-intervention, but confidence in discussing death and dying with residents and relatives decreased. Audit data indicate greater reduction in the number of residents from participating care homes dying in hospital than those from comparison homes. Conclusion Collaborative end of life care interventions support care home staff to manage end of life and may enable residents to have choice about their place of death.

Item Type: Article
Subjects : Health Sciences
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Cox, AnnaA.Cox@surrey.ac.ukUNSPECIFIED
Arber, AnneA.Arber@surrey.ac.ukUNSPECIFIED
Bailey, FUNSPECIFIEDUNSPECIFIED
Dargan, SUNSPECIFIEDUNSPECIFIED
Gannon, CUNSPECIFIEDUNSPECIFIED
Lisk, RUNSPECIFIEDUNSPECIFIED
Quinn, BUNSPECIFIEDUNSPECIFIED
Samarasinghe, JUNSPECIFIEDUNSPECIFIED
Wrigley, MUNSPECIFIEDUNSPECIFIED
Gallagher, AUNSPECIFIEDUNSPECIFIED
Date : 31 January 2017
Identification Number : 10.7748/nop.2017.e873
Copyright Disclaimer : Copyright 2017 RCN Publishing. This is not the Version of Record.
Uncontrolled Keywords : care homes, collaborative working, end of life care, older people, preferred place of death Read More: http://journals.rcni.com/doi/abs/10.7748/nop.2017.e873
Related URLs :
Depositing User : Symplectic Elements
Date Deposited : 14 Feb 2017 16:28
Last Modified : 19 Jul 2017 10:17
URI: http://epubs.surrey.ac.uk/id/eprint/813533

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