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Palliative care delivery at nursing homes before and after an educational intervention from professionals' perspective : A pre-post design

Åvik Persson, Helene LU ; Ahlström, Gerd LU orcid ; Årestedt, Kristofer LU ; Behm, Lina LU ; Drevenhorn, Eva LU and Sandgren, Anna LU (2023) In Scandinavian Journal of Caring Sciences 37(1). p.229-242
Abstract

BACKGROUND: The principles of palliative care were developed in hospices and specialised palliative care units and have not been sufficiently adapted to and evaluated in nursing homes. Therefore, an educational intervention from an interprofessional education perspective was performed within the project Implementation of Knowledge-Based Palliative Care in Nursing Homes. The aim of this study was to evaluate professionals' experience of palliative care delivery before and after the educational intervention.

METHODS: The educational intervention for nursing home professionals consisted of five 2-h seminars over 6 months at 20 nursing homes. The intervention and control groups consisted of 129 and 160 professionals from 30 nursing... (More)

BACKGROUND: The principles of palliative care were developed in hospices and specialised palliative care units and have not been sufficiently adapted to and evaluated in nursing homes. Therefore, an educational intervention from an interprofessional education perspective was performed within the project Implementation of Knowledge-Based Palliative Care in Nursing Homes. The aim of this study was to evaluate professionals' experience of palliative care delivery before and after the educational intervention.

METHODS: The educational intervention for nursing home professionals consisted of five 2-h seminars over 6 months at 20 nursing homes. The intervention and control groups consisted of 129 and 160 professionals from 30 nursing homes respectively. The questionnaire 'Your experience of palliative care' was completed 1 month before (baseline) and after (follow-up) the intervention. Descriptive and inferential statistics were calculated.

RESULTS: The positive effects at follow-up concerned the use of a valid scale for grading symptoms, attendance to the needs of next of kin (including bereavement support), documentation of older persons' wishes regarding place to die and conversations about their transition to palliative care and about how they were treated.

CONCLUSIONS: This study demonstrates a promising interprofessional educational model. However, the paucity of improvements brought to light at follow-up indicates a need for research directed towards a revision of this model. Supervision of professionals during palliative care delivery is one suggestion for change.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Caring Sciences
volume
37
issue
1
pages
229 - 242
publisher
Wiley-Blackwell
external identifiers
  • pmid:35524431
  • scopus:85129963368
ISSN
1471-6712
DOI
10.1111/scs.13084
language
English
LU publication?
yes
additional info
.
id
75f92842-e603-4ece-a4a7-8c60f9a33fac
date added to LUP
2022-05-19 14:21:26
date last changed
2024-12-11 04:33:55
@article{75f92842-e603-4ece-a4a7-8c60f9a33fac,
  abstract     = {{<p>BACKGROUND: The principles of palliative care were developed in hospices and specialised palliative care units and have not been sufficiently adapted to and evaluated in nursing homes. Therefore, an educational intervention from an interprofessional education perspective was performed within the project Implementation of Knowledge-Based Palliative Care in Nursing Homes. The aim of this study was to evaluate professionals' experience of palliative care delivery before and after the educational intervention.</p><p>METHODS: The educational intervention for nursing home professionals consisted of five 2-h seminars over 6 months at 20 nursing homes. The intervention and control groups consisted of 129 and 160 professionals from 30 nursing homes respectively. The questionnaire 'Your experience of palliative care' was completed 1 month before (baseline) and after (follow-up) the intervention. Descriptive and inferential statistics were calculated.</p><p>RESULTS: The positive effects at follow-up concerned the use of a valid scale for grading symptoms, attendance to the needs of next of kin (including bereavement support), documentation of older persons' wishes regarding place to die and conversations about their transition to palliative care and about how they were treated.</p><p>CONCLUSIONS: This study demonstrates a promising interprofessional educational model. However, the paucity of improvements brought to light at follow-up indicates a need for research directed towards a revision of this model. Supervision of professionals during palliative care delivery is one suggestion for change.</p>}},
  author       = {{Åvik Persson, Helene and Ahlström, Gerd and Årestedt, Kristofer and Behm, Lina and Drevenhorn, Eva and Sandgren, Anna}},
  issn         = {{1471-6712}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{229--242}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Scandinavian Journal of Caring Sciences}},
  title        = {{Palliative care delivery at nursing homes before and after an educational intervention from professionals' perspective : A pre-post design}},
  url          = {{http://dx.doi.org/10.1111/scs.13084}},
  doi          = {{10.1111/scs.13084}},
  volume       = {{37}},
  year         = {{2023}},
}