Professionals´ readiness for change to knowledge-based palliative care at nursing homes : a qualitative follow-up study after an educational intervention
Persson, Helene Åvik LU ; Ahlström, Gerd LU
and Ekwall, Anna
LU
(2022)
In BMC Palliative Care
21(1).
- Abstract
Background: There has been a global increase in the number of people who are dying of old age. This development implies a need for good palliative care among older persons at the end of life. Here nursing homes have an important role to play. However, the principles of palliative care have not been sufficiently applied in nursing homes, and there is a need to increase the implementation of palliative care in these settings. Therefore the project named Implementation of Knowledge-Based Palliative Care in Nursing Homes (the KUPA project, to use its Swedish acronym) was started as a contribution to filling this knowledge gap. The aim of the present study was to investigate the professionals’ experiences of readiness for change to... (More)
Background: There has been a global increase in the number of people who are dying of old age. This development implies a need for good palliative care among older persons at the end of life. Here nursing homes have an important role to play. However, the principles of palliative care have not been sufficiently applied in nursing homes, and there is a need to increase the implementation of palliative care in these settings. Therefore the project named Implementation of Knowledge-Based Palliative Care in Nursing Homes (the KUPA project, to use its Swedish acronym) was started as a contribution to filling this knowledge gap. The aim of the present study was to investigate the professionals’ experiences of readiness for change to knowledge-based palliative care at nursing homes after the educational intervention within the KUPA project. Methods: The focus group method was used to interview 39 health-care professionals with the aid of semistructured questions based on the Organizational Readiness for Change theoretical framework. Six focus groups were formed at six nursing homes in two counties in southern Sweden. The groups included different types of professionals: assistant nurses, nurses, occupational therapists, physiotherapists and social workers. The analysis was conducted with an abductive approach and included deductive and inductive content analysis. Results: The analysis revealed one overarching theme: hopeful readiness for change in palliative care despite remaining barriers. The main categories were increased knowledge facilitating development, enhanced team spirit, uncertainty about future plans connected with hopeful readiness and remaining organizational barriers. Conclusions: This study adds knowledge and understanding concerning professionals’ readiness for change palliative care in nursing homes and shows how ready nursing home settings undertake these changes in practice. The Organizational Readiness for Change theory proved suitable for application in nursing homes to assess the professionals’ experiences and to evaluate educational interventions regardless of the organization’s readiness for change. Trial registration: ClinicalTrials NCT02708498, first registration 15/03/2016.
(Less)
- author
- Persson, Helene Åvik
LU
; Ahlström, Gerd
LU
and Ekwall, Anna
LU
- organization
- publishing date
- 2022-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Educational intervention, Nursing home, Organizational readiness for change, Palliative care
- in
- BMC Palliative Care
- volume
- 21
- issue
- 1
- article number
- 132
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85134408835
- pmid:35854375
- ISSN
- 1472-684X
- DOI
- 10.1186/s12904-022-01018-y
- language
- English
- LU publication?
- yes
- additional info
- Funding Information: Open access funding provided by Lund University. This study was supported by grants from the Swedish Research Council (no. VR 2014–2759), the Vårdal Foundation (no. 2014–0071) and the Medical Faculty, Lund University. Funding Information: We would like to thank Birgitta Wallerstedt, PhD and Associate Professor Lina Behm, who, along with the first author, performed the interviews. We would also like to thank all the nursing home participants for their valuable contributions to the study. Publisher Copyright: © 2022, The Author(s).
- id
- 03364225-4cd0-4391-a18d-9775ceba5fe3
- date added to LUP
- 2022-08-01 09:04:43
- date last changed
- 2024-06-13 18:08:23
@article{03364225-4cd0-4391-a18d-9775ceba5fe3,
abstract = {{<p>Background: There has been a global increase in the number of people who are dying of old age. This development implies a need for good palliative care among older persons at the end of life. Here nursing homes have an important role to play. However, the principles of palliative care have not been sufficiently applied in nursing homes, and there is a need to increase the implementation of palliative care in these settings. Therefore the project named Implementation of Knowledge-Based Palliative Care in Nursing Homes (the KUPA project, to use its Swedish acronym) was started as a contribution to filling this knowledge gap. The aim of the present study was to investigate the professionals’ experiences of readiness for change to knowledge-based palliative care at nursing homes after the educational intervention within the KUPA project. Methods: The focus group method was used to interview 39 health-care professionals with the aid of semistructured questions based on the Organizational Readiness for Change theoretical framework. Six focus groups were formed at six nursing homes in two counties in southern Sweden. The groups included different types of professionals: assistant nurses, nurses, occupational therapists, physiotherapists and social workers. The analysis was conducted with an abductive approach and included deductive and inductive content analysis. Results: The analysis revealed one overarching theme: hopeful readiness for change in palliative care despite remaining barriers. The main categories were increased knowledge facilitating development, enhanced team spirit, uncertainty about future plans connected with hopeful readiness and remaining organizational barriers. Conclusions: This study adds knowledge and understanding concerning professionals’ readiness for change palliative care in nursing homes and shows how ready nursing home settings undertake these changes in practice. The Organizational Readiness for Change theory proved suitable for application in nursing homes to assess the professionals’ experiences and to evaluate educational interventions regardless of the organization’s readiness for change. Trial registration: ClinicalTrials NCT02708498, first registration 15/03/2016.</p>}},
author = {{Persson, Helene Åvik and Ahlström, Gerd and Ekwall, Anna}},
issn = {{1472-684X}},
keywords = {{Educational intervention; Nursing home; Organizational readiness for change; Palliative care}},
language = {{eng}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Palliative Care}},
title = {{Professionals´ readiness for change to knowledge-based palliative care at nursing homes : a qualitative follow-up study after an educational intervention}},
url = {{http://dx.doi.org/10.1186/s12904-022-01018-y}},
doi = {{10.1186/s12904-022-01018-y}},
volume = {{21}},
year = {{2022}},
}