Professionals’ expectations and preparedness to implement knowledge-based palliative care at nursing homes before an educational intervention : A focus group interview study
Persson, Helene Åvik LU ; Ahlström, Gerd LU
and Ekwall, Anna
LU
(2021)
In International Journal of Environmental Research and Public Health
18(17).
p.1-18
- Abstract
The provision of knowledge-based palliative care is rare in nursing homes. There are obstacles to practically performing this because it can be difficult to identify when the final stage of life begins for older persons. Educational interventions in palliative care in nursing homes are a challenge, and joint efforts are needed in an organisation, including preparedness. The aim was to explore professionals’ expectations and preparedness to implement knowledge-based palliative care in nursing homes before an educational intervention. This study has a qualitative focus group design, and a total of 48 professionals working in nursing homes were interviewed with a semi-structured interview guide. Qualitative content analysis with an... (More)
The provision of knowledge-based palliative care is rare in nursing homes. There are obstacles to practically performing this because it can be difficult to identify when the final stage of life begins for older persons. Educational interventions in palliative care in nursing homes are a challenge, and joint efforts are needed in an organisation, including preparedness. The aim was to explore professionals’ expectations and preparedness to implement knowledge-based palliative care in nursing homes before an educational intervention. This study has a qualitative focus group design, and a total of 48 professionals working in nursing homes were interviewed with a semi-structured interview guide. Qualitative content analysis with an inductive approach was used for the analysis. One major theme was identified: professionals were hopeful yet doubtful about the organisation’s readiness. The main categories of increased knowledge, consensus in the team, and a vision for the future illustrate the hopefulness, while insufficient resources and prioritisation illustrate the doubts about the organisation’s readiness. This study contributes valuable knowledge about professionals’ expectations and preparedness, which are essential for researchers to consider in the planning phase of an implementation study. The successful implementation of changes needs to involve strategies that circumvent the identified obstacles to organisations’ readiness.
(Less)
- author
- Persson, Helene Åvik
LU
; Ahlström, Gerd
LU
and Ekwall, Anna
LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Attitude of health personnel, Educational intervention, Nursing home, Palliative care
- in
- International Journal of Environmental Research and Public Health
- volume
- 18
- issue
- 17
- article number
- 8977
- pages
- 1 - 18
- publisher
- MDPI AG
- external identifiers
-
- pmid:34501567
- scopus:85113534338
- ISSN
- 1661-7827
- DOI
- 10.3390/ijerph18178977
- language
- English
- LU publication?
- yes
- additional info
- Funding Information: We are grateful to the following foundations that provided financial support: the Swedish Research Council (no. VR 2014-2759); the V?rdal Foundation (no. 2014?0071); and the Medical Faculty, Lund University. The funders had no role in the design of the study, in the data collection, data analysis, or interpretation of data, in the writing of the manuscript, or in the decision to publish the results. We would like to thank Birgitta Wallerstedt and Lina Behm, who, along with the first author, performed the interviews with the professionals at the nursing homes. We are also grateful to Eva Drevenhorn, who took part in the first phase of the analysis. Finally, we would like to thank all the nursing home participants for their valuable contributions to the study. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
- id
- 8603e4dc-8ad7-4c4b-884b-7700f75a571b
- date added to LUP
- 2021-09-05 08:32:26
- date last changed
- 2025-01-13 12:38:20
@article{8603e4dc-8ad7-4c4b-884b-7700f75a571b,
abstract = {{<p>The provision of knowledge-based palliative care is rare in nursing homes. There are obstacles to practically performing this because it can be difficult to identify when the final stage of life begins for older persons. Educational interventions in palliative care in nursing homes are a challenge, and joint efforts are needed in an organisation, including preparedness. The aim was to explore professionals’ expectations and preparedness to implement knowledge-based palliative care in nursing homes before an educational intervention. This study has a qualitative focus group design, and a total of 48 professionals working in nursing homes were interviewed with a semi-structured interview guide. Qualitative content analysis with an inductive approach was used for the analysis. One major theme was identified: professionals were hopeful yet doubtful about the organisation’s readiness. The main categories of increased knowledge, consensus in the team, and a vision for the future illustrate the hopefulness, while insufficient resources and prioritisation illustrate the doubts about the organisation’s readiness. This study contributes valuable knowledge about professionals’ expectations and preparedness, which are essential for researchers to consider in the planning phase of an implementation study. The successful implementation of changes needs to involve strategies that circumvent the identified obstacles to organisations’ readiness.</p>}},
author = {{Persson, Helene Åvik and Ahlström, Gerd and Ekwall, Anna}},
issn = {{1661-7827}},
keywords = {{Attitude of health personnel; Educational intervention; Nursing home; Palliative care}},
language = {{eng}},
number = {{17}},
pages = {{1--18}},
publisher = {{MDPI AG}},
series = {{International Journal of Environmental Research and Public Health}},
title = {{Professionals’ expectations and preparedness to implement knowledge-based palliative care at nursing homes before an educational intervention : A focus group interview study}},
url = {{http://dx.doi.org/10.3390/ijerph18178977}},
doi = {{10.3390/ijerph18178977}},
volume = {{18}},
year = {{2021}},
}