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Evaluating person-centredness for frail older persons in nursing homes before and after implementing a palliative care intervention

Bökberg, Christina LU orcid ; Behm, Lina LU ; Wallerstedt, Birgitta and Ahlström, Gerd LU orcid (2020) In Nursing Open 7(1). p.439-448
Abstract

Aim: To evaluate person-centeredness in nursing homes from the perspective of frail older persons, before and after implementing an educational intervention about palliative care. Design: A crossover design. Methods: Forty-four older persons living in nursing homes were interviewed. A convergent mixed-method was used to analyse data. Results: The older persons expressed feelings of unsafety related to shortcomings in staff. These shortcomings implied that the responsibilities of everyday activities and making the residents’ existence more bearable were transferred to the next of kin. The dropout rate related to death and not enough energy was considerably high (51%) even though one of the inclusion criteria was to have enough energy to... (More)

Aim: To evaluate person-centeredness in nursing homes from the perspective of frail older persons, before and after implementing an educational intervention about palliative care. Design: A crossover design. Methods: Forty-four older persons living in nursing homes were interviewed. A convergent mixed-method was used to analyse data. Results: The older persons expressed feelings of unsafety related to shortcomings in staff. These shortcomings implied that the responsibilities of everyday activities and making the residents’ existence more bearable were transferred to the next of kin. The dropout rate related to death and not enough energy was considerably high (51%) even though one of the inclusion criteria was to have enough energy to manage a 1-hr interview. This result supports previous research describing the difficulties in retaining older persons in research and indicated that the dose of the intervention was not sufficient to improve person-centred care.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
elderly care, nurses, nursing homes, palliative care, person-centred care, staff education
in
Nursing Open
volume
7
issue
1
pages
10 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:85075426729
  • pmid:31871729
ISSN
2054-1058
DOI
10.1002/nop2.408
language
English
LU publication?
yes
id
a17bd604-01be-444d-bce2-9f23934eba63
date added to LUP
2019-12-09 13:33:18
date last changed
2024-04-17 00:11:28
@article{a17bd604-01be-444d-bce2-9f23934eba63,
  abstract     = {{<p>Aim: To evaluate person-centeredness in nursing homes from the perspective of frail older persons, before and after implementing an educational intervention about palliative care. Design: A crossover design. Methods: Forty-four older persons living in nursing homes were interviewed. A convergent mixed-method was used to analyse data. Results: The older persons expressed feelings of unsafety related to shortcomings in staff. These shortcomings implied that the responsibilities of everyday activities and making the residents’ existence more bearable were transferred to the next of kin. The dropout rate related to death and not enough energy was considerably high (51%) even though one of the inclusion criteria was to have enough energy to manage a 1-hr interview. This result supports previous research describing the difficulties in retaining older persons in research and indicated that the dose of the intervention was not sufficient to improve person-centred care.</p>}},
  author       = {{Bökberg, Christina and Behm, Lina and Wallerstedt, Birgitta and Ahlström, Gerd}},
  issn         = {{2054-1058}},
  keywords     = {{elderly care; nurses; nursing homes; palliative care; person-centred care; staff education}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{439--448}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Nursing Open}},
  title        = {{Evaluating person-centredness for frail older persons in nursing homes before and after implementing a palliative care intervention}},
  url          = {{http://dx.doi.org/10.1002/nop2.408}},
  doi          = {{10.1002/nop2.408}},
  volume       = {{7}},
  year         = {{2020}},
}