Pilot study to develop and test palliative care quality indicators for nursing homes
| Autor: | Lieve Van den Block, Luc Deliens, Charlèss Dupont, Mark De Ridder, Kathleen Leemans, Robrecht De Schreye, Joachim Cohen |
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| Přispěvatelé: | Family Medicine and Chronic Care, Faculty of Medicine and Pharmacy, End-of-life Care Research Group, Clinical sciences, Radiation Therapy, Translational Radiation Oncology and Physics |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Advance care planning
Palliative care Health Toxicology and Mutagenesis media_common.quotation_subject Population lcsh:Medicine Context (language use) Pilot Projects quality measurement nursing homes Article 03 medical and health sciences 0302 clinical medicine Nursing Belgium 030502 gerontology quality of care Medicine and Health Sciences Humans end of life care Quality (business) 030212 general & internal medicine education Face validity media_common Quality Indicators Health Care education.field_of_study palliative care allergology lcsh:R Public Health Environmental and Occupational Health quality indicators Test (assessment) Radiology Nuclear Medicine and imaging oncology 0305 other medical science Psychology End-of-life care |
| Zdroj: | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH International Journal of Environmental Research and Public Health, Vol 18, Iss 829, p 829 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 2 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | An increasingly frail population in nursing homes accentuates the need for high quality care at the end of life and better access to palliative care in this context. Implementation of palliative care and its outcomes can be monitored by using quality indicators. Therefore, we developed a quality indicator set for palliative care in nursing homes and a tailored measurement procedure while using a mixed-methods design. We developed the instrument in three phases: (1) literature search, (2) interviews with experts, and (3) indicator and measurement selection by expert consensus (RAND/UCLA). Second, we pilot tested and evaluated the instrument in nine nursing homes in Flanders, Belgium. After identifying 26 indicators in the literature and expert interviews, 19 of them were selected through expert consensus. Setting-specific themes were advance care planning, autonomy, and communication with family. The quantitative and qualitative analyses showed that the indicators were measurable, had good preliminary face validity and discriminative power, and were considered to be useful in terms of quality monitoring according to the caregivers. The quality indicators can be used in a large implementation study and process evaluation in order to achieve continuous monitoring of the access to palliative care for all of the residents in nursing homes. |
| Databáze: | OpenAIRE |
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