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The experience of Australian aged care workers during a trial implementation of a palliative care outcomes programme.
Davis, Esther L; Mullan, Judy; Johnson, Claire E; Clapham, Sabina; Daveson, Barbara; Bishop, Gaye; Ahern, Malene; Connolly, Alanna; Davis, Walter; Eagar, Kathy.
Afiliación
  • Davis EL; Centre for Health Research Illawarra Shoalhaven Population, University of Wollongong, Wollongong, New South Wales, Australia.
  • Mullan J; Centre for Health Research Illawarra Shoalhaven Population, University of Wollongong, Wollongong, New South Wales, Australia.
  • Johnson CE; Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, New South Wales, Australia.
  • Clapham S; Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, New South Wales, Australia.
  • Daveson B; Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, New South Wales, Australia.
  • Bishop G; Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, New South Wales, Australia.
  • Ahern M; Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, New South Wales, Australia.
  • Connolly A; Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, New South Wales, Australia.
  • Davis W; Australian Health Services Research Institute, University of Wollongong, Wollongong, New South Wales, Australia.
  • Eagar K; Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Int J Health Plann Manage ; 39(2): 380-396, 2024 Mar.
Article en En | MEDLINE | ID: mdl-37943734
End of life care is an essential part of the role of Australian aged care homes (ACHs). However, there is no national framework to support aged care staff in systematically identifying residents with palliative care needs or to routinely assess, respond to, and measure end of life needs. The Palliative Care Outcomes Collaboration (PCOC) is a national outcomes and benchmarking programme which aims to systematically improve palliative care for people who are approaching the end of life, and for their families and carers. The PCOC Wicking Model for Residential Aged Care was developed and piloted in four Australian ACHs. This paper reports on the qualitative findings from semi-structured interviews and focus groups conducted with ACH staff (N = 37) to examine feasibility. Thematic analysis identified three overarching themes about the pilot: (i) processes to successfully prepare and support ACHs; (ii) appropriateness of PCOC tools for the ACH setting; and (iii) realised and potential benefits of the model for ACHs. The lessons presented valuable insights to refine the PCOC Wicking Model and enrich understanding of the potential challenges and solutions for implementing similar programs within ACHs in future. The results suggest that key to successfully preparing ACHs for implementation of the PCOC Wicking Model is an authentic and well-paced collaborative approach with ACHs to ensure the resources, structures and systems are in place and appropriate for the setting. The PCOC Wicking Model for Residential Aged Care is a promising prototype to support ACHs in improving palliative and end of life care outcomes for residents and their carers.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Cuidado Terminal Límite: Aged / Humans País/Región como asunto: Oceania Idioma: En Revista: Int J Health Plann Manage Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Paliativos / Cuidado Terminal Límite: Aged / Humans País/Región como asunto: Oceania Idioma: En Revista: Int J Health Plann Manage Asunto de la revista: PESQUISA EM SERVICOS DE SAUDE / SERVICOS DE SAUDE Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido