Factors Affecting Palliative Care in Nursing Homes
Author Information
Author(s): Joan Carpenter, Elisha Oduro, Ruth Lopez, Kathleen Unroe
Primary Institution: University of Maryland Baltimore
Hypothesis
How do inner and outer contextual factors impact the implementation of palliative care consultations in nursing homes?
Conclusion
The study identifies various factors that influence the implementation of palliative care consultations in nursing homes, highlighting both supportive and obstructive elements.
Supporting Evidence
- Supportive organizational leadership helps pull consultations toward residents.
- Detailed resident information and assistance during consultations are beneficial.
- A welcoming nursing home environment encourages consultations.
- The absence of a reliable screening tool pushes consultations away from residents.
- Policies imposing penalties for hospital readmissions pull consultations toward residents.
- Financial burdens and drains push consultations away from residents.
Takeaway
This study looked at what helps or hinders getting palliative care for people in nursing homes, finding that good leadership and policies can help, while lack of tools and financial issues can make it harder.
Methodology
Qualitative descriptive approach using semi-structured interviews and directed content analysis.
Potential Biases
Potential bias in participant selection and responses due to the qualitative nature of the study.
Limitations
The study is limited to fourteen nursing homes in the Eastern US, which may not represent all nursing homes.
Participant Demographics
Participants were predominantly female (93.9%), White (93.9%), with one-third having at least 20 years of experience in nursing homes.
Digital Object Identifier (DOI)
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