Measuring staff perception of end-of-life experience of older adults in long-term care

详细信息    查看全文

• 作者：Nicola Cornally ; PhD^a ; ^b ; ^{n.cornally@ucc.ie" class="auth_mail" title="E-mail the corresponding author} ; Alice Coffey ; PhD^a ; Edel Daly ; PhD^b ; Ciara McGlade ; MB^b ; Elizabeth Weathers ; PhD^a ; Eileen O&rsquo ; Herlihy ; PhD^b ; Ró ; ná ; n O&rsquo ; Caoimh ; PhD^b ; Kathleen McLoughlin ; PhD^b ; Anton Svendrovski ; MBA^c ; William Molloy ; MB^b
• 关键词：Quality of care ; End of life ; Long-term care ; Older adults ; Dying and death ; Questionnaire design
• 刊名：Applied Nursing Research
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：30
• 期：Complete
• 页码：245-251
• 全文大小：460 K

文摘

Quality of dying and death receive far less attention than quality of life. Measuring the quality of care at end-of-life (EOL) in long-term care (LTC) is essential, to ensure high standards.

Methods

A questionnaire measuring staff perception of their patient's end of life experience (SPELE) was developed. Content validity (CVI) was assessed by a panel of experts, and piloting was conducted with dyads of healthcare assistants (n = 15) and nurses (n = 15).

Results

The SPELE captures facets of the quality of the death and dying experience from healthcare staff's perspective. Good group inter-rater reliability was observed among subscales. One exception was the pain and symptom experience scale. Kappa values showed little agreement between nurses and healthcare assistants for certain symptoms, including pain.

Conclusion

Further testing of the questionnaire is required. However it is described as a useful mechanism to enable researchers and clinicians to explore quality of care at EOL.