Idea Transcript
Contribution to journal › Article Sue Hall, Cassie Goddard, Frances Stewart, Irene J Higginson Overview
Citation formats
Original language Article number Journal Volume DOIs
English 31 BMC Geriatrics 11 10.1186/1471-2318-11-31
State
Published - 9 Jun 2011
Documents Implementing a quality improvement programme in palliative care in care homes a qualitative study GoldPub Implementing_a_quality_improvement_programme_in_palliative_care_in_care_homes_a_qualitative_study_GoldPub.pdf, 318 KB, application/pdf 18/05/2016 Final published version CC BY King's Authors Sue Hall Cassie Goddard Frances Stewart Irene J Higginson (Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation) Abstract Background: An increasing number of older people reach the end of life in care homes. The aim of this study is to explore the perceived benefits of, and barriers to, implementation of the Gold Standards Framework for Care Homes (GSFCH), a quality improvement programme in palliative care. Methods. Nine care homes involved in the GSFCH took part. We conducted semi-structured interviews with nine care home managers, eight nurses, nine care assistants, eleven residents and seven of their family members. We used the Framework approach to qualitative analysis. The analysis was deductive based on the key tasks of the GSFCH, the 7Cs: communication, coordination, control of symptoms, continuity, continued learning, carer support, and care of the dying. This enabled us to consider benefits of, and barriers to, individual components of the programme, as well as of the programme as a whole. Results: Perceived benefits of the GSFCH included: improved symptom control and team communication; finding helpful external support and expertise; increasing staff confidence; fostering residents' choice; and boosting the reputation of the home. Perceived barriers included: increased paperwork; lack of knowledge and understanding of end of life care; costs; and gaining the cooperation of GPs. Many of the tools and tasks in the GSFCH focus on improving communication. Participants described effective communication within the homes, and with external providers such as general practitioners and specialists in palliative care. However, many had experienced problems with general practitioners. Although staff described the benefits of supportive care registers, coding predicted stage of illness and advance care planning, which included improved communication, some felt the need for more experience of using these, and there were concerns about discussing death. Conclusions: Most of the barriers described by participants are relevant to other interventions to improve end of life care in care homes. There is a need to investigate the impact of quality improvement programmes in care homes, such as the GSFCH, on a wider range of outcomes for residents and their families, and to monitor the sustainability of any resulting improvements. It is also important to explore the impact of the different components of these complex interventions.
Home care by general practitioners for cancer patients in the last 3months of life: An epidemiological study of quality and associated factors Pivodic, L., Harding, R., Calanzani, N., McCrone, P., Hall, S., Deliens, L., Higginson, I. J., Gomes, B. & EURO IMPACT 1 Jan 2016 In : Palliative Medicine. 30, 1, p. 64-74 Article Exploring meanings of illness causation among those severely affected by multiple sclerosis: a comparative qualitative study of Black Caribbean and White British people Koffman, J., Goddard, C., Gao, W., Jackson, D., Shaw, P., Burman, R., Higginson, I. J. & Silber, E. 19 Apr 2015 In : BMC Palliative Care. 14, , 13 Article Patterns of dignity-related distress at the end of life: A cross-sectional study of patients with advanced cancer and care home residents Hall, S., Davies, J. M., Gao, W. & Higginson, I. J. Oct 2014 In : Palliative Medicine. 28, 9, p. 1118-1127 Article Place and Cause of Death in Centenarians: A Population-Based Observational Study in England, 2001 to 2010 Evans, C. J., Ho, Y., Daveson, B. A., Hall, S., Higginson, I. J. & Gao, W. 3 Jun 2014 In : PL o S Medicine. 11, 6, , e1001653 Article Comprehending the inexplicable: qualitative accounts of black Caribbean and white british people severely affected by multiple sclerosis Koffman, J., Goddard, C., Silber, E., Burman, R., Shaw, P., Barnes, F., Speck, P. & Higginson, I. Mar 2014 In : BMJ Supportive & Palliative Care. 4 , Suppl 1, p. A20 , P 013 Meeting abstract
Perceptions of self-rated health among stroke survivors: a qualitative study in the United Kingdom Mavaddat, N., Sadler, E., Lim, L., Williams, K., Warburton, E., Kinmonth, A. L., Mant, J., Burt, J. & McKevitt, C. 2 Apr 2018 In : BMC Geriatrics . 18, 1 Article Social and clinical determinants of preferences and their achievement at the end of life: prospective cohort study of older adults receiving palliative care in three countries Higginson, I. J., Daveson, B. A., Morrison, R. S., Yi, D., Meier, D., Smith, M., Ryan, K., McQuillan, R., Johnston, B. M., Normand, C. & BuildCARE 23 Nov 2017 In : BMC Geriatrics . 17, 1, p. 271 Article The prevalence of dementia in a Portuguese community sample: A 10/66 Dementia Research Group study Gonçalves-Pereira, M., Cardoso, A., Verdelho, A., Alves da Silva, J., Caldas De Almeida, M., Fernandes, A., Raminhos, C., Ferri, C. P., Prina, A. M., Prince, M. & Xavier, M. 7 Nov 2017 In : BMC Geriatrics . 17, 1, 261 Article Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis Frost, R., Belk, C., Jovicic, A., Ricciardi, F., Kharicha, K., Gardner, B., Iliffe, S., Goodman, C., Manthorpe, J., Drennan, V. M. & Walters, K. 20 Jul 2017 In : BMC Geriatrics . 17, 1, p. 157 157 Article Validation of the short version of the 10/66 dementia diagnosis in multiethnic Asian older adults in Singapore Abdin, E., Vaingankar, J. A., Picco, L., Chua, B. Y., Prince, M., Chong, S. A. & Subramaniam, M. 21 Apr 2017 In : BMC Geriatrics . 17, 1, 94 Article