scholarly journals Professionals’ Expectations and Preparedness to Implement Knowledge-Based Palliative Care at Nursing Homes before an Educational Intervention: A Focus Group Interview Study

2021 ◽  
Vol 18 (17) ◽  
pp. 8977
Author(s):  
Helene Åvik Persson ◽  
Gerd Ahlström ◽  
Anna Ekwall
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Focus Group ◽  
Educational Intervention ◽  
Qualitative Content Analysis ◽  
Educational Interventions ◽  
Structured Interview ◽  
Successful Implementation ◽  
Major Theme ◽  
Knowledge Based

The provision of knowledge-based palliative care is rare in nursing homes. There are obstacles to practically performing this because it can be difficult to identify when the final stage of life begins for older persons. Educational interventions in palliative care in nursing homes are a challenge, and joint efforts are needed in an organisation, including preparedness. The aim was to explore professionals’ expectations and preparedness to implement knowledge-based palliative care in nursing homes before an educational intervention. This study has a qualitative focus group design, and a total of 48 professionals working in nursing homes were interviewed with a semi-structured interview guide. Qualitative content analysis with an inductive approach was used for the analysis. One major theme was identified: professionals were hopeful yet doubtful about the organisation’s readiness. The main categories of increased knowledge, consensus in the team, and a vision for the future illustrate the hopefulness, while insufficient resources and prioritisation illustrate the doubts about the organisation’s readiness. This study contributes valuable knowledge about professionals’ expectations and preparedness, which are essential for researchers to consider in the planning phase of an implementation study. The successful implementation of changes needs to involve strategies that circumvent the identified obstacles to organisations’ readiness.

Influence of leadership on implementing Dementia Care Mapping: A multiple case study

Dementia ◽  
2017 ◽  
Vol 18 (6) ◽  
pp. 1976-1993 ◽  
Author(s):  
Tina Quasdorf ◽  
Sabine Bartholomeyczik
Keyword(s):  
Nursing Homes ◽  
Leadership Style ◽  
Qualitative Content Analysis ◽  
Dementia Care ◽  
Primary Study ◽  
Successful Implementation ◽  
People With Dementia ◽  
Care Mapping ◽  
Dementia Care Mapping

Dementia Care Mapping is an internationally applied method for enhancing person-centred care for people with dementia in nursing homes. Recent studies indicate that leadership is crucial for the successful implementation of Dementia Care Mapping; however, research on this topic is rare. This case study aimed to explore the influence of leadership on Dementia Care Mapping implementation in four nursing homes. Twenty-eight interviews with project coordinators, head nurses and staff nurses were analysed using qualitative content analysis. Nursing homes that failed to implement Dementia Care Mapping were characterised by a lack of leadership. The leaders of successful nursing homes promoted person-centred care and were actively involved in implementation. While overall leadership performance was positive in one of the successful nursing homes, conflicts related to leadership style occurred in the other successful nursing homes. Thus, it is important that leaders promote person-centred care in general and Dementia Care Mapping in particular. Furthermore, different types of leadership can promote successful implementation. Trial registration of the primary study: Current Controlled Trials ISRCTN43916381.

Supporting in an existential crisis: A mixed-methods evaluation of a training model in palliative care

2017 ◽  
Vol 16 (4) ◽  
pp. 470-478
Author(s):  
Lisa Sand ◽  
Mariann Olsson ◽  
Peter Strang
Keyword(s):  
Palliative Care ◽  
Mixed Methods ◽  
Focus Group ◽  
Mixed Methods Research ◽  
Qualitative Content Analysis ◽  
Training Model ◽  
Care Staff ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Existential Crisis

AbstractBackground:Palliative care staff often report that they lack the skills and confidence to provide support during an existential crisis. Consequently, there is a definite need for a training program in this area.Objective:Our aim was to investigate whether a training model could give palliative care staff increased knowledge, awareness, and preparedness—all useful tools for providing support.Methods:A mixed-methods research design was used. Data were collected in four hospital-based palliative homecare teams in the Stockholm area. In total, 34 staff participated, representing different palliative care team professions. Before and after the intervention, a questionnaire with a 9-point Likert-type scale was completed (n = 34). Qualitative focus group discussions were conducted a month after the intervention (25 participants). These were recorded, transcribed, and analyzed using qualitative content analysis with a manifest focus.Results:In the quantitative part of our study, the participants showed significantly increased perceived knowledge, awareness, and preparedness in every aspect (p < 0.001 for all items). The focus group discussions revealed a process that made it possible to apply new knowledge and insight. The process began with theoretical knowledge and, through care-related reflection and self-reflection, the knowledge base gradually developed and provided useful skills and increased job satisfaction.Significance of results:The team-based “TrainingModel Sand/TER” can be performed without excessive effort and contribute to improved competence in providing support during an existential crisis. It is particularly useful for staff working in clinical palliative care.

scholarly journals Group or individual Lifestyle-integrated Functional Exercise (LiFE)? A qualitative analysis of acceptability

2020 ◽  
Author(s):  
Leah Reicherzer ◽  
Franziska Kramer-Gmeiner ◽  
Sarah Labudek ◽  
Carl-Philipp Jansen ◽  
Corinna Nerz ◽  
...  
Keyword(s):  
Focus Group ◽  
Large Scale ◽  
Qualitative Content Analysis ◽  
Peer Group ◽  
Subjective Effects ◽  
Successful Implementation ◽  
Focus Group Study ◽  
Content Structure ◽  
Functional Exercise ◽  
Category Formation

Abstract Background: The Lifestyle-integrated Functional Exercise (LiFE) program is an effective but resource-intensive fall prevention program delivered one-to-one in participants’ homes. A recently developed group-based LiFE (gLiFE) could enhance large-scale implementability and decrease resource intensity. The aim of this qualitative focus group study is to compare participants’ experiences regarding acceptability of gLiFE vs LiFE.Methods: Programs were delivered in seven group sessions (gLiFE) or seven individual home visits (LiFE) within a multi-center, randomized non-inferiority trial. Four structured focus group discussions (90 – 100 minutes duration; one per format and study site) on content, structure, and subjective effects of gLiFE and LiFE were conducted. Qualitative content analysis using the method of inductive category formation by Mayring was applied for data analysis. Coding was managed using NVivo.Results: In both formats, participants (N=30, 22 women, ngLiFE=15, nLiFE=15, mean age 78.5±6.6 years) were positive about content, structure, and support received by trainers. Participants reflected on advantages of both formats: the social aspects of learning the program in a peer group (gLiFE), and benefits of learning the program at home (LiFE). In gLiFE, some difficulties with the implementation of activities were reported. In both formats, the majority of participants reported positive outcomes and successful implementation of new movement habits.Conclusion: This is the first study to examine participants’ views on and experiences with gLiFE and LiFE, revealing strengths and limitations of both formats that can be used for program refinement. Both formats were highly acceptable to participants, suggesting that gLiFE may have similar potential to be adopted by adults aged 70 years and older compared to LiFE.

scholarly journals The Effect of Hands-on Practice on the Skills Proficiency of Nursing Home Nurses

2020 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Dale E. Robbins
Keyword(s):  
Nursing Home ◽  
Statistical Analysis ◽  
Nursing Homes ◽  
Continuing Education ◽  
Educational Intervention ◽  
Clinical Skills ◽  
Educational Interventions ◽  
Education Programs ◽  
Clinical Nursing ◽  
Hands On

Background: The most recent nursing home regulations indicate that nurses must possess the skills sets needed to properly provide residents’ care (“Reform of Requirements,” 2016). Nursing home directors of nursing (DONs) frequently meet the requirement to train their nurses using online continuing education programs. However, the hands-on practice of fundamental clinical nursing skills necessary to maintain proficiency cannot be accomplished with this method. Purpose: This study aimed to determine whether an educational intervention including hands-on practice of two clinical skills would improve the skills proficiency of nursing home nurses. Method: The study used a pretest-posttest design with skills fair-style educational intervention for nursing home nurses recruited from two nursing homes. The pretest and posttest each included a multiple-choice quiz and hands-on demonstrations of two different clinical skills. Statistical analysis using paired t-tests showed significantly improved skills proficiency for the participating nurses following the educational intervention with hands-on practice of the two clinical skills. Findings: The findings suggest that nursing home DONs should consider educational interventions that include hands-on practice to maintain clinical skills proficiency.

Utilization of palliative care principles in nursing home care: Educational interventions

2015 ◽  
Vol 13 (6) ◽  
pp. 1745-1753 ◽  
Author(s):  
Berit Seiger Cronfalk ◽  
Britt-Marie Ternestedt ◽  
Lise-Lotte Franklin Larsson ◽  
Eva Henriksen ◽  
Astrid Norberg ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Home ◽  
Nursing Homes ◽  
Practical Knowledge ◽  
Implementation Strategies ◽  
Educational Interventions ◽  
Nursing Home Care ◽  
Group Discussions ◽  
Nursing Home Staff ◽  
Palliative Care Teams

ABSTRACTObjective:This study is part of the overarching PVIS (Palliative Care in Nursing Homes) project aimed at building competence in palliative care for nursing home staff. Our objective was to describe nursing home staff's attitudes to competence-building programs in palliative care.Method:Three different programs were developed by specialist staff from three local palliative care teams. In all, 852 staff at 37 nursing homes in the greater Stockholm area participated. Staff from 7 nursing homes participated in 11 focus-group discussions. Variation in size between the seven nursing homes initiated purposeful selection of staff to take part in the discussions, and descriptive content analysis was used.Results:The results suggest that staff reported positive experiences as they gained new knowledge and insight into palliative care. The experiences seemed to be similar independent of the educational program design. Our results also show that staff experienced difficulties in talking about death. Enrolled nurses and care assistants felt that they carried out advanced care without the necessary theoretical and practical knowledge. Further, the results also suggest that lack of support from ward managers and insufficient collaboration and of a common language between different professions caused tension in situations involved in caring for dying people.Significance of results:Nursing home staff experienced competence-building programs in palliative care as useful. Even so, further competence is needed, as is long-term implementation strategies and development of broader communication skills among all professions working in nursing homes.

scholarly journals Exploring Effective Foreign Language Teaching from the Eyes of Iranian Learners: Reporting a Qualitative Interview Study

2018 ◽  
Author(s):  
Alireza Oskouei ◽  
Azizollah Dabaghi ◽  
Dariush Nejad Ansari
Keyword(s):  
Foreign Language ◽  
Language Teaching ◽  
Qualitative Content Analysis ◽  
Structured Interview ◽  
Communicative Language Teaching ◽  
Foreign Language Teaching ◽  
Knowledge Based ◽  
Qualitative Interview Study ◽  
Culture Teaching ◽  
Teacher Personality

This article reports on a qualitative study of the learners’ beliefs about effective foreign language teaching in an Iranian setting. A semi-structured interview covering several fundamental issues in foreign language (FL) pedagogy was conducted with 22 upper-intermediate Iranian English as a Foreign Language (EFL) learners. Qualitative content analysis of the transcript data yielded several interesting and informative themes. Among the most prominent results of the study, mention can be made of learners’ strong penchant for modern, learner-centered approaches to FL teaching such as communicative language teaching (CLT) and task-based language teaching (TBLT). Among the other notable themes were learners’ endorsement of teachers’ high proficiency and pedagogical knowledge, positive teacher personality, the integration of culture teaching in the classes, and sustaining learner interest and motivation. The results have implications for knowledge-based teacher education as well as for practicing and prospective FL teachers.

scholarly journals Implementation of knowledge-based palliative care in nursing homes and pre-post post evaluation by cross-over design: a study protocol

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Gerd Ahlström ◽  
Per Nilsen ◽  
Eva Benzein ◽  
Lina Behm ◽  
Birgitta Wallerstedt ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Study Protocol ◽  
Knowledge Based ◽  
Post Evaluation
Sign in / Sign up

Export Citation Format

Share Document