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Managing expectations: Providing palliative care in aged care facilities
Heather Lane1, Jennifer Philip1
1Centre for Palliative Care, St Vincent's Hospital, Melbourne, Victoria, Australia.
Australasian Journal on Ageing
|February 14, 2014
Summary
Staff in residential aged care facilities (RACFs) and community palliative care services (CPCSs) face challenges managing expectations for palliative and end-of-life care. Understanding RACF staff needs can improve resident care and reduce hospitalizations.
Area of Science:
- Gerontology
- Palliative Care
- Healthcare Management
Background:
- Residential aged care facilities (RACFs) provide care for a growing elderly population with complex needs.
- Palliative and end-of-life care in RACFs requires collaboration between facility staff and community palliative care services (CPCSs).
- Understanding the perspectives of staff involved in this care is crucial for service improvement.
Purpose of the Study:
- To explore the views and experiences of RACF and CPCS staff regarding palliative and end-of-life care provision within RACFs.
- To identify challenges and facilitators in delivering high-quality end-of-life care in the RACF setting.
Main Methods:
- A qualitative exploratory study design was employed.
- Data were collected through interviews and focus groups with staff from RACFs and CPCSs.
- Thematic analysis was used to analyze the collected data following saturation.
Main Results:
- 15 RACF and 15 CPCS staff participated in the study.
- A key theme was the challenge of managing expectations in care provision.
- Identified issues included low expectations of RACF care, difficulties balancing complex decision-making with administrative tasks, and differing role perceptions between RACF and CPCS staff.
Conclusions:
- Enhanced understanding of RACF staff needs is essential for improving resident care.
- Addressing these needs can lead to a reduction in hospitalizations.
- Improved collaboration and support for RACF staff are recommended.
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