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Coping With Client Death: How Prepared Are Home Health Aides and What Characterizes Preparedness?
Isabelle van Riesenbeck1, Kathrin Boerner2,3, Adrita Barooah2
1a APP Cologne-Academy of Applied Psychology and Psychotherapy , Cologne , Germany.
Home Health Care Services Quarterly
|October 27, 2015
Summary
Home health aides (HHAs) felt more prepared for a client's death when they understood the client's end-of-life (EOL) care wishes and considered their own EOL preferences. Addressing these factors can improve HHA preparedness.
Area of Science:
- Gerontology
- Palliative Care
- Home Healthcare
Background:
- Home health aides (HHAs) provide crucial support to terminally ill clients.
- Understanding factors influencing HHA preparedness for client death is essential for quality end-of-life care.
- Previous research has not fully explored HHAs' personal experiences and preparedness in the context of client death.
Purpose of the Study:
- To explore the experiences of home health aides (HHAs) after a client's death.
- To identify characteristics of HHAs and their clients associated with preparedness for client death.
- To understand the role of personal end-of-life (EOL) preferences and knowledge of client EOL decisions in HHA preparedness.
Main Methods:
- Qualitative study involving 80 home health aides (HHAs).
- Data collected through comprehensive semi-structured in-person interviews.
- Exploration of HHA experiences with clients who died within the past two months.
Main Results:
- HHAs' personal end-of-life (EOL) care preferences were significantly linked to preparedness.
- Knowledge of client's EOL care preferences and decisions also showed a significant link to preparedness.
- Specific HHA and client characteristics associated with preparedness were identified.
Conclusions:
- Enhancing HHA preparedness for client death can be achieved by addressing their personal EOL care views.
- Providing HHAs with more information about client's EOL care plans is crucial for improving preparedness.
- These findings can inform training and support strategies for home health aides.
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