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Professionals' Expectations and Preparedness to Implement Knowledge-Based Palliative Care at Nursing Homes before an
Helene Åvik Persson1, Gerd Ahlström1, Anna Ekwall1
1Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE 221 00 Lund, Sweden.
International Journal of Environmental Research and Public Health
|September 10, 2021
Summary
Nursing home professionals desire enhanced knowledge-based palliative care but doubt organizational readiness due to resource and prioritization issues. Addressing these barriers is crucial for successful implementation.
Area of Science:
- Gerontology
- Palliative Care
- Healthcare Management
Background:
- Knowledge-based palliative care is underprovided in nursing homes.
- Identifying the end-of-life stage in older adults presents challenges.
- Implementing palliative care education requires organizational commitment and preparedness.
Purpose of the Study:
- To explore nursing home professionals' expectations and preparedness for implementing knowledge-based palliative care.
- To identify perceived barriers and facilitators prior to an educational intervention.
Main Methods:
- Qualitative focus group design.
- Semi-structured interviews with 48 nursing home professionals.
- Inductive qualitative content analysis.
Main Results:
- A major theme emerged: professionals were hopeful yet doubtful about organizational readiness.
- Hopefulness stemmed from desires for increased knowledge, team consensus, and a future vision.
- Doubts centered on insufficient resources and prioritization challenges.
Conclusions:
- Professionals' expectations and preparedness are critical for planning palliative care implementation studies.
- Strategies must address identified organizational obstacles for successful change.
- Enhancing organizational readiness is key to improving palliative care in nursing homes.
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