Quality end-of-life care in long-term care facilities: service providers' perspective

The goal of this project was to provide guidance on what constitutes quality end-of-life care in long-term care (LTC) facilities. Seventy-nine direct care providers from six LTC facilities participated in 12 focus groups. The focus group discussions examined what made the difference between a "...

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Bibliographic Details
Published in:Journal of palliative care 2004-06, Vol.20 (2), p.85-92
Main Authors: Brazil, Kevin, McAiney, Carrie, Caron-O'Brien, Michelle, Kelley, Mary Lou, O'Krafka, Paul, Sturdy-Smith, Cathy
Format: Article
Language:English
Subjects:
Aged
Attitude of Health Personnel
Focus Groups
Health Facility Environment
Health Services Needs and Demand
Homes for the Aged - standards
Humans
Long term health care
Medical personnel
Nursing Homes - standards
Ontario
Palliative care
Quality Indicators, Health Care
Quality of service
Social Support
Terminal Care - organization & administration
Terminal Care - standards
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Summary:The goal of this project was to provide guidance on what constitutes quality end-of-life care in long-term care (LTC) facilities. Seventy-nine direct care providers from six LTC facilities participated in 12 focus groups. The focus group discussions examined what made the difference between a "good" death and a "bad" death, and what changes in LTC would improve the care of dying residents. Analyses of the focus group data revealed six themes that contribute to quality end-of-life care in LTC facilities: responding to resident needs, creating a homelike environment, supports for families, providing quality care processes, recognizing death as a significant event, and having sufficient institutional resources. These findings challenge policy makers and providers to consider how to normalize life and death in LTC facilities.
ISSN:0825-8597
2369-5293
DOI:10.1177/082585970402000204