Residential aged-care workers and the palliative approach: Tensions in the field

Journal of Hospice and Palliative Nursing

Volumn 11, Issue 6, 2009, Pages 344-352

  McInerney, Fran ^a,b   Ford, Rosemary ^a   Simpson, Angela ^a   Willison, Michelle ^b  

^a AUSTRALIAN CATHOLIC UNIVERSITY   (Australia)

^b Catholic Homes   (Australia)

Author keywords

Ancillary staff; Focus groups; Nursing staff; Palliative approach; Personal care attendants; Residential aged care

Indexed keywords

EID: 74349124485     PISSN: 15222179     EISSN: 15390705     Source Type: Journal    
DOI: 10.1097/NJH.0b013e3181bd03df     Document Type: Article

References (41)

1. World Health Organization. Definition of palliative care. http:// www.who.int/cancer/palliative/definition/en/. Accessed January 5, 2009.
2. Meghanis S. A concept analysis of palliative care in the United States. J Adv Nurs. 2004;46(2):152-161.
3. Ferrell B, Coyle N, eds. Textbook of Palliative Nursing. Oxford, United Kingdom: Oxford University Press; 2006.
4. Cooper J, Glaetzer K. Recognising the need for palliative care in aged care. Australas J Ageing. 2004;23(4):162-166.
5. Wetle T, Shield R, Teno J, Miller S, Welch L. Family perspectives on end-of-life care in nursing homes. Gerontologist. 2005;45(5): 642-650. (Pubitemid 41407530)
6. Froggatt K. Palliative care and nursing homes: where next? Palliat Med. 2001;15:42-48.
7. Small N, Froggatt K, Downs M. Living and Dying With Dementia. Oxford, United Kingdom: Oxford University Press; 2007.
8. Australian Institute of Health and Welfare. Older Australians at a Glance. 4th ed. Canberra, Australia: Australian Institute of Health and Welfare; 2007.
9. Teno J. Now is the time to embrace nursing homes as place of care for dying persons. J Palliat Med. 2003;6(2):293-296.
10. Kristjanson L, Walton J, Toye C. End-of-life challenges in residential aged care facilities: a case for a palliative approach to care. Int J Palliat Nurs. 2005;11(3):127-129.
11. Hirschman K, Kapo J, Straton J, Stanley L, Strumpf N, Casarett D. Hospice in long-term care. Ann Long Term Care. 2005;13(10):25-29.
12. McClean W, Higginbotham N. Prevalence of pain among nursing home residents in rural New South Wales. Med J Aust. 2002; 177:17-20.
13. Cohen L, O'Connor M, Blackmore A. Nurses' attitudes to palliative care in nursing homes in Western Australia. Int J Palliat Nurs. 2002;8(2):88-98.
14. Whittaker E, Kernohan W, Hasson F, Howard V, McLaughlin D. Palliative care in nursing homes: exploring care assistants' knowledge. Int J Older People Nurs. 2007;2:36-44.
15. Wowchuk S, McClement S, Bond J. The challenge of providing palliative care in the nursing home: part II internal factors. Int J Palliat Nurs. 2007;13(7):345-350.
16. Phillips J, Davidson P, Jackson D, Kristjanson L, Daly J, Curran J. Residential aged care: the last frontier for palliative care. J Adv Nurs. 2006;55(4):416-424. (Pubitemid 44091687)
17. Loftus L, Thompson E. An evaluation of a palliative care course for generic nurses. Int J Palliat Nurs. 2002;8(7):354-360.
18. Crawford G, Price S. Team working: palliative care as a model of interdisciplinary practice. Med J Aust. 2003;179(6 suppl):S32-S34.
19. Blackford J, Strickland E, Morris B. Advance care planning in residential aged care facilities. Contemp Nurse. 2007;27(1):141-151.
20. Komaromy C, Sidell M, Katz J. The quality of terminal care in residential and nursing homes. Int J Palliat Nurs. 2000;6(4):192-200.
21. Williams A, Dawson S, Kristjanson L. Translating theory into practice: using action research to introduce a coordinated approach to emotional care. Patient Educ Counsel. 2008;73:82-90.
22. Boal E, Hodgson D, Banks-Howe J, Husband G. A cultural change in cancer education and training. Eur J Cancer Care. 2000;9:30-35.
23. Mack B. 'A small cog in a large wheel': an exploratory study into the experiences of porters, ward clerks and domestics working in an English cancer centre. Eur J Oncol Nurs. 2003;7(3):153-161.
24. Froggatt K. Evaluating a palliative care education project in nursing homes. Int J Palliat Nurs. 2000;6(3):140-146.
25. Parks S, Haines C, Foreman D, McKinstry E, Maxwell T. Evaluation of an educational program for long-term care nursing assistants. J Am Med Dir Assoc. 2005;6(1):61-65.
26. Whittaker E, Kernohan W, Hasson F, Howard V, McLaughlin D. The palliative care education needs of nursing home staff. Nurse Educ Today. 2006;26:501-510.
27. Ersek M, Wilson S. The challenges and opportunities in providing end-of-life care in nursing homes. J Palliat Med. 2003;6(1):45-57.
28. Evans B. Improving palliative care in the nursing home: from a dementia perspective. J Hosp Palliat Nurs. 2002;4(2):91-99.
29. Ersek M, Kraybill B, Hansen N. Evaluation of a train-the-trainer program to enhance hospice and palliative care in nursing homes. J Hosp Palliat Nurs. 2006;8(1):42-49.
30. Hanson L, Henderson M, Menon M. As individual as death itself: a focus group study of terminal care in nursing homes. J Palliat Med. 2002;5(2):117-125.
31. Grbich C, Maddocks I, Parker D, Brown M,Willis E, Hofmeyer A, Piller N. Palliative care in aged care facilities for residents with a non-cancer disease: results of a survey of aged care facilities in South Australia. Australas J Ageing. 2005;24(2):108-113.
32. Melrose S, Gordon K. LPN to BN students' views of transitioning to a new nursing role [online post]. Int J Nurs Educ Scholarsh. 5(1):Article 14. http://www.bepress.com/ijnes/vol5/iss1/art14. Accessed July 20, 2009.
33. Dowell L. Multiprofessional palliative care in a general hospital: education and training needs. Int J Palliat Nurs. 2002;8(6):294-303.
34. Krueger R, Casey M. Focus Groups: A Practical Guide for Applied Research. 3rd ed. Thousand Oaks, CA: Sage; 2000.
35. Australian Government Department of Health and Ageing. Guidelines for a Palliative Approach in Residential Aged Care. Canberra, Australia: National Health andMedical Research Council; 2006.
36. Saunders C. Part I: the problem of euthanasia. Nurs Times. 1976; 72:1003-1005.
37. Robinson A, Andrews-Hall S, Fassett M. Living on the edge: issues that undermine the capacity of residential aged care providers to support student nurses on clinical placement. Aust Health Rev. 2007;31(3):368-378.
38. Edwards H, Forster E, Morrison P, Fleming R, McClure S, Chapman H. Resident-staff interactions: a challenge for quality residential aged care. Australas J Ageing. 2003;22(1):31-37.
39. Tarzian A, Hoffmann D. A statewide survey identifying perceived barriers to hospice use in nursing homes. J Hosp Palliat Nurs. 2006;8(6):328-337.
40. Porock D, Oliver D. Recognizing dying by staff in long-term care. J Hosp Palliat Nurs. 2007;9(5):270-278.
41. Fine M, Mitchell A. Immigration and the aged care workforce in Australia: meeting the deficit. Australas J Ageing. 2007;26(4):157-161.