An Investigation of Community-Based Palliative Care Services in a Regional Area Health Service in New South Wales, Australia

2.50
Hdl Handle:
http://hdl.handle.net/10755/153876
Type:
Presentation
Title:
An Investigation of Community-Based Palliative Care Services in a Regional Area Health Service in New South Wales, Australia
Abstract:
An Investigation of Community-Based Palliative Care Services in a Regional Area Health Service in New South Wales, Australia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Cruickshank, Mary Therese, PhD
P.I. Institution Name:University of New England
Title:Senior Lecturer
Co-Authors:Glenda Parmenter, N/A
Objective: To assess the quality of end-of-life care services delivered in a regional health service in New South Wales, Australia. Design:A triangulation design was utilised for this study. Population, Sample, Setting, Years: The population were community-based nurses directly involved in the care of palliative care patients.The study was conducted in 2003 in a regional area of New South Wales and utilised a convenience sample of sixty nurses and fifty patients. Concept or Variables studied together: Palliative care patients and rural palliative care services. Methods:The study consisted of three stages. In Stage One, a Palliative Care Community-Based Nurses Survey was conducted while Stage Two obtained patient demographics and data on the delivery of palliative care services. The findings from both stages were further explored in a focus group discussion (Stage Three) with the nurses from Stage One. Findings: Findings showed that there is wide variation in palliative care service provision and delivery in the regional health service. The service gaps include inequitable service availability, monitoring and benchmarking of palliative care services, inadequate communication, education and training for those working in palliative care, and access to bereavement services. Conclusion: This study confirms the important role of community-based nurses directly involved in palliative care. However, addressing the identified service gaps is imperative if nurses are to appropriately meet the needs of the regional community and to assist patients when making end-of-life decisions and interventions. Implications: The key aspects of implementing a successful community-based palliative care service will be through the creation of a supportive structure with adequate funding, teamwork with regular and effective communication, and education and training for nurses involved in palliative care.A relentless focus on these key aspects has the potential to create a culture which is committed to long term quality improvement in a community-based palliative care service.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAn Investigation of Community-Based Palliative Care Services in a Regional Area Health Service in New South Wales, Australiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153876-
dc.description.abstract<table><tr><td colspan="2" class="item-title">An Investigation of Community-Based Palliative Care Services in a Regional Area Health Service in New South Wales, Australia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cruickshank, Mary Therese, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New England</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Senior Lecturer</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mmacarty@metz.une.edu.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Glenda Parmenter, N/A</td></tr><tr><td colspan="2" class="item-abstract">Objective: To assess the quality of end-of-life care services delivered in a regional health service in New South Wales, Australia. Design:A triangulation design was utilised for this study. Population, Sample, Setting, Years: The population were community-based nurses directly involved in the care of palliative care patients.The study was conducted in 2003 in a regional area of New South Wales and utilised a convenience sample of sixty nurses and fifty patients. Concept or Variables studied together: Palliative care patients and rural palliative care services. Methods:The study consisted of three stages. In Stage One, a Palliative Care Community-Based Nurses Survey was conducted while Stage Two obtained patient demographics and data on the delivery of palliative care services. The findings from both stages were further explored in a focus group discussion (Stage Three) with the nurses from Stage One. Findings: Findings showed that there is wide variation in palliative care service provision and delivery in the regional health service. The service gaps include inequitable service availability, monitoring and benchmarking of palliative care services, inadequate communication, education and training for those working in palliative care, and access to bereavement services. Conclusion: This study confirms the important role of community-based nurses directly involved in palliative care. However, addressing the identified service gaps is imperative if nurses are to appropriately meet the needs of the regional community and to assist patients when making end-of-life decisions and interventions. Implications: The key aspects of implementing a successful community-based palliative care service will be through the creation of a supportive structure with adequate funding, teamwork with regular and effective communication, and education and training for nurses involved in palliative care.A relentless focus on these key aspects has the potential to create a culture which is committed to long term quality improvement in a community-based palliative care service.</td></tr></table>en_GB
dc.date.available2011-10-26T12:34:48Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:34:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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