2.50
Hdl Handle:
http://hdl.handle.net/10755/160066
Type:
Presentation
Title:
Family Perceptions of Quality of Care at the End of Life Across Settings
Abstract:
Family Perceptions of Quality of Care at the End of Life Across Settings
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Kirchhoff, Karin, PhD, RN, FAAN
P.I. Institution Name:University of Wisconsin - Madison
Title:Professor
Contact Address:School of Nursing, 600 Highland Ave., Madison, WI, 53792, USA
Contact Telephone:608 263-0927
Co-Authors:Karen A. Kehl, MS, RN, Predoctoral Student; Betty J. Kramer, PhD, Professor; and Cynthia Hovland-Scaife, MSW, Predoctoral Student
Purpose: To compare family perceptions of the quality of care at the end of life across multiple settings.

Theoretical/Conceptual Framework: the patient-focused, family-centered care model developed by Teno guided this study. The model recommends that quality end-of-life care across settings be focused on the patient and family-centered.

Subjects: Family members of individuals who had died in an ICU, an inpatient hospice (hospice), a skilled nursing facility (SNF) and a community support program for chronically ill older adults (CS) in a midwestern city were contacted. Individuals were 16 years or older and spoke English.

Method: Family members were recruited through the agencies, interviewed in person or via telephone, individually or in groups at the location of their choice four to twelve months after the death with a semi-structured interview and the After death Bereaved Family Member Interview (ABFMI). Domains measured by the ABFMI are: 1) physical comfort and emotional support for the patient, 2) shared decision-making, 3) advanced care planning, 4) emotional and spiritual needs of the family, 5) self-efficacy of the family, 6) focus on the individual, and 5) coordination of care. The domain subscales score for the ABFMI were compared using an ANOVA. The Games-Howell post-hoc test was used because of unequal variances and group sizes. Due to the small sample size, a p of ?0.1 is considered significant.

Results: Significant differences in the domain of shared decision-making were found between with SNF having a higher problem score than CS (p >/< 0.1). In the domain of family needs both SNF (p >/< 0.1) and CS (p >/< 0.05) were found to have more problems than hospice. These findings are strengthened by the qualitative findings.

Conclusions: There are significant differences across settings in some aspects of quality of care at the end of life.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFamily Perceptions of Quality of Care at the End of Life Across Settingsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160066-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Family Perceptions of Quality of Care at the End of Life Across Settings</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kirchhoff, Karin, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin - Madison</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 600 Highland Ave., Madison, WI, 53792, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">608 263-0927</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ktkirchhoff@wisc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Karen A. Kehl, MS, RN, Predoctoral Student; Betty J. Kramer, PhD, Professor; and Cynthia Hovland-Scaife, MSW, Predoctoral Student</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To compare family perceptions of the quality of care at the end of life across multiple settings.<br/><br/>Theoretical/Conceptual Framework: the patient-focused, family-centered care model developed by Teno guided this study. The model recommends that quality end-of-life care across settings be focused on the patient and family-centered. <br/><br/>Subjects: Family members of individuals who had died in an ICU, an inpatient hospice (hospice), a skilled nursing facility (SNF) and a community support program for chronically ill older adults (CS) in a midwestern city were contacted. Individuals were 16 years or older and spoke English. <br/><br/>Method: Family members were recruited through the agencies, interviewed in person or via telephone, individually or in groups at the location of their choice four to twelve months after the death with a semi-structured interview and the After death Bereaved Family Member Interview (ABFMI). Domains measured by the ABFMI are: 1) physical comfort and emotional support for the patient, 2) shared decision-making, 3) advanced care planning, 4) emotional and spiritual needs of the family, 5) self-efficacy of the family, 6) focus on the individual, and 5) coordination of care. The domain subscales score for the ABFMI were compared using an ANOVA. The Games-Howell post-hoc test was used because of unequal variances and group sizes. Due to the small sample size, a p of ?0.1 is considered significant. <br/><br/>Results: Significant differences in the domain of shared decision-making were found between with SNF having a higher problem score than CS (p &gt;/&lt; 0.1). In the domain of family needs both SNF (p &gt;/&lt; 0.1) and CS (p &gt;/&lt; 0.05) were found to have more problems than hospice. These findings are strengthened by the qualitative findings. <br/><br/>Conclusions: There are significant differences across settings in some aspects of quality of care at the end of life.</td></tr></table>en_GB
dc.date.available2011-10-26T22:35:39Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:35:39Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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