ArticleAtencion primaria2017
[Facilitators and barriers regarding end of life care at nursing homes: A focus group study].
Article in Atencion primaria, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Guilt as an Influencer in End-of-Life Care Decisions for Nursing Home Residents With Advanced Dementia.Journal of gerontological nursing · 2022Article
- Health Education as a Means of Addressing Death in the Elderly.International journal of environmental research and public health · 2021Article
- Cultural Adaptation and Validation of the Quality of Dying in Long-Term Care Scale (QoD-LTC) for Spanish Nursing Homes.International journal of environmental research and public health · 2021Article
- Why have Advance Directives failed in Spain?BMC medical ethics · 2020Article
- [Validation of the "Palliative Care Difficulties Scale (PCDS)" questionnaire in the spanish population about health professionals´ difficulties in palliative care].Revista espanola de salud publica · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo identify the facilitators and barriers experienced by professional related to end of life care in nursing homes.
designDescriptive qualitative research with phenomenological orientation, through content analysis. PLACEMENT: Nursing Homes at Primary Care District in Granada (Spain).
participantsFifteen clinical professionals with, at least 6 months of experience in nursing homes, without specific background in palliative care.
methodsThree focus groups were undertaken with professionals of different disciplines and nursing homes. Interviews were recorded and transcribed literally. An open and axial coding was performed to identify relevant categories.
resultsProfessionals identified difficulties in the communication with families related to relatives' feelings of guilt, difficulty in understanding the deterioration of their relative, and addressing too late the issue of death. Regarding decision making, professionals recognized that they do not encourage participation of patients. Advance directives are valued as a necessary tool, but they do not contemplate implementing them systematically. Other difficulties that professionals highlighted are lack of coordination with other professionals, related to misunderstanding of patients' needs, as well as lack of training, and lack of material and human resources. Facilitators include relationships with primary care teams.
conclusionIt is necessary to improve communication among nursing homes professionals, families, patients and other health workers.
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