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Education and training to enhance end-of-life care for nursing home staff : a systematic literature review
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Anstey, S., Powell, T., Coles, B., Hale, Rachel and Gould, D. (2016) Education and training to enhance end-of-life care for nursing home staff : a systematic literature review. BMJ Supportive & Palliative Care, 6 . pp. 353-361. doi:10.1136/bmjspcare-2015-000956 ISSN 2045-435X.
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WRAP-education-training-enhance-end-of-life-care-nursing-home-staff-Hale-2018.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons: Attribution-Noncommercial 4.0. Download (861Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/bmjspcare-2015-000956
Abstract
Background: The delivery of end-of-life care in nursing homes is challenging. This situation is of concern as 20% of the population die in this setting. Commonly reported reasons include limited access to medical care, inadequate clinical leadership and poor communication between nursing home and medical staff. Education for nursing home staff is suggested as the most important way of overcoming these obstacles.
Objectives: To identify educational interventions to enhance end-of-life care for nursing home staff and to identify types of study designs and outcomes to indicate success and benchmark interventions against recent international guidelines for education for palliative and end-of-life care.
Design: Thirteen databases and reference lists of key journals were searched from the inception of each up to September 2014. Included studies were appraised for quality and data were synthesised thematically.
Results: Twenty-one studies were reviewed. Methodological quality was poor. Education was not of a standard that could be expected to alter clinical behaviour and was evaluated mainly from the perspectives of staff: self-reported increase in knowledge, skills and confidence delivering care rather than direct evidence of impact on clinical practice and patient outcomes. Follow-up was often short term, and despite sound economic arguments for delivering effective end-of-life care to reduce burden on the health service, no economic analyses were reported.
Conclusions: There is a clear and urgent need to design educational interventions that have the potential to improve end-of-life care in nursing homes. Robust evaluation of these interventions should include impact on residents, families and staff and include economic analysis.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RA Public aspects of medicine | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Nursing homes -- Employees -- Training of, Nursing home care, Palliative treatment | ||||||
Journal or Publication Title: | BMJ Supportive & Palliative Care | ||||||
Publisher: | BMJ Group | ||||||
ISSN: | 2045-435X | ||||||
Official Date: | 1 September 2016 | ||||||
Dates: |
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Volume: | 6 | ||||||
Page Range: | pp. 353-361 | ||||||
DOI: | 10.1136/bmjspcare-2015-000956 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 29 March 2018 | ||||||
Date of first compliant Open Access: | 3 April 2018 |
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