A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: Perceptions of palliative care planning coordinators and other health professionals in the IDEAL study

Luckett, T; Chenoweth, L; Phillips, J; Brooks, D; Cook, J; Mitchell, G; Pond, D; Davidson, PM; Beattie, E; Luscombe, G; Goodall, S; Fischer, T; Agar, M

A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: Perceptions of palliative care planning coordinators and other health professionals in the IDEAL study

Luckett, T

Chenoweth, L

Phillips, J

Brooks, D Cook, J Mitchell, G Pond, D Davidson, PM

Beattie, E Luscombe, G Goodall, S

Fischer, T

Agar, M

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Publication Type:: Journal Article
Citation:: International Psychogeriatrics, 2017, 29 (10), pp. 1713 - 1722
Issue Date:: 2017-10-01

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Field	Value	Language
dc.contributor.author	Luckett, T https://orcid.org/0000-0001-6121-5409	en_US
dc.contributor.author	Chenoweth, L https://orcid.org/0000-0002-1783-9289	en_US
dc.contributor.author	Phillips, J https://orcid.org/0000-0002-3691-8230	en_US
dc.contributor.author	Brooks, D	en_US
dc.contributor.author	Cook, J	en_US
dc.contributor.author	Mitchell, G	en_US
dc.contributor.author	Pond, D	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Beattie, E	en_US
dc.contributor.author	Luscombe, G	en_US
dc.contributor.author	Goodall, S https://orcid.org/0000-0001-6611-6565	en_US
dc.contributor.author	Fischer, T https://orcid.org/0000-0003-3779-4396	en_US
dc.contributor.author	Agar, M https://orcid.org/0000-0002-6756-6119	en_US
dc.date.issued	2017-10-01	en_US
dc.identifier.citation	International Psychogeriatrics, 2017, 29 (10), pp. 1713 - 1722	en_US
dc.identifier.issn	1041-6102	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117771
dc.description.abstract	© Copyright International Psychogeriatric Association 2017. Background: Palliative care for nursing home residents with advanced dementia is often sub-optimal due to poor communication and limited care planning. In a cluster randomized controlled trial, registered nurses (RNs) from 10 nursing homes were trained and funded to work as Palliative Care Planning Coordinators (PCPCs) to organize family case conferences and mentor staff. This qualitative sub-study aimed to explore PCPC and health professional perceptions of the benefits of facilitated case conferencing and identify factors influencing implementation. Method: Semi-structured interviews were conducted with the RNs in the PCPC role, other members of nursing home staff, and physicians who participated in case conferences. Analysis was conducted by two researchers using a thematic framework approach. Results: Interviews were conducted with 11 PCPCs, 18 other nurses, eight allied health workers, and three physicians. Perceived benefits of facilitated case conferencing included better communication between staff and families, greater multi-disciplinary involvement in case conferences and care planning, and improved staff attitudes and capabilities for dementia palliative care. Key factors influencing implementation included: staffing levels and time; support from management, staff and physicians; and positive family feedback. Conclusion: The facilitated approach explored in this study addressed known barriers to case conferencing. However, current business models in the sector make it difficult for case conferencing to receive the required levels of nursing qualification, training, and time. A collaborative nursing home culture and ongoing relationships with health professionals are also prerequisites for success. Further studies should document resident and family perceptions to harness consumer advocacy.	en_US
dc.relation.ispartof	International Psychogeriatrics	en_US
dc.relation.isbasedon	10.1017/S1041610217000977	en_US
dc.subject.classification	Geriatrics	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Dementia	en_US
dc.subject.mesh	Palliative Care	en_US
dc.subject.mesh	Attitude of Health Personnel	en_US
dc.subject.mesh	Communication	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Health Personnel	en_US
dc.subject.mesh	Homes for the Aged	en_US
dc.subject.mesh	Nursing Homes	en_US
dc.subject.mesh	Case Management	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.subject.mesh	Workforce	en_US
dc.title	A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: Perceptions of palliative care planning coordinators and other health professionals in the IDEAL study	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	29	en_US
utslib.for	1799 Other Psychology and Cognitive Sciences	en_US
utslib.for	1110 Nursing	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	29	en_US

Abstract:

© Copyright International Psychogeriatric Association 2017. Background: Palliative care for nursing home residents with advanced dementia is often sub-optimal due to poor communication and limited care planning. In a cluster randomized controlled trial, registered nurses (RNs) from 10 nursing homes were trained and funded to work as Palliative Care Planning Coordinators (PCPCs) to organize family case conferences and mentor staff. This qualitative sub-study aimed to explore PCPC and health professional perceptions of the benefits of facilitated case conferencing and identify factors influencing implementation. Method: Semi-structured interviews were conducted with the RNs in the PCPC role, other members of nursing home staff, and physicians who participated in case conferences. Analysis was conducted by two researchers using a thematic framework approach. Results: Interviews were conducted with 11 PCPCs, 18 other nurses, eight allied health workers, and three physicians. Perceived benefits of facilitated case conferencing included better communication between staff and families, greater multi-disciplinary involvement in case conferences and care planning, and improved staff attitudes and capabilities for dementia palliative care. Key factors influencing implementation included: staffing levels and time; support from management, staff and physicians; and positive family feedback. Conclusion: The facilitated approach explored in this study addressed known barriers to case conferencing. However, current business models in the sector make it difficult for case conferencing to receive the required levels of nursing qualification, training, and time. A collaborative nursing home culture and ongoing relationships with health professionals are also prerequisites for success. Further studies should document resident and family perceptions to harness consumer advocacy.

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http://hdl.handle.net/10453/117771