The Experience to Implement Palliative Care in Long-term Care Facilities: A Grounded Theory Study of Caregivers.
The purpose of this study was to explore the experiences of caregivers in long-term care facilities as they implement palliative care. Although palliative care has been available in Taiwan for more than 30 years, it is often provided in hospitals, few models in the long-term care facilities. Semi-st...
| Publicado en: | Asian Nursing Research Vol. 15; no. 1; pp. 15 - 23 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Feb2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148806489&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148806489 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19761317 8W7I jtl: Asian Nursing Research issn: 19761317 maglogo: N pubinfo: dt: Feb2021 vid: 15 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 148806489 148806489 148806489 10.1016/j.anr.2020.10.006 148806489 ppf: 15 ppct: 8 formats: tig: atl: The Experience to Implement Palliative Care in Long-term Care Facilities: A Grounded Theory Study of Caregivers. aug: au: Chiang, Shu-Wan Wu, Shu-Chen Peng, Tai-Chu affil: Department of Nursing, Tzu Chi University, Hualien, Taiwan sug: subj: Palliative Care Long Term Care Grounded Theory Caregivers Life Experiences Human Semi-Structured Interview Purposive Sample Taiwan Implementation Science ab: The purpose of this study was to explore the experiences of caregivers in long-term care facilities as they implement palliative care. Although palliative care has been available in Taiwan for more than 30 years, it is often provided in hospitals, few models in the long-term care facilities. Semi-structured interviews using grounded theory methodology and purposive sampling. Two small long-term care facilities that had performed well in palliative care were selected from eastern Taiwan. A total of 12 caregivers participated in in-depth semi-structured face-to-face interviews. Four major stages in the implementation of palliative care were identified: (1) feeling insecure, (2) clarifying challenges, (3) adapting to and overcoming the challenges, and (4) comprehending the meaning of palliative care. The core category of these caregivers as "the guardians at the end of life" reflects the spirit of palliative care. This study demonstrates that successful palliative care implementation would benefit from three conditions. First, the institution requires a manager who is enthusiastic about nursing care and who sincerely promotes a palliative care model. Second, the institution should own caregivers who possess personality traits reflective of enthusiasm for excellence, unusual ambition, and a true sense of mission. Third, early in the implementation phase of the hospice program, the institution must have the consistent support of a high-quality hospice team. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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