RT Journal Article
T1 [Facilitators and barriers regarding end of life care at nursing homes: A focus group study].
T2 Dificultades y factores favorables para la atención al final de la vida en residencias de ancianos: un estudio con grupos focales.
A1 Sánchez-García, María Remedios
A1 Moreno-Rodríguez, Marina
A1 Hueso-Montoro, César
A1 Campos-Calderón, Concepción
A1 Varella-Safont, Ana
A1 Montoya-Juárez, Rafael
K1 Barriers
K1 Cuidados paliativos
K1 Dificultades
K1 Facilitators
K1 Factores favorables
K1 Homes for the aged
K1 Investigación cualitativa
K1 Palliative care
K1 Profesionales
K1 Professionals
K1 Qualitative research
K1 Residencias de ancianos
AB To identify the facilitators and barriers experienced by professional related to end of life care in nursing homes. Descriptive qualitative research with phenomenological orientation, through content analysis. Nursing Homes at Primary Care District in Granada (Spain). Fifteen clinical professionals with, at least 6 months of experience in nursing homes, without specific background in palliative care. Three 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. Professionals 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. It is necessary to improve communication among nursing homes professionals, families, patients and other health workers.
YR 2016
FD 2016-11-25
LK http://hdl.handle.net/10668/10641
UL http://hdl.handle.net/10668/10641
LA es
DS RISalud
RD Apr 7, 2025