Quality of care for residents dying in Ontario long-term care facilities: findings from a survey of directors of care
The purpose of this study was to collect information on the practice of end-of-life (EOL) care in long-term care (LTC) facilities in the Province of Ontario, Canada. A cross-sectional survey of directors of care in all licensed LTC facilities in the province was conducted between September 2003 and...
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| Veröffentlicht in: | Journal of palliative care 2006, Vol.22 (1), p.18-25 |
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| container_title | Journal of palliative care |
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| creator | Brazil, Kevin Krueger, Paul Bedard, Michel Kelley, Lou McAiney, Carrie Justice, Christopher Taniguchi, Alan |
| description | The purpose of this study was to collect information on the practice of end-of-life (EOL) care in long-term care (LTC) facilities in the Province of Ontario, Canada. A cross-sectional survey of directors of care in all licensed LTC facilities in the province was conducted between September 2003 and April 2004. Directors of care from 426 (76% response rate) facilities completed the postal survey questionnaire. The survey results identified communication problems between service providers and families, inadequate staffing levels to provide quality care to dying residents, and the need for training to improve staff skills in providing EOL care. Directors of care endorsed the use of a number of strategies that would improve the care of dying residents. Logistic regression analysis identified the eight most important items predictive of facility staff having the ability to provide quality EOL care. The findings contribute to the current discussion on policies for meeting the care needs of residents in LTC facilities until life's end. |
| doi_str_mv | 10.1177/082585970602200104 |
| format | Article |
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A cross-sectional survey of directors of care in all licensed LTC facilities in the province was conducted between September 2003 and April 2004. Directors of care from 426 (76% response rate) facilities completed the postal survey questionnaire. The survey results identified communication problems between service providers and families, inadequate staffing levels to provide quality care to dying residents, and the need for training to improve staff skills in providing EOL care. Directors of care endorsed the use of a number of strategies that would improve the care of dying residents. Logistic regression analysis identified the eight most important items predictive of facility staff having the ability to provide quality EOL care. The findings contribute to the current discussion on policies for meeting the care needs of residents in LTC facilities until life's end.</description><identifier>ISSN: 0825-8597</identifier><identifier>EISSN: 2369-5293</identifier><identifier>DOI: 10.1177/082585970602200104</identifier><identifier>PMID: 16689411</identifier><language>eng</language><publisher>United States: SAGE PUBLICATIONS, INC</publisher><subject><![CDATA[Aged ; Attitude of Health Personnel ; Clinical Competence - standards ; Communication Barriers ; Cross-Sectional Studies ; Health care policy ; Health Knowledge, Attitudes, Practice ; Health Personnel - education ; Health Personnel - organization & administration ; Health Personnel - psychology ; Hospice care ; Humans ; Inservice Training ; Interprofessional Relations ; Labor supply ; Logistic Models ; Long-Term Care - organization & administration ; Medical personnel ; Needs Assessment ; Nursing homes ; Nursing Homes - organization & administration ; Ontario ; Organizational Policy ; Personnel Staffing and Scheduling - organization & administration ; Physician Executives - psychology ; Polls & surveys ; Professional-Family Relations ; Quality ; Quality of Health Care - organization & administration ; Surveys and Questionnaires ; Terminal Care - organization & administration ; Total Quality Management - organization & administration ; Training]]></subject><ispartof>Journal of palliative care, 2006, Vol.22 (1), p.18-25</ispartof><rights>Copyright Center for Bioethics, Clinical Research Institute of Montreal Spring 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c328t-9d9e1ebc565ed2a51e21a9115dc559e061c7411b2ef613c548582551c0bd94323</citedby><cites>FETCH-LOGICAL-c328t-9d9e1ebc565ed2a51e21a9115dc559e061c7411b2ef613c548582551c0bd94323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27927,27928,27929</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16689411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brazil, Kevin</creatorcontrib><creatorcontrib>Krueger, Paul</creatorcontrib><creatorcontrib>Bedard, Michel</creatorcontrib><creatorcontrib>Kelley, Lou</creatorcontrib><creatorcontrib>McAiney, Carrie</creatorcontrib><creatorcontrib>Justice, Christopher</creatorcontrib><creatorcontrib>Taniguchi, Alan</creatorcontrib><title>Quality of care for residents dying in Ontario long-term care facilities: findings from a survey of directors of care</title><title>Journal of palliative care</title><addtitle>J Palliat Care</addtitle><description>The purpose of this study was to collect information on the practice of end-of-life (EOL) care in long-term care (LTC) facilities in the Province of Ontario, Canada. A cross-sectional survey of directors of care in all licensed LTC facilities in the province was conducted between September 2003 and April 2004. Directors of care from 426 (76% response rate) facilities completed the postal survey questionnaire. The survey results identified communication problems between service providers and families, inadequate staffing levels to provide quality care to dying residents, and the need for training to improve staff skills in providing EOL care. Directors of care endorsed the use of a number of strategies that would improve the care of dying residents. Logistic regression analysis identified the eight most important items predictive of facility staff having the ability to provide quality EOL care. The findings contribute to the current discussion on policies for meeting the care needs of residents in LTC facilities until life's end.</description><subject>Aged</subject><subject>Attitude of Health Personnel</subject><subject>Clinical Competence - standards</subject><subject>Communication Barriers</subject><subject>Cross-Sectional Studies</subject><subject>Health care policy</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel - education</subject><subject>Health Personnel - organization & administration</subject><subject>Health Personnel - psychology</subject><subject>Hospice care</subject><subject>Humans</subject><subject>Inservice Training</subject><subject>Interprofessional Relations</subject><subject>Labor supply</subject><subject>Logistic Models</subject><subject>Long-Term Care - organization & administration</subject><subject>Medical personnel</subject><subject>Needs Assessment</subject><subject>Nursing homes</subject><subject>Nursing Homes - organization & administration</subject><subject>Ontario</subject><subject>Organizational Policy</subject><subject>Personnel Staffing and Scheduling - organization & administration</subject><subject>Physician Executives - psychology</subject><subject>Polls & surveys</subject><subject>Professional-Family Relations</subject><subject>Quality</subject><subject>Quality of Health Care - organization & administration</subject><subject>Surveys and Questionnaires</subject><subject>Terminal Care - organization & administration</subject><subject>Total Quality Management - organization & administration</subject><subject>Training</subject><issn>0825-8597</issn><issn>2369-5293</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNplkU9LxDAUxIMo7rr6BTxI8OCtmpc2aeNNFv_BwiLouaTJ65KlbTRphf32dt0VQU_v8puZNwwh58CuAfL8hhVcFELlTDLOGQOWHZApT6VKBFfpIZlugWRLTMhJjGvGWM44OyYTkLJQGcCUDC-Dbly_ob6mRgektQ80YHQWuz5Su3HdirqOLrteB-dp47tV0mNo97Q2bpQ7jLe0dp0d6Ujr4FuqaRzCJ34bWxfQ9D7En5RTclTrJuLZ_s7I28P96_wpWSwfn-d3i8SkvOgTZRUCVkZIgZZrAchBKwBhjRAKmQSTjy0qjrWE1IisEGNjAYZVVmUpT2fkauf7HvzHgLEvWxcNNo3u0A-xlLkSQrB0BC__gGs_hG78reSQgSoElyPEd5AJPsaAdfkeXKvDpgRWbhcp_y8yii72zkPVov2V7CdIvwC0ZIWd</recordid><startdate>2006</startdate><enddate>2006</enddate><creator>Brazil, Kevin</creator><creator>Krueger, Paul</creator><creator>Bedard, Michel</creator><creator>Kelley, Lou</creator><creator>McAiney, Carrie</creator><creator>Justice, Christopher</creator><creator>Taniguchi, Alan</creator><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M3G</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>2006</creationdate><title>Quality of care for residents dying in Ontario long-term care facilities: findings from a survey of directors of care</title><author>Brazil, Kevin ; Krueger, Paul ; Bedard, Michel ; Kelley, Lou ; McAiney, Carrie ; Justice, Christopher ; Taniguchi, Alan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-9d9e1ebc565ed2a51e21a9115dc559e061c7411b2ef613c548582551c0bd94323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Aged</topic><topic>Attitude of Health Personnel</topic><topic>Clinical Competence - standards</topic><topic>Communication Barriers</topic><topic>Cross-Sectional Studies</topic><topic>Health care policy</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Personnel - education</topic><topic>Health Personnel - organization & administration</topic><topic>Health Personnel - psychology</topic><topic>Hospice care</topic><topic>Humans</topic><topic>Inservice Training</topic><topic>Interprofessional Relations</topic><topic>Labor supply</topic><topic>Logistic Models</topic><topic>Long-Term Care - organization & administration</topic><topic>Medical personnel</topic><topic>Needs Assessment</topic><topic>Nursing homes</topic><topic>Nursing Homes - organization & administration</topic><topic>Ontario</topic><topic>Organizational Policy</topic><topic>Personnel Staffing and Scheduling - organization & administration</topic><topic>Physician Executives - psychology</topic><topic>Polls & surveys</topic><topic>Professional-Family Relations</topic><topic>Quality</topic><topic>Quality of Health Care - 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Academic</collection><jtitle>Journal of palliative care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brazil, Kevin</au><au>Krueger, Paul</au><au>Bedard, Michel</au><au>Kelley, Lou</au><au>McAiney, Carrie</au><au>Justice, Christopher</au><au>Taniguchi, Alan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of care for residents dying in Ontario long-term care facilities: findings from a survey of directors of care</atitle><jtitle>Journal of palliative care</jtitle><addtitle>J Palliat Care</addtitle><date>2006</date><risdate>2006</risdate><volume>22</volume><issue>1</issue><spage>18</spage><epage>25</epage><pages>18-25</pages><issn>0825-8597</issn><eissn>2369-5293</eissn><abstract>The purpose of this study was to collect information on the practice of end-of-life (EOL) care in long-term care (LTC) facilities in the Province of Ontario, Canada. A cross-sectional survey of directors of care in all licensed LTC facilities in the province was conducted between September 2003 and April 2004. Directors of care from 426 (76% response rate) facilities completed the postal survey questionnaire. The survey results identified communication problems between service providers and families, inadequate staffing levels to provide quality care to dying residents, and the need for training to improve staff skills in providing EOL care. Directors of care endorsed the use of a number of strategies that would improve the care of dying residents. Logistic regression analysis identified the eight most important items predictive of facility staff having the ability to provide quality EOL care. The findings contribute to the current discussion on policies for meeting the care needs of residents in LTC facilities until life's end.</abstract><cop>United States</cop><pub>SAGE PUBLICATIONS, INC</pub><pmid>16689411</pmid><doi>10.1177/082585970602200104</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0825-8597 |
| ispartof | Journal of palliative care, 2006, Vol.22 (1), p.18-25 |
| issn | 0825-8597 2369-5293 |
| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Aged Attitude of Health Personnel Clinical Competence - standards Communication Barriers Cross-Sectional Studies Health care policy Health Knowledge, Attitudes, Practice Health Personnel - education Health Personnel - organization & administration Health Personnel - psychology Hospice care Humans Inservice Training Interprofessional Relations Labor supply Logistic Models Long-Term Care - organization & administration Medical personnel Needs Assessment Nursing homes Nursing Homes - organization & administration Ontario Organizational Policy Personnel Staffing and Scheduling - organization & administration Physician Executives - psychology Polls & surveys Professional-Family Relations Quality Quality of Health Care - organization & administration Surveys and Questionnaires Terminal Care - organization & administration Total Quality Management - organization & administration Training |
| title | Quality of care for residents dying in Ontario long-term care facilities: findings from a survey of directors of care |
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