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Eliciting the educational needs and priorities of home care workers on end-of-life care for patients with heart failure using nominal group technique.
- Source :
- Palliative Medicine; May2021, Vol. 35 Issue 5, p977-982, 6p
- Publication Year :
- 2021
-
Abstract
- Background: Home care workers, as paid caregivers, assist with many aspects of home-based heart failure care. However, most home care workers do not receive systematic training on end-of-life care for heart failure patients. Aim: To elicit the educational needs and priorities of home care workers caring for community- dwelling adults with heart failure at the end-of-life. Design: Nominal group technique involving a semi-quantitative structured group process and point rating system was used to designate the importance of priorities elicited from home care workers. Individual responses to the question, " If you have ever cared for a heart failure patient who was dying (or receiving end-of-life care on hospice), what are some of the challenges you faced?", were aggregated into categories using directed content analysis methods. Setting/Participants: Forty-one home care workers were recruited from a non-profit training and education organization in New York City. Results: Individual responses to the question were aggregated into five categories: (1) how to cope and grieve; (2) assisting patients with behavior changes, (3) supporting patients to improve their quality of life, (4) assisting patients with physical symptom management, and (5) symptom recognition and assessment. Conclusions: Our findings confirm the need for the formal development and evaluation of an educational program for home care workers to improve the care of heart failure patients at the end-of-life. There is also a need for research on integrating home care workers into the interprofessional healthcare team to support optimal health outcomes for patients with heart failure. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEART failure treatment
TERMINAL care
SOCIAL support
ATTITUDE (Psychology)
HOME care services
PROFESSIONAL employee training
MEDICAL personnel
INDEPENDENT living
QUALITY of life
NEEDS assessment
CONTENT analysis
PSYCHOLOGICAL adaptation
PATIENT-professional relations
GROUP process
BEHAVIOR modification
HEALTH promotion
HEART failure
SYMPTOMS
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 02692163
- Volume :
- 35
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Palliative Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 150253433
- Full Text :
- https://doi.org/10.1177/0269216321999963