Thompson Genevieve N, McClement Susan E, Menec Verena H, Chochinov Harvey M
Faculty of Nursing, Department of Community Health Sciences, Ontario, Canada.
J Gerontol Nurs. 2012 Oct;38(10):49-60. doi: 10.3928/00989134-20120906-94. Epub 2012 Sep 17.
With increasing numbers of older adults identifying a nursing home (NH) as their final place of care, it is important to assess the quality of dying in this setting and understand factors that impact family members' dissatisfaction with end-of-life care. A retrospective bereaved family member survey (N = 208) was conducted in 21 NHs located in urban areas of central Canada. Bereaved family members who were dissatisfied with care identified significantly more concerns in all domains assessed and were more likely to have problems with: (a) receiving confusing information from nursing staff about the resident's care, including medical treatments; (b) receiving inadequate information from nursing staff; and (c) feeling that end-of-life care was different than they had expected. Since the quality of communication between nurses, residents, and family members is the main factor that determines families' dissatisfaction with care, strategies and interventions aimed at reducing unmet information needs will be vital to improving end-of-life care in NHs.
随着越来越多的老年人将养老院视为他们最后的护理场所，评估这种环境下的临终质量并了解影响家庭成员对临终护理不满的因素变得很重要。在加拿大中部城市地区的21家养老院进行了一项回顾性丧亲家庭成员调查（N = 208）。对护理不满意的丧亲家庭成员在所有评估领域中指出的担忧明显更多，并且更有可能在以下方面存在问题：（a）从护理人员那里收到关于居民护理（包括医疗治疗）的混乱信息；（b）从护理人员那里获得的信息不足；（c）感觉临终护理与他们的预期不同。由于护士、居民和家庭成员之间的沟通质量是决定家庭对护理不满的主要因素，旨在减少未满足的信息需求的策略和干预措施对于改善养老院的临终护理至关重要。
