Lane Heather, Philip Jennifer
Centre for Palliative Care, St Vincent's Hospital, Melbourne, Victoria, Australia.
Australas J Ageing. 2015 Jun;34(2):76-81. doi: 10.1111/ajag.12085. Epub 2013 Aug 6.
To explore the views and experiences of staff from RACFs and community palliative care services (CPCSs) on providing palliative and end-of-life care in RACFs.
Qualitative exploratory interviews and focus groups were conducted with staff working in two RACFs and two CPCSs, and, following data saturation, a thematic analysis undertaken.
15 RACF and 15 CPCS staff participated. The overarching theme was of managing expectations in the provision of care. This included low expectations of the care available in RACFs, tensions in addressing complex decision-making and concurrent administrative expectations, and differences between views of RACF and CPCS staff regarding their respective roles.
Improved understanding of the needs of RACF staff will improve the care of residents and, in turn, reduce hospitalisations.
探讨养老院和社区姑息治疗服务机构（CPCSs）的工作人员对在养老院提供姑息治疗和临终关怀的看法与经验。
对两家养老院和两家社区姑息治疗服务机构的工作人员进行了定性探索性访谈和焦点小组讨论，并在数据饱和后进行了主题分析。
15名养老院工作人员和15名社区姑息治疗服务机构工作人员参与了研究。总体主题是在提供护理过程中管理期望。这包括对养老院现有护理的低期望、在处理复杂决策和同时存在的行政期望方面的紧张关系，以及养老院工作人员和社区姑息治疗服务机构工作人员对各自角色看法的差异。
更好地理解养老院工作人员的需求将改善居民护理，进而减少住院率。
