Dobbs Debra, Kaufman Sharon, Meng Hongdao
School of Aging Studies, University of South Florida, Tampa, FL, USA.
Inland Empire Community Living Solutions, Institute on Aging, Ontario, CA, USA.
Gerontol Geriatr Med. 2018 Mar 27;4:2333721418765522. doi: 10.1177/2333721418765522. eCollection 2018 Jan-Dec.
As resident acuity levels increase for those who reside in assisted living (AL), states allow for hospice care provision in AL. End-of-life care training for staff can potentially increase the awareness of benefits of hospice care for AL residents. This study examined the association between AL staff trained in end-of-life care and hospice utilization in a sample of ALs ( = 45) in Florida. The sample included ALs ( = 21) with a low percentage (≤59%) and ALs ( = 24) with a high percentage (≥60%) of staff trained in end-of-life care as reported by AL directors. Zero-inflated negative binomial regression (ZINB) indicated that ALs in the high percentage of staff trained group were associated with a 3.64% greater utilization of hospice than ALs in the low percentage of staff trained group. Implementation of required staff training specific to care for the terminally ill as required in some states could potentially improve resident access to hospice care.
随着入住辅助生活（AL）机构的居民护理需求水平提高，各州允许在AL机构中提供临终关怀服务。对工作人员进行临终关怀培训可能会提高他们对AL机构居民接受临终关怀服务益处的认识。本研究在佛罗里达州的45家AL机构样本中，考察了接受过临终关怀培训的AL机构工作人员与临终关怀服务利用率之间的关联。样本包括据AL机构主任报告，工作人员接受过临终关怀培训的比例较低（≤59%）的21家AL机构，以及工作人员接受过临终关怀培训的比例较高（≥60%）的24家AL机构。零膨胀负二项回归（ZINB）表明，工作人员接受培训比例高的组中的AL机构，其临终关怀服务利用率比工作人员接受培训比例低的组中的AL机构高3.64%。按照某些州的要求，实施针对绝症患者护理的工作人员必修培训，可能会改善居民获得临终关怀服务的机会。
