Department of Family and Community Medicine, 8613North York General Hospital, University of Toronto, Toronto, Canada.
Department of Family and Community Medicine, St. Joseph's Health Centre, Toronto, Canada.
Am J Hosp Palliat Care. 2021 Oct;38(10):1195-1201. doi: 10.1177/1049909120976646. Epub 2020 Dec 7.
Many barriers exist in providing quality end-of-life care in long-term care (LTC), including transitions of care between acute care and LTC. Transfer forms can be beneficial in ensuring resident's end-of-life care needs are coordinated between different settings. The is a newly developed tool created to enhance care for residents transferred from acute care back to their LTC home for end-of-life.
Assess the perceived ease of use, usefulness, and care-enhancing potential of the by interprofessional LTC staff.
The study population included interprofessional staff members at 2 LTC homes in Toronto, Canada. Quantitative data was obtained through surveys and qualitative data was obtained through focus groups.
There were a total of 34 participants. 79.4% of participants agreed the form was easy to use and 82.4% agreed it would improve care. Subgroup analysis demonstrated that participants with greater than 20 years experience were less likely to agree that it would improve care (p = 0.01). Qualitative analysis generated 4 themes: 1) Strengths, 2) Areas of Improvement, 3) Information Sharing, and 4) Communication.
The was overall well-evaluated. The form was seen as most useful for those with less experience or less confidence in palliative care. Communication was identified as a major barrier to successful transitions of care and increased bidirectional verbal communication is needed in addition to the form.
在提供长期护理（LTC）中的高质量临终关怀方面存在许多障碍，包括急性护理和 LTC 之间的护理过渡。转移表格有助于确保居民在不同环境中的临终关怀需求得到协调。 是为了增强从急性护理转回 LTC 家庭接受临终关怀的居民的护理而新开发的工具。
通过跨专业 LTC 工作人员评估对 的易用性、有用性和增强护理的潜力的看法。
研究人群包括加拿大多伦多的 2 家 LTC 之家的跨专业工作人员。通过问卷调查获得定量数据，通过焦点小组获得定性数据。
共有 34 名参与者。79.4%的参与者认为该表格易于使用，82.4%的参与者认为该表格将改善护理。亚组分析表明，经验超过 20 年的参与者不太可能认为它会改善护理（p = 0.01）。定性分析产生了 4 个主题：1）优势，2）改进领域，3）信息共享，4）沟通。
总体评估良好。该表格被认为对那些在姑息治疗方面经验较少或信心不足的人最有用。沟通被确定为成功过渡护理的主要障碍，除了表格之外，还需要增加双向口头沟通。
