Emory University, Atlanta, GA, USA.
Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, AL/GA, USA.
J Appl Gerontol. 2022 Feb;41(2):391-400. doi: 10.1177/0733464820988803. Epub 2021 Jan 27.
This project examined administrator processes, barriers, and facilitators for conducting advance care planning in assisted living.
Data from qualitative interviews with 27 administrators from seven diverse assisted living communities in the metropolitan Atlanta area were linked with descriptive and administrative data collected from each site and analyzed using thematic analysis.
Although administrators generally contended with a lack of staff training and stakeholders' reluctance to discuss advance care planning and end-of-life care, important facilitators of advance care planning in some assisted living communities included periodic follow-up discussions of residents' wishes and successfully educating consumers about the importance of planning. Three study communities whose administrators discussed planning with residents and informal caregivers during regular care plan meetings had more advance care planning documents on file.
These findings demonstrate the potential for nonmedical organizations, such as assisted living, to successfully promote advance care planning among their members.
本项目研究了在辅助生活中进行预先护理计划的管理员流程、障碍和促进因素。
对来自亚特兰大都会区七个不同辅助生活社区的 27 位管理员进行定性访谈，访谈内容与从每个地点收集的描述性和管理数据相关联，并使用主题分析进行分析。
尽管管理员通常认为缺乏员工培训以及利益相关者不愿意讨论预先护理计划和临终关怀，但在一些辅助生活社区中，预先护理计划的重要促进因素包括定期跟进讨论居民的意愿，并成功地教育消费者规划的重要性。在三个研究社区中，管理员在定期护理计划会议上与居民和非正式护理人员讨论计划，这些社区的预先护理计划文件存档更多。
这些发现表明，像辅助生活这样的非医疗组织有可能在其成员中成功地促进预先护理计划。
