Department of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE 221 00 Lund, Sweden.
Int J Environ Res Public Health. 2021 Aug 26;18(17):8977. doi: 10.3390/ijerph18178977.
The provision of knowledge-based palliative care is rare in nursing homes. There are obstacles to practically performing this because it can be difficult to identify when the final stage of life begins for older persons. Educational interventions in palliative care in nursing homes are a challenge, and joint efforts are needed in an organisation, including preparedness. The aim was to explore professionals' expectations and preparedness to implement knowledge-based palliative care in nursing homes before an educational intervention. This study has a qualitative focus group design, and a total of 48 professionals working in nursing homes were interviewed with a semi-structured interview guide. Qualitative content analysis with an inductive approach was used for the analysis. One major theme was identified: professionals were hopeful yet doubtful about the organisation's readiness. The main categories of increased knowledge, consensus in the team, and a vision for the future illustrate the hopefulness, while insufficient resources and prioritisation illustrate the doubts about the organisation's readiness. This study contributes valuable knowledge about professionals' expectations and preparedness, which are essential for researchers to consider in the planning phase of an implementation study. The successful implementation of changes needs to involve strategies that circumvent the identified obstacles to organisations' readiness.
养老院中提供基于知识的临终关怀服务非常罕见。由于难以确定老年人生命的最后阶段何时开始，因此在实践中实施临终关怀存在障碍。养老院的临终关怀教育干预是一项挑战，需要组织内部共同努力，包括做好准备。本研究旨在探讨在进行教育干预之前，专业人员对在养老院实施基于知识的临终关怀的期望和准备情况。本研究采用定性焦点小组设计，共采访了 48 名在养老院工作的专业人员，采用半结构化访谈指南进行访谈。采用归纳法的定性内容分析法进行分析。确定了一个主要主题：专业人员对组织的准备情况充满希望但又持怀疑态度。增加知识、团队达成共识和对未来的愿景等主要类别体现了希望，而资源不足和优先事项则体现了对组织准备情况的怀疑。本研究为专业人员的期望和准备情况提供了有价值的知识，这对于研究人员在实施研究的规划阶段考虑这些因素非常重要。要成功实施变革，需要采取策略来规避组织准备情况中确定的障碍。
