TY - JOUR
T1 - Exploring a Nursing Home-Specific Interdisciplinary Approach
T2 - Toward Palliative Care for the Demented and Complex-Disabled Elderly
AU - Park, Min Sun
AU - Lee, Su Jung
AU - Chang, Sung Ok
N1 - Funding Information:
Min Sun Park, PhD, RN, is research professor, College of Nursing, Korea University, Seoul. Su Jung Lee, PhD, RN, is research professor, College of Nursing, Korea University, Seoul. Sung Ok Chang, PhD, RN, is professor, College of Nursing, Korea University, Seoul. Address correspondence to: Sung Ok Chang, PhD, RN, College of Nursing, Korea University, 145 Anam-ro, Seongbuk-gu, Seoul 02841, Republic of Korea (sungok@korea.ac.kr). This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF-2015R1D1A1A01057258). The authors have no conflicts of interest to disclose. Copyright B 2019 by The Hospice and Palliative Nurses Association. All rights reserved. DOI: 10.1097/NJH.0000000000000579
PY - 2019/12/1
Y1 - 2019/12/1
N2 - The number of elderly suffering from dementia and complex disabilities is gradually increasing in nursing homes, and they form a differentiated group that requires palliative care provided by practitioners in various disciplines from the time of their admission to improve the quality of their remaining lives. The purpose of this study was to explore an interdisciplinary care approach by nurses and related practitioners for the demented and complex-disabled elderly in nursing homes that focuses on palliative care based on an ethical point of view. A qualitative thematic analysis was conducted through in-depth interviews of 29 interdisciplinary practitioners working at 5 nursing homes. From them, 3 themes and 9 subthemes were extracted as the key results. First, practitioners set up cooperative care plans based on constantly tracking down clues to gradual functional deteriorations. Second, practitioners establish a cooperative committee to link residents and practitioners for responding to the subtle expressions of the elderly. Finally, practitioners maximize the opportunities for improving the quality of the elderly's remaining lives. These results can be the basis for the first prototype in developing interdisciplinary practical guidelines for nursing home-specific palliative care and can provide new insights for the practical care concept of palliative care.
AB - The number of elderly suffering from dementia and complex disabilities is gradually increasing in nursing homes, and they form a differentiated group that requires palliative care provided by practitioners in various disciplines from the time of their admission to improve the quality of their remaining lives. The purpose of this study was to explore an interdisciplinary care approach by nurses and related practitioners for the demented and complex-disabled elderly in nursing homes that focuses on palliative care based on an ethical point of view. A qualitative thematic analysis was conducted through in-depth interviews of 29 interdisciplinary practitioners working at 5 nursing homes. From them, 3 themes and 9 subthemes were extracted as the key results. First, practitioners set up cooperative care plans based on constantly tracking down clues to gradual functional deteriorations. Second, practitioners establish a cooperative committee to link residents and practitioners for responding to the subtle expressions of the elderly. Finally, practitioners maximize the opportunities for improving the quality of the elderly's remaining lives. These results can be the basis for the first prototype in developing interdisciplinary practical guidelines for nursing home-specific palliative care and can provide new insights for the practical care concept of palliative care.
KW - aged
KW - interdisciplinary studies
KW - nursing homes
KW - palliative care
KW - qualitative research
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U2 - 10.1097/NJH.0000000000000579
DO - 10.1097/NJH.0000000000000579
M3 - Article
C2 - 31162151
AN - SCOPUS:85074551781
VL - 21
SP - E9-E15
JO - Journal of Hospice and Palliative Nursing
JF - Journal of Hospice and Palliative Nursing
SN - 1522-2179
IS - 6
ER -