Evaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: staff perspectives.

Hdl Handle:
http://hdl.handle.net/10147/605757
Title:
Evaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: staff perspectives.
Authors:
Cornally, Nicola; McGlade, Ciara; Weathers, Elizabeth; Daly, Edel; Fitzgerald, Carol; O'Caoimh, Rónán; Coffey, Alice; Molloy, D William
Citation:
Evaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: staff perspectives. 2015, 14:55 BMC Palliat Care
Publisher:
BMC Palliative Care
Journal:
BMC palliative care
Issue Date:
Nov-2015
URI:
http://hdl.handle.net/10147/605757
DOI:
10.1186/s12904-015-0051-x
PubMed ID:
26531317
Abstract:
The 'Let Me Decide' Advance Care Planning (LMD-ACP) programme offers a structured approach to End-of-Life (EoL) care planning in long-term care for residents with and without capacity to complete an advance care directive/plan. The programme was implemented in three homes in the South of Ireland, with a view to improving quality of care at end of life. This paper will present an evaluation of the systematic implementation of the LMD-ACP programme in the homes.; Focus groups were conducted with 15 Clinical Nurse Managers and two Directors of Nursing where the programme had been implemented. A semi-structured topic guide was used to direct questions that addressed implementation process, challenges implementing advance care planning, advantages/disadvantages and recommendations for the future. Data was analysed using manifest content analysis.; Five key categories emerged, with 16 corresponding subcategories. These subcategories emerged as a result of 37 codes. Key benefits of the programme included enhancing communication, changing the care culture, promoting preference-based care and avoiding crisis decision making. Establishing capacity among residents and indecision were among the main challenges reported by staff.; A number of recommendations were proposed by participants and included multi-disciplinary team involvement, and a blended approach to education on the topic. According to participants relationships with residents deepened, there was a more open and honest environment with family, end of life care focused more on symptom management, comfort and addressing spiritual care needs as opposed to crisis decision making and family conflict.; The introduction of the LMD-ACP programme enhanced the delivery of care in the long-term care sites and led to a more open and positive care environment.
Item Type:
Article
Language:
en
Description:
The ‘Let Me Decide’ Advance Care Planning (LMD-ACP) programme offers a structured approach to End-of-Life (EoL) care planning in long-term care for residents with and without capacity to complete an advance care directive/plan. The programme was implemented in three homes in the South of Ireland, with a view to improving quality of care at end of life. This paper will present an evaluation of the systematic implementation of the LMD-ACP programme in the homes
Keywords:
RESIDENTIAL CARE; END OF LIFE CARE; ADVANCE DIRECTIVES
ISSN:
1472-684X

Full metadata record

DC FieldValue Language
dc.contributor.authorCornally, Nicolaen
dc.contributor.authorMcGlade, Ciaraen
dc.contributor.authorWeathers, Elizabethen
dc.contributor.authorDaly, Edelen
dc.contributor.authorFitzgerald, Carolen
dc.contributor.authorO'Caoimh, Rónánen
dc.contributor.authorCoffey, Aliceen
dc.contributor.authorMolloy, D Williamen
dc.date.accessioned2016-04-18T14:53:45Zen
dc.date.available2016-04-18T14:53:45Zen
dc.date.issued2015-11en
dc.identifier.citationEvaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: staff perspectives. 2015, 14:55 BMC Palliat Careen
dc.identifier.issn1472-684Xen
dc.identifier.pmid26531317en
dc.identifier.doi10.1186/s12904-015-0051-xen
dc.identifier.urihttp://hdl.handle.net/10147/605757en
dc.descriptionThe ‘Let Me Decide’ Advance Care Planning (LMD-ACP) programme offers a structured approach to End-of-Life (EoL) care planning in long-term care for residents with and without capacity to complete an advance care directive/plan. The programme was implemented in three homes in the South of Ireland, with a view to improving quality of care at end of life. This paper will present an evaluation of the systematic implementation of the LMD-ACP programme in the homesen
dc.description.abstractThe 'Let Me Decide' Advance Care Planning (LMD-ACP) programme offers a structured approach to End-of-Life (EoL) care planning in long-term care for residents with and without capacity to complete an advance care directive/plan. The programme was implemented in three homes in the South of Ireland, with a view to improving quality of care at end of life. This paper will present an evaluation of the systematic implementation of the LMD-ACP programme in the homes.en
dc.description.abstractFocus groups were conducted with 15 Clinical Nurse Managers and two Directors of Nursing where the programme had been implemented. A semi-structured topic guide was used to direct questions that addressed implementation process, challenges implementing advance care planning, advantages/disadvantages and recommendations for the future. Data was analysed using manifest content analysis.en
dc.description.abstractFive key categories emerged, with 16 corresponding subcategories. These subcategories emerged as a result of 37 codes. Key benefits of the programme included enhancing communication, changing the care culture, promoting preference-based care and avoiding crisis decision making. Establishing capacity among residents and indecision were among the main challenges reported by staff.en
dc.description.abstractA number of recommendations were proposed by participants and included multi-disciplinary team involvement, and a blended approach to education on the topic. According to participants relationships with residents deepened, there was a more open and honest environment with family, end of life care focused more on symptom management, comfort and addressing spiritual care needs as opposed to crisis decision making and family conflict.en
dc.description.abstractThe introduction of the LMD-ACP programme enhanced the delivery of care in the long-term care sites and led to a more open and positive care environment.en
dc.language.isoenen
dc.publisherBMC Palliative Careen
dc.rightsArchived with thanks to BMC palliative careen
dc.subjectRESIDENTIAL CAREen
dc.subjectEND OF LIFE CAREen
dc.subjectADVANCE DIRECTIVESen
dc.titleEvaluating the systematic implementation of the 'Let Me Decide' advance care planning programme in long term care through focus groups: staff perspectives.en
dc.typeArticleen
dc.identifier.journalBMC palliative careen

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.