Family perceptions of palliative care consultations for nursing home residents
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVES: Palliative care (PC) consultations, often facilitated by providers external to nursing homes (NHs), can reduce unwanted hospitalizations and improve decision-making and communication for nursing home (NH) residents. However, limited literature has documented the specific elements within PC consultations that drive positive outcomes. Given the critical role of family members, especially for residents with cognitive impairment, this study aimed to: (1) identify actions and interactions during recent PC consultation visits, and (2) summarize family perceptions of these visits. METHODS: Using a descriptive qualitative research design, family caregivers (N = 22) from five NHs across two states (Indiana and Maryland) were recruited to be interviewed within approximately one month of a PC consultation. These family caregivers had participated in a clinical trial of PC. Semi-structured interviews were transcribed, analyzed using thematic content analysis and finalized for discussions. RESULTS: Most family caregivers were adult children (59.1%), were female (81.9%), and Black (54.6%). Four interaction themes emerged regarding PC consultations interactions: they (1) promoted physical comfort, (2) supported family members, (3) attended to residents’ social needs, and (4) provided next steps/care planning. Four themes on perceived benefits of consultation visits were identified. Visits (1) improved residents’ quality of life, (2) provided recommendations/referrals, (3) kept family members informed, and (4) supported family members. DISCUSSION: Family caregivers had favorable impressions of PC consultation visits and provided insights into specific interactions during visits. Garnering the perspectives of family caregivers involved in PC consultations is vital for designing interventions that better support residents with cognitive impairment and their families. Findings reinforce the importance of expanding access to PC consultations in NHs that prioritize family involvement. TRIAL REGISTRATION: The UPLIFT project was registered on ClinicalTrials.gov NCT04520698 on 8/17/2020.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Family perceptions of palliative care consultations for nursing home residents
- Date Crossref
- 16/04/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Maryland Division of Gerontology pays non établi dans la noticeUniversité ou école supérieure
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University of Baltimore pays non établi dans la noticeUniversité ou école supérieure
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University of Pennsylvania pays non établi dans la noticeUniversité ou école supérieure
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Regenstrief Institute pays non établi dans la noticeOrganisation à but non lucratif
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Indiana University – Purdue University Indianapolis pays non établi dans la noticeUniversité ou école supérieure
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A.T. Still University pays non établi dans la noticeUniversité ou école supérieure
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University of Alabama pays non établi dans la noticeUniversité ou école supérieure
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School of Social Work pays non établi dans la noticeUniversité ou école supérieure
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School of Nursing pays non établi dans la noticeUniversité ou école supérieure
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School of Medicine pays non établi dans la noticeUniversité ou école supérieure
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School of Osteopathic Medicine pays non établi dans la noticeUniversité ou école supérieure
Division of Gerontology — University of Maryland, University of Baltimore et University of Pennsylvania, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.