Next Article in Journal
Changes in the Impacts of Topographic Factors, Soil Texture, and Cropping Systems on Topsoil Chemical Properties in the Mountainous Areas of the Subtropical Monsoon Region from 2007 to 2017: A Case Study in Hefeng, China
Next Article in Special Issue
Mapping Research Conducted on Long-Term Care Facilities for Older People in Brazil: A Scoping Review
Previous Article in Journal
The Influence of Child-Related Factors on Caregiver Perceptions of Their Child’s Sustained Participation in a Community Football Program: A Study of Children with and without Neurodevelopmental Disorders
Previous Article in Special Issue
Personal and Work-Related Factors Associated with Good Care for Institutionalized Older Adults
Article

Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes

1
VUB-UGhent End-of-life Care Research Group, Vrije Universiteit Brussel (VUB), 1090 Brussel, Belgium
2
Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel (VUB), 1090 Brussel, Belgium
3
Department of Radiotherapy, University Hospital Brussels, 1090 Brussel, Belgium
4
Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 829; https://doi.org/10.3390/ijerph18020829
Received: 16 December 2020 / Revised: 15 January 2021 / Accepted: 15 January 2021 / Published: 19 January 2021
(This article belongs to the Special Issue Enhancing the Quality of Care in Long-Term Care Settings)
An increasingly frail population in nursing homes accentuates the need for high quality care at the end of life and better access to palliative care in this context. Implementation of palliative care and its outcomes can be monitored by using quality indicators. Therefore, we developed a quality indicator set for palliative care in nursing homes and a tailored measurement procedure while using a mixed-methods design. We developed the instrument in three phases: (1) literature search, (2) interviews with experts, and (3) indicator and measurement selection by expert consensus (RAND/UCLA). Second, we pilot tested and evaluated the instrument in nine nursing homes in Flanders, Belgium. After identifying 26 indicators in the literature and expert interviews, 19 of them were selected through expert consensus. Setting-specific themes were advance care planning, autonomy, and communication with family. The quantitative and qualitative analyses showed that the indicators were measurable, had good preliminary face validity and discriminative power, and were considered to be useful in terms of quality monitoring according to the caregivers. The quality indicators can be used in a large implementation study and process evaluation in order to achieve continuous monitoring of the access to palliative care for all of the residents in nursing homes. View Full-Text
Keywords: nursing homes; quality indicators; quality measurement; palliative care; quality of care; end of life care nursing homes; quality indicators; quality measurement; palliative care; quality of care; end of life care
Show Figures

Figure 1

MDPI and ACS Style

Dupont, C.; De Schreye, R.; Cohen, J.; De Ridder, M.; Van den Block, L.; Deliens, L.; Leemans, K. Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes. Int. J. Environ. Res. Public Health 2021, 18, 829. https://doi.org/10.3390/ijerph18020829

AMA Style

Dupont C, De Schreye R, Cohen J, De Ridder M, Van den Block L, Deliens L, Leemans K. Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes. International Journal of Environmental Research and Public Health. 2021; 18(2):829. https://doi.org/10.3390/ijerph18020829

Chicago/Turabian Style

Dupont, Charlèss, Robrecht De Schreye, Joachim Cohen, Mark De Ridder, Lieve Van den Block, Luc Deliens, and Kathleen Leemans. 2021. "Pilot Study to Develop and Test Palliative Care Quality Indicators for Nursing Homes" International Journal of Environmental Research and Public Health 18, no. 2: 829. https://doi.org/10.3390/ijerph18020829

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop