799
Views
5
CrossRef citations to date
0
Altmetric
Articles

Supporting adoption of the palliative approach toolkit in residential aged care: an exemplar of organisational facilitation for sustainable quality improvement

ORCID Icon, &
Pages 369-379 | Received 27 Feb 2016, Accepted 16 Sep 2019, Published online: 03 Oct 2019
 

Abstract

Background: National guidelines and resources to support a palliative approach in residential aged care were designed to improve the provision of palliative and end-of-life care; however, implementation has been sporadic.

Objective: To support implementation of a palliative approach in aged care using a facilitation training model and existing palliative approach toolkit resources.

Methods: Organisation-wide educational intervention delivered by a specialised Palliative Approach Facilitator for 6 months. Training included palliative approach principles, advance care planning, clinical management, equipment use, case conferencing, care planning and self-care.

Results: The intervention included 197 internal and external staff and reviewed advanced care plans for 484 clients. Increased staff knowledge and confidence with discussions involving advance care planning, end-of-life care and supporting bereaving families resulted.

Conclusion: This targeted intervention addressed barriers to adoption of a palliative approach, representing a flexible training model for building workforce capacity, promoting quality improvement and sustaining best practice in aged care settings.

Acknowledgements

The Sub Acute Healthcare Linkages in Later Years (SALLY) project was funded by the Department of Social Services under the Better Health Care Connections: Models for Short Term, More Intensive Health Care for Aged Care Recipients Program.

Additional information

Funding

This work was supported by Australian Government Department of Social Services [The Sub Acute Healthcare Linkages in Later Years].

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 601.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.