overview of environmental scan findings. environmental scan – year 1 quantitative and qualitative...
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Overview of Environmental Scan
Findings
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Environmental Scan – Year 1
•Quantitative and qualitative research methods: Surveys, Interviews, Focus Groups, Participant Observations, Document Reviews
•Participants: Residents, Family members, Physicians, PSWs, RNs, RPNs, Spiritual Care, Social Work, Recreation, Dietary, Housekeeping, Maintenance, Administration, Volunteers and Community Partners
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Participants and Data Collection
• Surveys• All LTC home staff completed surveys
– Sample sizes across 4 homes are approximately:
• 205 PSWs• 69 Licensed Nurses• 79 Support Staff• 32 Administration• 39 Residents• 64 Family Members
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Summary of Survey Results that All Staff Completed
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FATCOD Survey(Frommelt Attitudes Toward the Care of Dying)
30-item scale designed to measure participants’ attitude toward providing care to dying people
Has no subscales
Each item is scored on a scale of 1 (strongly disagree) to 5 (strongly agree)
15 items are scored positively and 15 negatively (lower scores consistent with PC philosophy)
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Findings of the FATCOD Survey
Average scores across: 4.075
All four homes: 4.075 PSWs: 3.82 Licensed nurses: 4.21 Support Services: 3.89 Management: 4.16
On average, staff demonstrated a positive attitude about providing care for dying residents
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QiAS (Quality in Action Scale)
43-item scale designed to measure aspects of work culture related to quality:
Six subscales: improvement orientation patient focus personal influence/performance management style mission and goals orientation team work orientation participants’ attitude toward providing care to dying people
Each item is scored on a scale of 1 (strongly disagree) to 7 (strongly agree)
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Findings of the QiAS
Maple; n= 181 out of a possible 242 respondentsBirch; n= 135 out of a possible 202 respondentsElm; n= 52 out of a possible 135 respondentsPine; n = 55 out of a possible 104 respondents
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Summary of PSW Survey Results
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Psychological Empowerment in the Workplace (PEiW) Survey
PEiW is a 12-item scale that measures direct care workers’ sense of personal empowerment within their workplace
Each item is scored on a scale of 1 (strongly disagree) to 7 (strongly agree)
Four dimensions are measured: meaning competency self-determination impact
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Findings of the PEiW Survey
Pine; n= 24 out of a possible 44 respondentsBirch; n= 72 out of a possible 102 respondentsMaple; n= 86 out of a possible 124 respondentsElm; n= 47 out of a possible 53 respondents
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Supervisory Support Survey SSS is a 15-item scale that assesses aspects of
supervisory support
Each item is scored on a scale of 1 (never) to 5 (always)
Three dimensions are measured: empathy reliability nurturing connections
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Findings of Supervisory Support Survey
Birch; n= 73 out of a possible 102 respondentsMaple; n= 86 out of a possible 124 respondentsPine; n= 24 out of a possible 44 respondentsElm; n= 31 out of a possible 53 respondents
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Summary of Nurses Survey Results
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Self-Efficacy in End-of-Life Care (S-E EOLC)
This 25-item survey measures confidence in the ability to provide palliative care
Each item is scored on a scale of 0 (Cannot do at all) to 7 (Certain can do)
Includes 3 subscales:patient management communicationmultidisciplinary teamwork
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Findings of Self-Efficacy in End-of-Life Care Survey
Maple; n= 27 out of a possible 43 respondentsBirch; n= 22 out of a possible 42 respondentsElm; n= 11 out of a possible 16 respondentsPine; n= 8 out of a possible 18 respondents
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Palliative Care Quiz (PCQ) The PCQ is a 20-item
scale that measures knowledge of palliative care nursing
It can be use to stimulate discussion of palliative care nursing and to identify misconceptions about the delivery of palliative care.
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Findings of the Palliative Care Quiz Overall, nurses scored an average of
60.22 % on the PCQ. Scores for the individual homes are listed below:
Higher scores were achieved on questions related to use of pain medications
Birch average score = 63.4%Maple average score = 62.98%Elm average score = 62%Pine average score = 52.5%
Birch; n= 22 out of a possible 42 respondentsMaple; n= 27 out of a possible 43 respondentsElm; n= 12 out of a possible 16 respondentsPine; n= 8 out of a possible 18 respondents
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Family and Resident Results
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Quality of Life in Life-Threatening Illness – Family Caregiver Quality of Life in Life-Threatening Illness – Family Caregiver
What is the QOLLTI-F survey?
The Quality of Life in Life-Threatening Illness – Family Caregiver Version (QOLLTI-F) survey assesses the quality of life of caregivers for people with life-threatening chronic or terminal health conditions.
There are five dimensions to this survey; – environment, – patient state, – own state, – outlook, – quality of care, – relationships and – financial worries.
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QOLLTI-F
Maple; n= 15 respondentsBirch; n= 23 respondentsElm; n= 22 respondentsPine; n= 14 respondents
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What is the MQoL survey?
The McGill Quality of Life Questionnaire (MQoL) was developed to measure five dimensions of quality of life which are: physical symptoms, physical well-being, psychological, existential and support.
What is quality of life? Quality of life is defined as an individual’s subjective
well-being.
McGill Quality of life Survey
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MQOL
Maple; n= 5 residentsBirch; n= 2 residents, 17 proxies Elm; n= 1 resident, 6 proxyPine; n= 6 resident, 2 proxy
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Group Discussion
What surprised you most/least about the results of the environmental scan?
What practices and strategies are you aware of that have been effective in providing palliative care in long-term care homes?
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Acknowledgement
Funding Provided By:Social Sciences and Humanities Council of Canada
Thank you to our partners:
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Contact Us
Visit our website:www.palliativealliance.ca
Email us:[email protected]
Call us:807-766-7228Thank You