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Quality of dying among elderly people diagnosed with dementia in nursing homes : a mixed methods study
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Introduction: The complex nature of end-of-life assessment of individuals diagnosed with dementia would benefit from a mixed-methods approach that simultaneously assess the perception and response of nurses to standardized tools.
Aim/Question: To examine nursing professionals' perceptions of the quality of dying among residents diagnosed with dementia using the Quality of Dying in Long-Term Care settings (QoD-LTC) questionnaire and to identify consistencies and inconsistencies in their narratives.
Method: Mixed-methods study using concurrent triangulation with data integration for results and interpretation. Nurses from eight nursing homes assessed 117 residents diagnosed with dementia who died in the previous 3 months using the QoD-LTC scale. After informed consent was obtained (nurses/caregivers), 17 semi-structured scale-based interviews were conducted.
Results: Symptom management, quality of care, and end-of-life appearance were found to be adequate, while end-of-life communication was deemed insufficient. The qualitative and quantitative data were consistent for most of the items on the QoD-LTC.
Discussion: Concepts such as dignity, holistic care, good relationships, and peaceful death are complex and not fully incorporated into professional practice.
Implications for Practice: The results highlight the need for greater involvement of mental health nurses as well as improved communication, training, and specific tools tailored to residents diagnosed with dementia.
http://dx.doi.org/10.1111/jpm.12871
Voir la revue «Journal of psychiatric and mental health nursing»
Autres numéros de la revue «Journal of psychiatric and mental health nursing»
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