Palliative care delivery in residential aged care: bereaved family member experiences of the Supportive Hospice Aged Residential Exchange (SHARE) intervention

BMC Palliat Care. 2020 Aug 17;19(1):127. doi: 10.1186/s12904-020-00633-x.

Abstract

Background: The supportive hospice aged residential exchange (SHARE) is a new model of palliative care education that has been designed for residential aged care. The goal of SHARE is to help clinical staff improve palliative care within residential aged care facilities and to improve specialist palliative care nurses' knowledge and skill to care for frail older people.

Method: The experiences of 18 bereaved families concerning the palliative care journey (both at the start and finish of a one-year implementation of SHARE) were explored using semi-structured interviews.

Results: Three themes were important to bereaved families' experience: communication with staff, systems of care, and hospice involvement. Sub-themes indicating changes in these three components of care between the start and finish of SHARE was identified. A fourth theme highlighted challenges (relationship with GP, staff shortages, and turnover) that continued across SHARE.

Conclusion: Findings indicated that SHARE benefited families (improved communication and support) through the end of life journey of their relatives, but challenges remained.

Keywords: Bereaved families; Older adults; Palliative care; Residential aged care.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude of Health Personnel
  • Family / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • New Zealand
  • Palliative Care / psychology
  • Palliative Care / standards*
  • Palliative Care / statistics & numerical data
  • Patient Satisfaction
  • Professional-Family Relations
  • Qualitative Research
  • Residential Facilities / organization & administration
  • Residential Facilities / standards*
  • Residential Facilities / statistics & numerical data