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Providing palliative care in a rehabilitation setting: a staff needs assessment

Citation

Namasivayam, P and Barnett, T, Providing palliative care in a rehabilitation setting: a staff needs assessment, Journal of the Australasian Rehabilitation Nurses Association, 19, (2) pp. 8-14. ISSN 1440-3994 (2016) [Refereed Article]


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Copyright Statement

Copyright 2016 JARNA

Official URL: http://www.arna.com.au/

Abstract

Background: Rehabilitation is aimed at maximising a personís ability to live well and as independently as possible within their circumstances. However, when a patientís condition deteriorates, health care professionals working in rehabilitation may be required to adopt a more palliative approach to care and need to be prepared for this to optimise quality of life and relieve suffering.

Aims and objectives: This study aimed to identify the multidisciplinary health care team membersí education and support needs in providing palliative care at an outer metropolitan in-patient rehabilitation facility.

Methods: An exploratory study which used a mixed-method approach. A structured survey was administered to all clinical staff, and 58 completed surveys were returned. Subsequently, three focus group discussions were conducted where a summary of the survey results were presented and discussed by 22 survey respondents.

Results: In the survey, participants reported confidence in managing patientsí physical care and providing support, though indicated the need for more education and support in palliative aspects of care. The focus group discussions uncovered challenges associated with the integration of palliative approaches to rehabilitative care that included: identifying when and how care transition occurs; and the skills and strategies needed to provide optimum care to the patient across this continuum.

Conclusion: The study highlights the challenges rehabilitation health care professionals encountered in providing palliative care. To ensure that patients receive optimal care, participants stressed the importance of a supportive environment, adequate resources and being equipped with appropriate knowledge and skills.

Item Details

Item Type:Refereed Article
Keywords:palliative care, end-of-life care, staff development, rehabilitation, education needs
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rehabilitation and Therapy (excl. Physiotherapy)
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Palliative Care
Author:Barnett, T (Associate Professor Tony Barnett)
ID Code:111764
Year Published:2016
Deposited By:Centre for Rural Health
Deposited On:2016-10-05
Last Modified:2017-11-02
Downloads:2 View Download Statistics

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