Staff Training Interventions to Improve End-of-Life Care of Nursing Home Residents: A Systematic Review

Show full item record



Permalink

http://hdl.handle.net/10138/335660

Citation

Lamppu , P J & Pitkälä , K H 2021 , ' Staff Training Interventions to Improve End-of-Life Care of Nursing Home Residents: A Systematic Review ' , Journal of the American Medical Directors Association , vol. 22 , no. 2 , pp. 268-278 . https://doi.org/10.1016/j.jamda.2020.09.011

Title: Staff Training Interventions to Improve End-of-Life Care of Nursing Home Residents: A Systematic Review
Author: Lamppu, Pauli J.; Pitkälä, Kaisu H.
Other contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Teachers' Academy


Date: 2021-02
Language: eng
Number of pages: 11
Belongs to series: Journal of the American Medical Directors Association
ISSN: 1525-8610
DOI: https://doi.org/10.1016/j.jamda.2020.09.011
URI: http://hdl.handle.net/10138/335660
Abstract: Objectives: The aim was to review evidence from all randomized controlled trials (RCTs) using palliative care education or staff training as an intervention to improve nursing home residents' quality of life (QOL) or quality of dying (QOD) or to reduce burdensome hospitalizations. Design: A systematic review with a narrative summary. Setting and Participants: Residents in nursing homes and other long-term care facilities. Methods: We searched MEDLINE, CINAHL, PsycINFO, the Cochrane Library, Scopus, and Google Scholar, references of known articles, previous reviews, and recent volumes of key journals. RCTs were included in the review. Methodologic quality was assessed. Results: The search yielded 932 articles after removing the duplicates. Of them, 16 cluster RCTs fulfilled inclusion criteria for analysis. There was a great variety in the interventions with respect to learning methods, intensity, complexity, and length of staff training. Most interventions featured other elements besides staff training. In the 6 high-quality trials, only 1 showed a reduction in hospitalizations, whereas among 6 moderate-quality trials 2 suggested a reduction in hospitalizations. None of the high-quality trials showed effects on residents' QOL or QOD. Staff reported an improved QOD in 1 moderatequality trial. Conclusions and Implications: Irrespective of the means of staff training, there were surprisingly few effects of education on residents' QOL, QOD, or burdensome hospitalizations. Further studies are needed to explore the reasons behind these findings. (C) 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
Subject: 3142 Public health care science, environmental and occupational health
Advance care planning
education
end-of-life care
Nursing home
PALLIATIVE CARE
Systematic Review
Advance care planning
education
end-of-life care
nursing home
palliative care
systematic review
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Systematicreview_revisedmanuscript.pdf 1.145Mb PDF View/Open

This item appears in the following Collection(s)

Show full item record