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https://ahro.austin.org.au/austinjspui/handle/1/33987
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Gerber, Katrin | - |
dc.contributor.author | Bloomer, Melissa J | - |
dc.contributor.author | Hayes, Barbara | - |
dc.contributor.author | Lee, Cik Yin | - |
dc.contributor.author | Lock, Kayla | - |
dc.contributor.author | Bodna, Karen | - |
dc.contributor.author | Yates, Paul A | - |
dc.date | 2023 | - |
dc.date.accessioned | 2023-10-18T03:29:28Z | - |
dc.date.available | 2023-10-18T03:29:28Z | - |
dc.date.issued | 2023-10-13 | - |
dc.identifier.citation | Geriatric Nursing (New York, N.Y.) 2023-10-13; 54 | en_US |
dc.identifier.issn | 1528-3984 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/33987 | - |
dc.description.abstract | Prognostic avoidance can delay discussions about older hospital patients' life expectancy. This pilot study examined the effects of a prognostic training program on hospital clinicians' knowledge and confidence in identifying older patients at risk of dying. Fifty-seven clinicians from aged care assessment teams at two Australian hospitals were introduced to the Palliative Prognostic Index, a 5-item checklist indicating prognoses between 3 and 6 weeks. Mixed-methods training evaluation included pre-post-training surveys and semi-structured interviews, conducted three months post-training. Clinicians used a combination of experience, knowledge, and intuition as strategies to generate prognoses. Allied health staff relied on intuition more often than medical and nursing staff. Prognostic tools were rarely used. Pre-post-training comparisons showed significant improvements in clinicians' knowledge and confidence in identifying signs of dying, particularly amongst allied health. Follow-up interviews highlighted advantages and challenges of using prognostic tools. Recommendations are made for addressing these. | en_US |
dc.language.iso | eng | - |
dc.subject | Aged | en_US |
dc.subject | Death | en_US |
dc.subject | Decision making | en_US |
dc.subject | Dying | en_US |
dc.subject | End-of-life care | en_US |
dc.subject | Hospital care | en_US |
dc.subject | Nursing | en_US |
dc.subject | Palliative care | en_US |
dc.subject | Qualitative research methods | en_US |
dc.subject | Quantitative research methods | en_US |
dc.subject | Residential aged care | en_US |
dc.subject | recognition of dying | en_US |
dc.title | Facing uncertainty - Pilot testing of a palliative prognostic index training with hospital aged care assessment teams. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Geriatric Nursing (New York, N.Y.) | en_US |
dc.identifier.affiliation | Melbourne School of Psychological Science, The University of Melbourne, Parkville VIC, 3010 Australia; Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville VIC, 3052 Australia; School of Media and Communication, RMIT, Melbourne VIC, 3000 Australia; The Royal Melbourne Hospital, Parkville VIC, 3052 Australia. | en_US |
dc.identifier.affiliation | School of Nursing and Midwifery, Griffith University, Nathan QLD, 4111, Australia; Intensive Care Unit, Princess Alexandra Hospital, Woolloongabba, QLD 4102, Australia; Menzies Health Institute Queensland, Southport 4222 QLD, Australia. | en_US |
dc.identifier.affiliation | Cancer Services, Northern Health, Bundoora VIC, 3083 Australia; Northern Clinical School, University of Melbourne, Bundoora VIC, 3083 Australia. | en_US |
dc.identifier.affiliation | Centre for Medicine Use and Safety, Monash University, Parkville VIC, 3052 Australia; Department of Nursing, University of Melbourne, Parkville VIC, 3052 Australia. | en_US |
dc.identifier.affiliation | Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville VIC, 3052 Australia; School of Medicine, The University of Melbourne, Parkville VIC, 3010 Australia. | en_US |
dc.identifier.affiliation | Community Advisory Group, Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville VIC, 3052 Australia. | en_US |
dc.identifier.affiliation | Geriatric Medicine | en_US |
dc.identifier.affiliation | School of Medicine, The University of Melbourne, Parkville VIC, 3010 Australia. | en_US |
dc.identifier.doi | 10.1016/j.gerinurse.2023.09.014 | en_US |
dc.type.content | Text | en_US |
dc.identifier.pubmedid | 37839368 | - |
dc.description.volume | 54 | - |
dc.description.startpage | 211 | - |
dc.description.endpage | 218 | - |
item.languageiso639-1 | en | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Aged Care | - |
crisitem.author.dept | Geriatric Medicine | - |
Appears in Collections: | Journal articles |
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