Please use this identifier to cite or link to this item:
https://ahro.austin.org.au/austinjspui/handle/1/33987
Title: | Facing uncertainty - Pilot testing of a palliative prognostic index training with hospital aged care assessment teams. | Austin Authors: | Gerber, Katrin;Bloomer, Melissa J;Hayes, Barbara;Lee, Cik Yin;Lock, Kayla;Bodna, Karen;Yates, Paul A | 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. 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. Cancer Services, Northern Health, Bundoora VIC, 3083 Australia; Northern Clinical School, University of Melbourne, Bundoora VIC, 3083 Australia. Centre for Medicine Use and Safety, Monash University, Parkville VIC, 3052 Australia; Department of Nursing, University of Melbourne, Parkville VIC, 3052 Australia. Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville VIC, 3052 Australia; School of Medicine, The University of Melbourne, Parkville VIC, 3010 Australia. Community Advisory Group, Melbourne Ageing Research Collaboration, National Ageing Research Institute, Parkville VIC, 3052 Australia. Geriatric Medicine School of Medicine, The University of Melbourne, Parkville VIC, 3010 Australia. |
Issue Date: | 13-Oct-2023 | Date: | 2023 | Publication information: | Geriatric Nursing (New York, N.Y.) 2023-10-13; 54 | 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. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/33987 | DOI: | 10.1016/j.gerinurse.2023.09.014 | ORCID: | Journal: | Geriatric Nursing (New York, N.Y.) | Start page: | 211 | End page: | 218 | PubMed URL: | 37839368 | ISSN: | 1528-3984 | Type: | Journal Article | Subjects: | Aged Death Decision making Dying End-of-life care Hospital care Nursing Palliative care Qualitative research methods Quantitative research methods Residential aged care recognition of dying |
Appears in Collections: | Journal articles |
Show full item record
Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.