Overview of Environmental Scan

Findings

Environmental Scan – Year 1

•Quantitative and qualitative research methods: Surveys, Interviews, Focus Groups, Participant Observations, Document Reviews

•Participants: Residents, Family members, Physicians, PSWs, RNs, RPNs, Spiritual Care, Social Work, Recreation, Dietary, Housekeeping, Maintenance, Administration, Volunteers and Community Partners

Participants and Data Collection

• Surveys• All LTC home staff completed surveys

– Sample sizes across 4 homes are approximately:

• 205 PSWs• 69 Licensed Nurses• 79 Support Staff• 32 Administration• 39 Residents• 64 Family Members

Summary of Survey Results that All Staff Completed

FATCOD Survey(Frommelt Attitudes Toward the Care of Dying)

30-item scale designed to measure participants’ attitude toward providing care to dying people

Has no subscales

Each item is scored on a scale of 1 (strongly disagree) to 5 (strongly agree)

15 items are scored positively and 15 negatively (lower scores consistent with PC philosophy)

Findings of the FATCOD Survey

Average scores across: 4.075

All four homes: 4.075 PSWs: 3.82 Licensed nurses: 4.21 Support Services: 3.89 Management: 4.16

On average, staff demonstrated a positive attitude about providing care for dying residents

QiAS (Quality in Action Scale)

43-item scale designed to measure aspects of work culture related to quality:

Six subscales: improvement orientation patient focus personal influence/performance management style mission and goals orientation team work orientation participants’ attitude toward providing care to dying people

Each item is scored on a scale of 1 (strongly disagree) to 7 (strongly agree)

Findings of the QiAS

Maple; n= 181 out of a possible 242 respondentsBirch; n= 135 out of a possible 202 respondentsElm; n= 52 out of a possible 135 respondentsPine; n = 55 out of a possible 104 respondents

Summary of PSW Survey Results

Psychological Empowerment in the Workplace (PEiW) Survey

PEiW is a 12-item scale that measures direct care workers’ sense of personal empowerment within their workplace

Each item is scored on a scale of 1 (strongly disagree) to 7 (strongly agree)

Four dimensions are measured: meaning competency self-determination impact

Findings of the PEiW Survey

Pine; n= 24 out of a possible 44 respondentsBirch; n= 72 out of a possible 102 respondentsMaple; n= 86 out of a possible 124 respondentsElm; n= 47 out of a possible 53 respondents

Supervisory Support Survey SSS is a 15-item scale that assesses aspects of

supervisory support

Each item is scored on a scale of 1 (never) to 5 (always)

Three dimensions are measured: empathy reliability nurturing connections

Findings of Supervisory Support Survey

Birch; n= 73 out of a possible 102 respondentsMaple; n= 86 out of a possible 124 respondentsPine; n= 24 out of a possible 44 respondentsElm; n= 31 out of a possible 53 respondents

Summary of Nurses Survey Results

Self-Efficacy in End-of-Life Care (S-E EOLC)

This 25-item survey measures confidence in the ability to provide palliative care

Each item is scored on a scale of 0 (Cannot do at all) to 7 (Certain can do)

Includes 3 subscales:patient management communicationmultidisciplinary teamwork

Findings of Self-Efficacy in End-of-Life Care Survey

Maple; n= 27 out of a possible 43 respondentsBirch; n= 22 out of a possible 42 respondentsElm; n= 11 out of a possible 16 respondentsPine; n= 8 out of a possible 18 respondents

Palliative Care Quiz (PCQ) The PCQ is a 20-item

scale that measures knowledge of palliative care nursing

It can be use to stimulate discussion of palliative care nursing and to identify misconceptions about the delivery of palliative care.

Findings of the Palliative Care Quiz Overall, nurses scored an average of

60.22 % on the PCQ. Scores for the individual homes are listed below:

Higher scores were achieved on questions related to use of pain medications

Birch average score = 63.4%Maple average score = 62.98%Elm average score = 62%Pine average score = 52.5%

Birch; n= 22 out of a possible 42 respondentsMaple; n= 27 out of a possible 43 respondentsElm; n= 12 out of a possible 16 respondentsPine; n= 8 out of a possible 18 respondents

Family and Resident Results

Quality of Life in Life-Threatening Illness – Family Caregiver Quality of Life in Life-Threatening Illness – Family Caregiver

What is the QOLLTI-F survey?

The Quality of Life in Life-Threatening Illness – Family Caregiver Version (QOLLTI-F) survey assesses the quality of life of caregivers for people with life-threatening chronic or terminal health conditions.

There are five dimensions to this survey; – environment, – patient state, – own state, – outlook, – quality of care, – relationships and – financial worries.

QOLLTI-F

Maple; n= 15 respondentsBirch; n= 23 respondentsElm; n= 22 respondentsPine; n= 14 respondents

What is the MQoL survey?

The McGill Quality of Life Questionnaire (MQoL) was developed to measure five dimensions of quality of life which are: physical symptoms, physical well-being, psychological, existential and support.

What is quality of life? Quality of life is defined as an individual’s subjective

well-being.

McGill Quality of life Survey

MQOL

Maple; n= 5 residentsBirch; n= 2 residents, 17 proxies Elm; n= 1 resident, 6 proxyPine; n= 6 resident, 2 proxy

Group Discussion

What surprised you most/least about the results of the environmental scan?

What practices and strategies are you aware of that have been effective in providing palliative care in long-term care homes?

Acknowledgement

Funding Provided By:Social Sciences and Humanities Council of Canada

Thank you to our partners:

Contact Us

Visit our website:www.palliativealliance.ca

Email us:palliativealliance@lakeheadu.ca

Call us:807-766-7228Thank You