Har opplæringstiltak i sykehjem betydning for pleie og omsorg i livets sluttfase?
Peer reviewed, Research report
MetadataShow full item record
Original versionRapport fra Kunnskapssenteret 1/2009
1-PAGE KEY MESSAGES. OBJECTIVE: The aim of this report is to summarize the evidence of the effects of staff educational programmes in end-of-life care in nursing homes. The report is part of a project, initiated by the Directorate of Health, and aimed at providing better evidence for end-of-life care in nursing homes. METHODS: In this systematic review we have searched for, critically appraised, and summarised research from studies on the effectiveness of different staff educational programmes aimed at improving end-of-life care in nursing homes. RESULTS: After extensive and systematic searching, and based on explicit criteria for trustworthiness, we included five studies (six articles), all from USA, carried out in the period 1983 to 2005. All included studies aimed at improving staff’s knowledge, attitudes and skills. The results were inconsistent. Three of the four studies that evaluated effects on staff’s knowledge found that those who were trained had more knowledge compared to those not trained. Two studies also looked at staff’s practice, and one of these tested effects of nursing home staff training in care for the dying on the quality of life of terminally ill patients. Both studies demonstrated a favourable impact on patients when staff in nursing homes are trained to work with dying patients. For example dying patients in trained homes had greater satisfaction with care and were less depressed than patients in control homes. Moreover, intervention nursing homes increased hospice enrolments, pain assessment and non-pharmacological treatments for patients in pain, compared to nursing homes where staff had not attended the educational programme. CONCLUSION: Considering the large number of patients dying in nursing homes, more research that is properly designed to evaluate the effects of educational programmes in end-of-life care, is needed.
PublisherNorwegian Knowledge Centre for the Health Services
SeriesRapport fra Kunnskapssenteret