東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Length of Stay and Palliative Care:U...

Moore, Danielle Collingridge,

Linked to FindBook

Google Book

Amazon

博客來

Length of Stay and Palliative Care:Understanding Long-Term Care Facility Residents in Europe /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Length of Stay and Palliative Care:Understanding Long-Term Care Facility Residents in Europe // Danielle Collingridge Moore.
Author:	Moore, Danielle Collingridge,
Description:	1 electronic resource (379 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 83-02, Section: B.
Contained By:	Dissertations Abstracts International83-02B.
Subject:	Palliative care. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28664628
ISBN:	9798522955946

Length of Stay and Palliative Care:Understanding Long-Term Care Facility Residents in Europe /
Moore, Danielle Collingridge,

Length of Stay and Palliative Care:Understanding Long-Term Care Facility Residents in Europe /Danielle Collingridge Moore. - 1 electronic resource (379 pages)

Source: Dissertations Abstracts International, Volume: 83-02, Section: B.

Background: A key consequence of population ageing will be an increase in the number of care-dependant older adults, unable to remain living in the community until death. The importance of developing long-term care systems to meet the care needs of this group has been recognised in international health policy on ageing; however, the role of long-term care facilities (LTCFs) has received less attention. An understanding of the variation in how long older adults reside in such facilities after admission, the implications of length of stay for palliative care provision, and how palliative care can be implemented successfully in these settings, is urgently needed.Aim: The overarching research question of this thesis is 'How are resident length of stay and palliative care in long-term care facilities associated?' Firstly, it aims to systematically identify, synthesise and quality assess factors associated with resident length of stay in LTCFs. Secondly, to explore the association of resident, facility and country characteristics with length of stay in LTCFs. Thirdly, to explore the relationship between length of stay and care at end of life in LTCFs, and fourthly to identify facilitators and barriers to implementing palliative care interventions in LTCFs.Methods: A systematic review was conducted to identify factors associated with length of stay until death in LTCFs, and data assessed and synthesised using an existing tool adapted specifically for this review. Time to event analysis was conducted on internationally comparable data collected in a mortality follow-back study of 1,707 deceased LTCF residents in six European countries. Using the same dataset, generalised linear mixed models were used to explore the relationship between length of stay and five indicators of care at end of life. Finally, a scoping review of implementation strategies used in organisational level interventions that aimed to improve palliative care in LTCFs was conducted, using thematic synthesis to analyse the data.Results: The thesis identified heterogeneity in the length of stay of LTCF residents, explained by the "theoretical framework of deferred admission". It found that longer stay residents were more likely to experience better outcomes on indicators of palliative care, and produced a three-stage framework of implementation for palliative care interventions in LTCFs.Conclusion: In applying the theoretical framework of deferred admission, the thesis argues that length of stay is explained though the interplay of a resident's intrinsic capacity and their environmental resources. These findings can guide the implementation of palliative care for all LTCF residents by identifying subgroups likely to experience poorer indicators of palliative care.

English

ISBN: 9798522955946Subjects--Topical Terms:

3543701
Palliative care.

Length of Stay and Palliative Care:Understanding Long-Term Care Facility Residents in Europe /
LDR:04118nmm a22004093i 4500 001 2430598
005 20250527055713.5
006 m o d
007 cr|nu||||||||
008 261011s2021 miu||||||m |||||||eng d
020 $a 9798522955946
035 $a (MiAaPQD)AAI28664628
035 $a (MiAaPQD)Lancaster_155102
035 $a AAI28664628
040 $a MiAaPQD $b eng $c MiAaPQD $e rda
100 1 $a Moore, Danielle Collingridge, $e author. $3 3818996
245 1 0 $a Length of Stay and Palliative Care:Understanding Long-Term Care Facility Residents in Europe / $c Danielle Collingridge Moore.
264 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 1 electronic resource (379 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 83-02, Section: B.
500 $a Advisors: Froggatt, Katherine.
502 $b Ph.D. $c Lancaster University (United Kingdom) $d 2021.
520 $a Background: A key consequence of population ageing will be an increase in the number of care-dependant older adults, unable to remain living in the community until death. The importance of developing long-term care systems to meet the care needs of this group has been recognised in international health policy on ageing; however, the role of long-term care facilities (LTCFs) has received less attention. An understanding of the variation in how long older adults reside in such facilities after admission, the implications of length of stay for palliative care provision, and how palliative care can be implemented successfully in these settings, is urgently needed.Aim: The overarching research question of this thesis is 'How are resident length of stay and palliative care in long-term care facilities associated?' Firstly, it aims to systematically identify, synthesise and quality assess factors associated with resident length of stay in LTCFs. Secondly, to explore the association of resident, facility and country characteristics with length of stay in LTCFs. Thirdly, to explore the relationship between length of stay and care at end of life in LTCFs, and fourthly to identify facilitators and barriers to implementing palliative care interventions in LTCFs.Methods: A systematic review was conducted to identify factors associated with length of stay until death in LTCFs, and data assessed and synthesised using an existing tool adapted specifically for this review. Time to event analysis was conducted on internationally comparable data collected in a mortality follow-back study of 1,707 deceased LTCF residents in six European countries. Using the same dataset, generalised linear mixed models were used to explore the relationship between length of stay and five indicators of care at end of life. Finally, a scoping review of implementation strategies used in organisational level interventions that aimed to improve palliative care in LTCFs was conducted, using thematic synthesis to analyse the data.Results: The thesis identified heterogeneity in the length of stay of LTCF residents, explained by the "theoretical framework of deferred admission". It found that longer stay residents were more likely to experience better outcomes on indicators of palliative care, and produced a three-stage framework of implementation for palliative care interventions in LTCFs.Conclusion: In applying the theoretical framework of deferred admission, the thesis argues that length of stay is explained though the interplay of a resident's intrinsic capacity and their environmental resources. These findings can guide the implementation of palliative care for all LTCF residents by identifying subgroups likely to experience poorer indicators of palliative care.
546 $a English
590 $a School code: 0416
650 4 $a Palliative care. $3 3543701
650 4 $a Frailty. $3 3690432
650 4 $a Older people. $3 761975
650 4 $a Epidemiology. $3 568544
650 4 $a Nursing care. $3 1962274
650 4 $a COVID-19. $3 3554449
650 4 $a Medical research. $2 bicssc $3 1556686
650 4 $a Aging. $3 543123
650 4 $a Gerontology. $3 533633
650 4 $a Medicine. $3 641104
650 4 $a Nursing. $3 528444
690 $a 0766
690 $a 0493
690 $a 0351
690 $a 0564
690 $a 0569
710 2 $a Lancaster University (United Kingdom). $e degree granting institution. $3 3815477
720 1 $a Froggatt, Katherine $e degree supervisor.
773 0 $t Dissertations Abstracts International $g 83-02B.
790 $a 0416
791 $a Ph.D.
792 $a 2021
856 4 0 $u https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28664628