A Mixed-Methods Survey about a Palliative Approach in BC Nursing Care Settings

Engaging nurses and health care workers is central to the work of iPANEL. To inform health care service delivery in British Columbia, we need to understand how nurses and health care workers view and currently use a palliative approach to care for people with chronic life-limiting illness in hospital, residential and home care settings. We also need to understand the kinds of support and education that nurses and health care workers would need to further integrate a palliative approach into their practice.  

To accomplish these goals we are conducting a mixed-methods survey of RNs, LPNs, care aides, and community health workers across the province. This involves inviting nurses and health care workers in randomly selected practice settings to complete a questionnaire. In addition, we are also offering an opportunity for respondents to participate in qualitative interviews or focus groups to provide a deeper understanding of the challenges and facilitators of a palliative approach to care.  

Research Objectives and Questions:

The purpose of the study is to inform the work of iPANEL in engaging nurses, health care workers, healthcare administrators, and health policy decision makers to facilitate the integration of a palliative approach for people with chronic life-limiting illness in British Columbia.  

Specific research objectives are to:

  • Describe how nurses use principles of a palliative approach in hospital, residential and homecare settings that do not specialize in palliative care.
  • Describe educational preparation and competencies in a palliative approach as perceived by RNs, LPNs, care aids and community health workers.
  • Identify factors that influence the extent to which dimensions of a palliative approach are currently practiced in different types of nursing care settings.
  • Contribute to the development of an instrument that measures nurses’ competencies and their practice of a palliative approach.
  • Obtain nursing care providers’ expert opinions about educational, managerial, and healthcare system requirements to facilitate a palliative approach.  

Publications:

Sawatzky, R., Roberts, D., Reimer-Kirkham, S., Tayler, C., Stajduhar, K.I., & the iPANEL team (2014). Integration of a palliative approach in home, acute medical, and residential care settings: Findings from a province-wide survey. figshare. http://dx.doi.org/10.6084/m9.figshare.1455949

Principal Investigators:
Richard Sawatzky
Della Roberts
Sheryl Reimer-Kirkham

Co-investigator:
Kelli Stajduhar

Research Staff:
Marie Cochrane
Melissa Suzuki
Ami Bitschy

Project Contact:
Ami Bitschy    This email address is being protected from spambots. You need JavaScript enabled to view it.

Timeline:  Commenced January, 2011.  Completed August, 2012.
 
Funding:  Michael Smith Foundation for Health Research:  BC Nursing Research Initiative
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Status: Currently finishing data analysis and preparing reports for the health authorities.

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