NR 449 Week 7 RUA

12 August 2024

NR 449 Week 7 RUA Group EBP PowerPoint Presentation - Hospice and You

Slide 1: Title Slide

  • Title: HOSPICE AND YOU
  • Subtitle: Chamberlain College
  • Presented by: [Your Name(s)]
  • Date: [Date of Presentation]

Slide 2: Introduction

  • Title: Introduction to Hospice Care
  • Content:
    • Eligibility Criteria:
      • Life expectancy of 6–12 months
      • Requires a family caregiver
      • Available settings: home, hospital, extended care, nursing home

Slide 3: Hospice Care Overview

  • Title: Understanding Hospice Care
  • Content:
    • Number Affected:
      • 17% of deaths occur at home, with this number approaching 33%.
    • Seriousness:
      • 96% of hospice patients are dying at home.
    • Impact on Nursing Practice:
      • Inadequate staffing is a significant issue.
    • Professional Experience:
      • Caregivers are typically spouses or family members.

Slide 4: Clinical Question, Search Strategy, & Results

  • Title: Research Process and Findings
  • Content:
    • Search for Quantitative Articles: Over 1,000 articles found on:
      • Hospice care & terminally ill patients
      • Hospice care & level of care
      • Hospice care & patient support
    • Search for Qualitative Articles: Over 1,000 articles found on:
      • Hospice care & personal experiences
      • Hospice care & satisfaction
      • Hospice care & concerns

Slide 5: Quantitative Research Findings (1)

  • Title: Quantitative Study on Caregiver Satisfaction
  • Content:
    • Purpose: Examine relationships between family caregiver characteristics & satisfaction with hospice care, quality of life (QOL), & burden.
    • Study Design: Quasi-experimental with subjects serving as their own control.
    • Number of Subjects: 44
    • Procedure: Telephone surveys measuring caregiver satisfaction, QOL, & burden.
    • Key Findings:
      • Satisfaction with hospice care, QOL, & burden were significantly related to being retired, being a wife or daughter, patient diagnosis, per diem rate paid to hospice, county population & density, length of time in hospice, & length of time as a caregiver.
      • Age, sex, education level, occupation, income, patient functional status, & social support were not related to these variables.

Slide 6: Quantitative Research Findings (2)

  • Title: Quantitative Study on End-of-Life Care Satisfaction
  • Content:
    • Purpose: Assess satisfaction with end-of-life care delivered by General Practitioners (GPs) in the home.
    • Significant Findings:
      • Patients who received adequate home visits reported higher satisfaction with end-of-life care.
    • Purpose: Assess perceived satisfaction with end-of-life care in the last 48 hours of life.
    • Significant Findings:
      • Bereaved family members expressed varying levels of satisfaction.

Slide 7: Qualitative Research Findings

  • Title: Qualitative Study on Caregiver Experiences
  • Content:
    • Purpose: Explore the experiences of caregivers in hospice settings.
    • Study Design: Phenomenology
    • Number of Subjects: 39
    • Procedure: Telephone interviews with caregivers.
    • Important Themes Identified:
      • Transitions to adult services
      • Moving to the young adult unit
      • Changing support needs
      • Consequences for the hospice staff

Slide 8: Conclusion

  • Title: Summary and Implications
  • Content:
    • Hospice care is crucial for end-of-life support, especially for patients who wish to die at home.
    • Satisfaction with care is influenced by caregiver characteristics and the quality of support provided.
    • Further research is needed to close gaps in understanding the needs of hospice patients and caregivers.
    • The role of caregivers, often family members, is pivotal but challenging, highlighting the need for adequate support and staffing.

Slide 9: Questions & Discussion

  • Title: Questions?
  • Content:
    • Open the floor for questions and engage with the audience on the findings and their implications for hospice care.