Perceptions of Family Decision-makers of Nursing Home Residents With Advanced Dementia Regarding the Quality of Communication Around End-of-Life Care

Journal of the American Medical Directors Association
Mark TolesLaura C Hanson

Abstract

(1) Compare family decision-makers' perceptions of quality of communication with nursing home (NH) staff (nurses and social workers) and clinicians (physicians and other advanced practitioners) for persons with advanced dementia; (2) determine the extent to which characteristics of NH residents and family decision-makers are associated with those perceptions. Secondary analysis of baseline data from a cluster randomized trial of the Goals of Care intervention. Twenty-two NHs in North Carolina. Family decision-makers of NH residents with advanced dementia (n = 302). During the baseline interviews, family decision-makers rated the quality of general communication and communication specific to end-of-life care using the Quality of Communication Questionnaire (QoC). QoC item scores ranged from 0 to 10, with higher scores indicating better quality of communication. Linear models were used to compare QoC by NH provider type, and to test for associations of QoC with resident and family characteristics. Family decision-makers rated the QoC with NH staff higher than NH clinicians, including average overall QoC scores (5.5 [1.7] vs 3.7 [3.0], P < .001), general communication subscale scores (8.4 [1.7] vs 5.6 [4.3], P < .001), and end-of-...Continue Reading

Citations

Feb 11, 2020·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Sascha R BoltSandra M G Zwakhalen
Jan 7, 2020·The American Journal of Hospice & Palliative Care·Melissa J ArmstrongAngela Taylor
Aug 9, 2019·The American Journal of Hospice & Palliative Care·Chiahui Chen, Scott T Meier
Jan 12, 2021·Journal of the American Medical Directors Association·Leah V EstradaPatricia W Stone
Aug 30, 2021·Journal of the American Medical Directors Association·Latarsha ChisholmBryan J Weiner
Jul 30, 2020·Journal of the American Medical Directors Association·Michelle VuCarolyn T Thorpe

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