Holistic End - Of - Life Care Model Development Sappasitthiprasong Regional Hospital Ubonrajchathani

Abstract

Background: Suffering, the important problems of end of life patients, they should be offered a range of physical, emotional, spiritual and social support by collaboration for good death
Objective: To develop a holistic care model for the end of life (EOL) patients
Setting: Sappasitthiprasong Regional Hospital, Ubonrajchathani.
Research design: The Participation Action Research (PAR)
Methods: The participants included 67 nurses, 60 EOL patients and their families from October 2008 to December 2009. Process divided into 4 phases as 1) Situational analysis to assess factors associated of EOL care. 2) Develop a holistic EOL care model and guideline. 3) Implementation the model and guideline, revised and re-implementation as a cycle. 4) Model evaluation. Data collection by interviewed, observation, sharing experience. Summarized as frequency, percentage, qualitative content analysis and interpreting.
Results: Holistic EOL care model consisted of 1) Enhancement of nurses competency, spiritual practice, sharing experience, learning and reflection, supervision and practice evaluation. 2) Continuous improvement by collaboration between health care team, patients and their families, improve guideline, innovation, and presentation. 3) Communication and continuing of care to community network by Holistic center and Home Health care center.
Conclusion: Factors associated of EOL care, to promote learning and changing experience, communication, collaboration, networking and evaluation. Model efficiency was appropriated, provider satisfaction (88.62%), good for changing experience (87.69%), involved their families and decision making (92.31%), communication and relationship (87.38%), disciplinary collaboration (81.85%), almost facing end of life, peace of death, and their families find meaning in the dying and satisfaction 90.15%.
Key words: Holistic, End Of Life, Model development