Effects of an End-of Life Case-based Nursing Management Program on Perceived Quality of Palliative Care and Satisfaction of Primary Caregivers at Medical wards
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Abstract
This one-group experimental research, with a pre-posttes design aims to compare the perceived quality of care and satisfaction of family caregivers who participated in end-of-life case-based nursing management program. Purposive sampling was used to select 30 primary caregivers who provided care of patients in the terminal stage. Samples received end-of-life case-based nursing management program consisted of 5 steps including 1) identifying and selecting the case of most complex and difficult problems; 2 conducting comprehensive assessment and determining health problems; 2) planning for care as health demands; 3) implementing care management; and 4) evaluating outcome. Data were collected using the perceived quality care scale and caregiver satisfaction questionnaires which yielded internal consistency reliability value of .76 and .73 respectively. The data were analyses using descriptive statistics and pair t-test. The results of this study revealed that after participating in the end-of-life case management program, samples reported significant an improvement of perceived quality of care (t = -57.16, p < .000) and the caregivers’ satisfaction was at high level. It is suggested that palliative care center or unit should apply this case management nursing programmer for end-of-life patients and caregivers, in order to and improve the quality of care.
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