Quality end-of-life care in long-term care facilities: Service providers' perspective

K. Brazil, C. McAiney, M. Caron-O'brien, M.L. Kelley, P. O'Krafka, C. Sturdy-Smith

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34 Citations (Scopus)


The goal of this project was to provide guidance on what constitutes quality end-of-life care in long-term care (LTC) facilities. Seventy-nine direct care providers from six LTC facilities participated in 12 focus groups. The focus group discussions examined what made the difference between a "good" death and a "bad" death, and what changes in LTC would improve the care of dying residents. Analyses of the focus group data revealed six themes that contribute to quality end-of-life care in LTC facilities: responding to resident needs, creating a homelike environment, supports for families, providing quality care processes, recognizing death as a significant event, and having sufficient institutional resources. These findings challenge policy makers and providers to consider how to normalize life and death in LTC facilities.
Original languageEnglish
Pages (from-to)85-92
Number of pages8
JournalJournal of Palliative Care
Issue number2
Publication statusPublished - 01 Jun 2004

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