Evaluating the Implementation of the Conversation Starter Kit in Long Term Care

Introduction Advance care planning can improve the quality of life for residents in long-term care homes and reduce stress for families. However, care home staff and families often lack knowledge about advance care planning, making it especially difficult for residents with dementia to communicate t...

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Autores principales:	Sharon Kaasalainen RN, PhD, Tamara Sussman MSW, PhD, Maria Nicula BSc, Jack Lawrence BSc, Genevieve Thompson RN, PhD, Lynn McCleary RN, PhD, Abigail Wickson-Griffiths RN, PhD, John J. You MD, MSc
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/74c9d204eb664798bc52ee71b92203b5
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spelling	oai:doaj.org-article:74c9d204eb664798bc52ee71b92203b52021-11-05T12:33:19ZEvaluating the Implementation of the Conversation Starter Kit in Long Term Care2377-960810.1177/23779608211051824https://doaj.org/article/74c9d204eb664798bc52ee71b92203b52021-10-01T00:00:00Zhttps://doi.org/10.1177/23779608211051824https://doaj.org/toc/2377-9608Introduction Advance care planning can improve the quality of life for residents in long-term care homes and reduce stress for families. However, care home staff and families often lack knowledge about advance care planning, making it especially difficult for residents with dementia to communicate their care plan wishes. A Conversation Starter Kit may increase advance care planning awareness among staff and families. Objectives This study evaluated an advance care planning intervention, the Conversation Starter Kit booklet, for use in long term care homes. Methods Data were collected at three long-term care homes in southern Ontario. We collected data from 55 residents who were able to make decisions on their own paired with 11 family members of these residents. We also collected data from 24 family members of residents who were unable to make decisions on their own. This study used a quasi-experimental, one group pre/post design. Quantitative surveys were administered before and after a three-month advance care planning intervention. An additional structured interview was completed at the end of the intervention period, which included both closed and open-ended questions to assess perceptions about the booklet's use or non-use. Results Residents reported more engagement in advance care planning after completing the Conversation Starter Kit booklet, particularly related to asking questions to health care providers about health care decisions. Family members reported feeling very certain that they would be able to make decisions on behalf of the resident but felt less certain after completing the booklet, implying the booklet raised their awareness of the types of decisions they might need to make, hopefully prompting them to be more prepared for decisions in the future. Conclusions An advance care planning intervention – The Conversation Starter Kit booklet - appears acceptable and easy to use for residents and family members/friends in long-term care and can improve resident engagement in advance care planning. Although using the booklet may decrease efficacy for decision making among family members of long-term care residents, it may highlight the importance of more actionable engagement in advance care planning among residents, their families/friends, and staff.Sharon Kaasalainen RN, PhDTamara Sussman MSW, PhDMaria Nicula BScJack Lawrence BScGenevieve Thompson RN, PhDLynn McCleary RN, PhDAbigail Wickson-Griffiths RN, PhDJohn J. You MD, MSc SAGE PublishingarticleNursingRT1-120ENSAGE Open Nursing, Vol 7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Sharon Kaasalainen RN, PhD Tamara Sussman MSW, PhD Maria Nicula BSc Jack Lawrence BSc Genevieve Thompson RN, PhD Lynn McCleary RN, PhD Abigail Wickson-Griffiths RN, PhD John J. You MD, MSc Evaluating the Implementation of the Conversation Starter Kit in Long Term Care
description	Introduction Advance care planning can improve the quality of life for residents in long-term care homes and reduce stress for families. However, care home staff and families often lack knowledge about advance care planning, making it especially difficult for residents with dementia to communicate their care plan wishes. A Conversation Starter Kit may increase advance care planning awareness among staff and families. Objectives This study evaluated an advance care planning intervention, the Conversation Starter Kit booklet, for use in long term care homes. Methods Data were collected at three long-term care homes in southern Ontario. We collected data from 55 residents who were able to make decisions on their own paired with 11 family members of these residents. We also collected data from 24 family members of residents who were unable to make decisions on their own. This study used a quasi-experimental, one group pre/post design. Quantitative surveys were administered before and after a three-month advance care planning intervention. An additional structured interview was completed at the end of the intervention period, which included both closed and open-ended questions to assess perceptions about the booklet's use or non-use. Results Residents reported more engagement in advance care planning after completing the Conversation Starter Kit booklet, particularly related to asking questions to health care providers about health care decisions. Family members reported feeling very certain that they would be able to make decisions on behalf of the resident but felt less certain after completing the booklet, implying the booklet raised their awareness of the types of decisions they might need to make, hopefully prompting them to be more prepared for decisions in the future. Conclusions An advance care planning intervention – The Conversation Starter Kit booklet - appears acceptable and easy to use for residents and family members/friends in long-term care and can improve resident engagement in advance care planning. Although using the booklet may decrease efficacy for decision making among family members of long-term care residents, it may highlight the importance of more actionable engagement in advance care planning among residents, their families/friends, and staff.
format	article
author	Sharon Kaasalainen RN, PhD Tamara Sussman MSW, PhD Maria Nicula BSc Jack Lawrence BSc Genevieve Thompson RN, PhD Lynn McCleary RN, PhD Abigail Wickson-Griffiths RN, PhD John J. You MD, MSc
author_facet	Sharon Kaasalainen RN, PhD Tamara Sussman MSW, PhD Maria Nicula BSc Jack Lawrence BSc Genevieve Thompson RN, PhD Lynn McCleary RN, PhD Abigail Wickson-Griffiths RN, PhD John J. You MD, MSc
author_sort	Sharon Kaasalainen RN, PhD
title	Evaluating the Implementation of the Conversation Starter Kit in Long Term Care
title_short	Evaluating the Implementation of the Conversation Starter Kit in Long Term Care
title_full	Evaluating the Implementation of the Conversation Starter Kit in Long Term Care
title_fullStr	Evaluating the Implementation of the Conversation Starter Kit in Long Term Care
title_full_unstemmed	Evaluating the Implementation of the Conversation Starter Kit in Long Term Care
title_sort	evaluating the implementation of the conversation starter kit in long term care
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/74c9d204eb664798bc52ee71b92203b5
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Evaluating the Implementation of the Conversation Starter Kit in Long Term Care

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