The challenges of implementing a multi-centre audit of end-of-life care in care homes

Int J Palliat Nurs. 2016 Nov 2;22(11):534-540. doi: 10.12968/ijpn.2016.22.11.534.

Abstract

Aims: This article aims to share the experience of a hospice in facilitating a multi-centre audit of end-of-life care in care homes, particularly noting the challenges and enablers of carrying out the audit.

Methods: The audit was a retrospective multi-centre survey of bereaved relatives/next of kin of residents who died in the care home, using an anonymous, validated questionnaire: the Family Perception of Care Scale. Questionnaires were sent 3-months after bereavement. Returned questionnaires were analysed using SPSS and Excel. The care homes were in areas encompassing outer and inner city populations.

Findings: The team identified eight challenges to the audit process, in particular, embedding procedures within the care homes, non-responses and developing action plans for improvement.

Conclusion: Overall, the audit provided an indication of where improvements could be made and where care was already excellent, built confidence and increased expertise in the care-home staff.

Keywords: Audit; Care homes; End of life.

Publication types

  • Multicenter Study

MeSH terms

  • Attitude of Health Personnel
  • Attitude to Health
  • Bereavement
  • Clinical Audit*
  • Family*
  • Hospice Care / standards*
  • Hospice and Palliative Care Nursing / standards*
  • Humans
  • Morale
  • Nursing Homes*
  • Quality of Health Care
  • Retrospective Studies
  • Surveys and Questionnaires
  • Terminal Care / standards*