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Master Thesis

Évaluation des pratiques professionnelles : de la qualité des soins palliatifs en unité de soins de longue durée dans le Grand Ouest (régions Bretagne, Centre, Pays de la Loire ) en 2015

Abstract : 101 long-term care (LTC) facilities are spread over Western France out of 572 in all country. In 2006, French Court of Audit considers that information systems do not give any information on the end-of-life in LTC facilities. This tranversal study is evaluating the quality of palliative care in LTC facilities between October 2015, the 15th and November 2015, the 15th in Western France. The outcome measure used was the Family Perception of Care Scale, translated in French. 70 LTC facilities were contacted. 12 participated. 37 deceased patients were identified. Over 20 family answers, 17 filled the questionnary. Families' satisfaction total mean (± SD) was very high 145 (±25.1) as well as the sub-scales means (±SD) : 63 (± 13.4) for residents care, 33.6 (± 6) for family support, 36.8 (± 5.8) for communication, and 11.6 (± 2.3) for rooming. The 3 priority items for providing quality end-of-life care were “My family member's pain was eased by to the greatest extent possible”, “The staff were sensitive to the needs of my family member”, and “The staff informed me when they thought that death was at hand”. Those results are opposite to difficulties reported by half of the LTC practitioners, espacially about lack of time, lack of human and financial ressources and trainings. Ceiling effect and polarized answers seem to limit the data analysis. Other larger quantitative and qualitative studies appear to be led as end-of-life care in LTC departments belong to usual practice and is under-assessed.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01755782
Contributor : Santé Rennes 1 <>
Submitted on : Wednesday, June 6, 2018 - 12:31:15 PM
Last modification on : Thursday, July 9, 2020 - 12:30:44 PM

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Joaquim Prud'Homm. Évaluation des pratiques professionnelles : de la qualité des soins palliatifs en unité de soins de longue durée dans le Grand Ouest (régions Bretagne, Centre, Pays de la Loire ) en 2015. Sciences du Vivant [q-bio]. 2016. ⟨dumas-01755782⟩

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