ABSTRACT In industrialised countries, a large number of older adults with increasingly complex end of life care needs will die while in long-term care. It is essential that processes be in place to facilitate quality end of life care in these settings. In collaboration with two local hospices over the course of one year, we developed a new model of palliative care within long-term care – Supportive Hospice Aged Residential Exchange (SHARE). SHARE fostered knowledge exchange between hospice nurses and long-term care staff to improve palliative care delivery within 20 long-term care facilities (LTCF’s). An in-depth qualitative investigation of the views of 59 healthcare professionals and 12 bereaved family members of residents, regarding SHARE implementation, was undertaken through semi-structured interviews. Transcripts were analysed thematically and mapped to the theoretical domains framework (TDF) in order to identify facilitators and challenges to SHARE implementation. Domains facilitating SHARE implementation provided benefits in terms of ‘knowledge’, ‘skills development’, and supported the mentoring and role modelling provided by the hospice. Challenges highlighted the resource constraints of the long-term care context. The use of the TDF has enabled the identification of essential components such as skills development, which facilitate the implementation of SHARE in LTCF’s.

中文翻译：

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长期护理中姑息关怀教育干预的实施：一项定性的多视角调查

摘要 在工业化国家，大量具有日益复杂的临终护理需求的老年人将在长期护理中死亡。在这些环境中，制定流程以促进高质量的临终关怀至关重要。在一年的时间里，我们与两家当地临终关怀机构合作，开发了长期护理中姑息治疗的新模式——支持性临终关怀老年住宅交流 (SHARE)。SHARE 促进了临终关怀护士和长期护理人员之间的知识交流，以改善 20 家长期护理机构 (LTCF) 内的姑息治疗服务。通过半结构化访谈，对 59 名医疗保健专业人员和 12 名居民家属对 SHARE 实施的看法进行了深入的定性调查。对成绩单进行了专题分析，并将其映射到理论领域框架 (TDF)，以确定共享实施的促进因素和挑战。促进 SHARE 实施的领域提供了“知识”、“技能发展”方面的好处，并支持临终关怀提供的指导和角色建模。挑战凸显了长期护理环境的资源限制。TDF 的使用使得能够识别技能开发等重要组成部分，这有助于在 LTCF 中实施 SHARE。并支持临终关怀所提供的指导和榜样。挑战凸显了长期护理环境的资源限制。TDF 的使用使得能够识别技能开发等重要组成部分，这有助于在 LTCF 中实施 SHARE。并支持临终关怀所提供的指导和榜样。挑战凸显了长期护理环境的资源限制。TDF 的使用使得能够识别技能开发等重要组成部分，这有助于在 LTCF 中实施 SHARE。