{"title":"Do-Not-Hospitalize Orders in Assisted Living Facilities: Direct Care Workers' Perspectives","authors":"Alanna Dancis, DNP, AGPCNP","doi":"10.3928/00989134-20240311-02","DOIUrl":null,"url":null,"abstract":"<section><h3>Purpose:</h3><p>To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.</p></section><section><h3>Method:</h3><p>This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.</p></section><section><h3>Results:</h3><p>DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.</p></section><section><h3>Conclusion:</h3><p>DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [<i>Journal of Gerontological Nursing, 50</i>(4), 11–15.]</p></section>","PeriodicalId":15848,"journal":{"name":"Journal of gerontological nursing","volume":"212 1","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of gerontological nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00989134-20240311-02","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose:
To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.
Method:
This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.
Results:
DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.
Conclusion:
DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [Journal of Gerontological Nursing, 50(4), 11–15.]
目的：收集足够的定性数据，以制定一项干预措施，防止直接护理工作者（DCWs）将持有拒绝住院（DNH）指令的居民送往医院。方法：这是一项定性研究，有八名参与者参加，包括一项描述性调查，然后是半结构化访谈。然而，支持性领导能够帮助医务人员解决这些复杂的问题。结论：护理长在对持有临终关怀令的住院患者做出决定时，如果能接触到一名具有姑息治疗经验的护士，可能会对护理长有所帮助。[老年护理期刊》（Journal of Gerontological Nursing），50（4），11-15。
期刊介绍：
The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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