ABSTRACT
OBJECTIVE: This study aimed to identify nursing outcomes and quality indicators for older adults with end-stage cancer receiving home health care. METHODS: Nineteen experts and professional caregivers, including palliative doctors, nursing faculty, advanced practice nurses, and registered nurses, participated in the Delphi technique. Final medians and interquartile ranges were calculated. RESULT: Seven components with 43 nursing outcomes and quality indicators for older adults with end-stage cancer were developed, encompassing physical pain relief, symptom management, physical well-being, complication prevention, psychosocial support, caregiver and family roles in end-of-life care, and advance care planning. CONCLUSION: The caregiver and family's role in end-of-life care had the most indicators, reflecting the significance of family involvement in Thailand's cultural context. Consistent implementation of these indicators is crucial, and correlational analysis of indicator scores can enhance their validity.
Subject(s)
Delphi Technique , Home Care Services , Neoplasms , Quality Indicators, Health Care , Humans , Neoplasms/nursing , Neoplasms/therapy , Female , Male , Home Care Services/standards , Aged , Thailand , Terminal Care/standards , Middle Aged , Caregivers/psychology , Prognosis , Palliative Care , Adult , Follow-Up Studies , Quality of LifeABSTRACT
Nurses are the primary health professionals who provide home healthcare (HHC) for older people. Measurements of nursing outcomes and quality of care are needed to ensure that older people receive quality nursing care. The objective of this study was to identify HHC nursing outcomes and quality indicators for older people in Thailand. The participants included 22 experts and professional caregivers of older adult HHC patients (i.e., geriatric and HHC policy makers, family physicians, nursing faculty, advanced practice nurses, and registered nurses). The Delphi technique was deployed. Final medians and interquartile ranges were calculated. Five components with 47 nursing outcomes and quality indicators for older people in Thailand were developed, including: 1) functional health and physiological status (13 indicators); 2) perception and behavior in health (6 indicators); 3) psychosocial response needs (8 indicators); 4) caregiver and family (16 indicators); and 5) satisfaction of older people, caregivers, and family (4 indicators). The findings demonstrate a need for further research to test the feasibility of the established criteria, including tests of content validity, construct validity, and instrument reliability. The outcome from the established indicators requires a high consistency. The analysis of the correlation between indicators scores obtained by the trial of indicators implementation can strengthen the validity of the indicators.
