Effects of Nurse Case Management Program on Perceived Quality of Palliative Care and Satisfaction of their Caregivers
Keywords:
Case management, Nurse, Palliative care, Primary caregiver, Quality of careAbstract
This one-group experimental research, with a pre-test and a post-test aims to compare the perceived
quality of care and satisfaction of family caregivers who participated in end-of-life case management programme. Purposive sampling was used to select 30 caregiver who 1) were primary caregivers; 2) were aware of the terminal stage and of their patients who received palliative care approach; and 3) were fully conscious. Samples received end-of-life case management programme consisted of 5 steps including 1)identifying and selecting the case; 2) conducting comprehensive assessment and determining health problems; 3) planning for care as health demands; 4) implementing care management; and 5) evaluating outcome. The Palliative Care Outcome Scale and caregiver satisfaction were used to measure quality of care and caregiver satisfaction questionnaire yielded internal consistency reliability value of 0.82 and 0.90 respectively. The data were analysed using descriptive statistics and pair t-test.
The results of this study revealed that after participating in the end-of-life case management programme,
samples reported significant an improvement of perceived quality of care (t = 5.43, p < .001) and the
satisfaction was at high level. It is suggested that palliative care center or unit should apply this case management nursing programme for end-of-life patients and caregivers, in order to and improve the quality of care.
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Spettell, C. M., Rawlins, W. S., Krakauer, R., Fernandes, J., Breton, M. E. S., Gowdy, W., et al., (2009). A Comprehensive Case Management Program To Improve Palliative Care. Journal of Palliative Medicine, 12(9), 827-832.
Sumruayphol, P., & Ratchukul, S. (2015). Effects of case management in patients with breast cancer on patientûs satisfaction in services and perceived professional value of ataff nurses. Journal of Nursing Science Chulalongkorn University, 27(1), 95-109.
van der Plas, A. G. M., Onwuteaka-Philipsen, B. D., van de Watering, M., Jansen, W. J. J., Vissers, K. C., & Deliens, L. (2012). What is case management in palliative care? An expert panel study. BMC Health Services Research, 12(1), 163.
Waeteh, S., Nilmanat, K., & Songwathana, P. (2009). Caregivers’ Experiences in Providing Care for Muslim
Patients with Terminal AIDS. Thai Journal of Nursing Council, 24(4), 95-109
Wongrattana, C. (2009). Statistical technique for research. (11th ed.) Bangkok: Thepnaruamitt Publisher. (in Thai)
evaluation of a randomized trial of the PhoenixCare intervention: program of case management and coordinated care for the seriously chronically ill. Journal of Palliative Medicine, 9(1), 111-126.
Boonlop, A. (2015). Outcomes of case management on self-care knowledge and length of stay of chronic obstructive pulmonary disease (COPD) patients in Medicine Department, Si Sa Ket hospital. Thai Journal of Cardio-Thoracic Nursing, 26(2), 68-79.
Chen, Y.-C., Chang, Y.-J., Tsou, Y.-C., Chen, M.-C., & Pai, Y.-C. (2013). Effectiveness of nurse case management
compared with usual care in cancer patients at a single medical center in Taiwan: a quasiexperimental study. BMC Health Services Research, 13, 202.
Chewaskulyong, B., Sapinun, L., Downing, G. M., Intaratat, P., Lesperance, M., Leautrakul et al., (2012).
Reliability and validity of the Thai translation (Thai PPS Adult Suandok) of the Palliative Performance Scale (PPSv2). Palliative Medicine, 26(8), 1034-1041.
Collins, E. S., Witt, J., Bausewein, C., Daveson, B. A., Higginson, I. J., & Murtagh, F. E. M. (2015). A Systematic
Review of the Use of the Palliative Care Outcome Scale and the Support Team Assessment Schedule in Palliative Care. Journal of Pain and Symptom Management, 50(6), 842-853.
Fongkerd, S., & Poogritsana, S. (2013). Effect of illness beliefs model program on the families suffering from
taking care end state cancer patients. Nursing Journal of the Ministry of Public Health, 23(3), 122-131.
Glajchen, M., & Goehring, A. (2017). The family meeting in palliative care: Role of the oncology nurse. Seminars in Oncology Nursing, 33(5), 489-497.
Molek, R., Binhosen, V., & Pakdevong, N. (2015). Symptom intensity in persons with advanced cancer receiving palliative nursing care protocol and caregivers’ satisfaction. Journal of Nursing and Health Care, 33(2), 102-109.
Morrakot, P., Nilmanat, K., & Matchim, Y. (2015). Impacts of an adaptation-promoting programme on the
caregiving relatives of terminal chronic disease patients. Thai Journal of Nursing Council, 30(2), 33-45.
Nantachaipan, P. (2015). Case Management in the care for patients at the end of life. Nursing Journal, 42(1), 153-158.
Nilmanat, K. (2013). The end of life care. Songkhla: Chann-Maung Publisher. (in Thai)
Nursing services division, Maharajnakorn Chiangmai Hospital. (n.d.). Family Satisfaction Questionaire. Retrived from http://www.med.cmu.ac.th/hospital/nis/palliative.html
Ozcelik, H., Fadiloglu, C., Karabulut, B., & Uyar, M. (2014). Examining the effect of the case management model on patient results in the palliative care of patients With cancer. American Journal of Hospice & Palliative Medicine, 31(6), 655-664.
Pasri, P., Isaramalai, S., & Hattakit, U. (2015). Family Caregivers’ Support Needs in Caring for End Stage Cancer Patients. Songklanagarind Journal of Nursing, 35(2), 79-92.
Penrod, J. D., Deb, P., Dellenbaugh, C., James F Burgess, J., Zhu, C. W., Christiansen, C. L. et al., (2010). Hospital-Based Palliative Care Consultation: Effects on Hospital Cost. Journal of Palliative Medicine, 13(8), 973-979.
Piyawattanapong, S., & Srithunrart, W. (2009). Family Care Management of Persons with Terminally Ill Cancer in Hospital. Journal of Nurses’ Association of Thailand, North-Eastern Division, 27(2), 21-32.
Plas, A. G. M. v. d., Vissers, K. C., Francke, A. L., Donker, G. A., Jansen, W. J. J., Deliens, L., et al., (2015). Involvement of a Case Manager in Palliative Care Reduces Hospitalisations at the End of Life in Cancer Patients; A Mortality Follow-Back Study in Primary Care. PLOS ONE, 10(7), 1-12.
Polit, D. F., & Beck, C. T. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice. (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Pornpiboon, P., Sangchart, B., Thanasilp, S., Akkadechanunt, T., Phengjard, J., Wisesrith, W., et al., (2016). Palliative nursing care pocket manual. Chiang Mai: Good Work Media. (in Thai)
Quill, T. E., & Abernethy, A. P. (2013). Generalist plus Specialist Palliative Care — Creating a More Sustainable
Model. New England Journal of Medicine, 368(13), 1173-1175.
Rietjens, J. A. C., Sudore, R. L., Connolly, M., van Delden, J. J., Drickamer, M. A., Droger, M., et al., (2017). Defnition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care. The Lancent Oncology, 18(9), 543-551.
Robinson, J., Gott, M., & Ingleton, C. (2014). Patient and family experiences of palliative care in hospital: What do we know? An integrative review. Palliative Medicine, 28(1), 18-33.
Rugno, F. C., & Carlo, M. M. R. do P. D. (2016). The Palliative Outcome Scale (POS) applied to clinical practice and research: an integrative review. Revista Latino-Americana de Enfermagem, 24, e2764. http://doi.org/10.1590/1518-8345.0993.2764
Sahmaae, N., Nilmanat, K., & Kongsuwan, W. (2013). Muslim Primary Caregivers’ Experience in Caring for Terminal-Stage Critically Ill Patients in the ICU Ward. Thai Journal of Nursing Council, 28(3), 31-43.
Sapinan, L. (2013). Manual for Palliative care outcome scale: POS. Chiang Mai: Klang Veing Publisher. (in Thai)
Sastranuruk, S., & Pattrapakdikul, U. (2013). Palliative Care for Terminally Ill Patients Among Nurses and Caregivers in Songklanagarind Hospital. Songklanagarind Medical Journal, 31(5), 235-244.
Sindhu, S., & Wongrot, P. (Eds.). (2014). Case management for patietns with diabetes and hypertension. (2nd ed.). Bangkok: Wattana Publisher. (in Thai)
Somanusorn, S., Hatthakit, U., & Nilmanat, K. (2011). Caring for a relative at the end of life in the Thai Buddhist
culture. Journal of Faculty of Nursing Burapha University, 19(2), 28-41.
Spettell, C. M., Rawlins, W. S., Krakauer, R., Fernandes, J., Breton, M. E. S., Gowdy, W., et al., (2009). A Comprehensive Case Management Program To Improve Palliative Care. Journal of Palliative Medicine, 12(9), 827-832.
Sumruayphol, P., & Ratchukul, S. (2015). Effects of case management in patients with breast cancer on patientûs satisfaction in services and perceived professional value of ataff nurses. Journal of Nursing Science Chulalongkorn University, 27(1), 95-109.
van der Plas, A. G. M., Onwuteaka-Philipsen, B. D., van de Watering, M., Jansen, W. J. J., Vissers, K. C., & Deliens, L. (2012). What is case management in palliative care? An expert panel study. BMC Health Services Research, 12(1), 163.
Waeteh, S., Nilmanat, K., & Songwathana, P. (2009). Caregivers’ Experiences in Providing Care for Muslim
Patients with Terminal AIDS. Thai Journal of Nursing Council, 24(4), 95-109
Wongrattana, C. (2009). Statistical technique for research. (11th ed.) Bangkok: Thepnaruamitt Publisher. (in Thai)
Additional Files
Published
2018-09-12
How to Cite
แซ่ชิต ก., & นิลมานัต ก. (2018). Effects of Nurse Case Management Program on Perceived Quality of Palliative Care and Satisfaction of their Caregivers. Princess of Naradhiwas University Journal, 10(3), 116–128. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/145308
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Research Articles
