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Physicians 'missing in action': family perspectives on physician and staffing problems in end-of-life care in the nursing home.

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Title: Physicians 'missing in action': family perspectives on physician and staffing problems in end-of-life care in the nursing home.
Authors: Shield RR (AUTHOR), Wetle T (AUTHOR), Teno J (AUTHOR), Miller SC (AUTHOR), Welch L (AUTHOR)
Source: Journal of the American Geriatrics Society. Oct2005, Vol. 53 Issue 10, p1651-1657. 7p.
Abstract: Objectives: To understand the roles of physicians and staff in nursing homes in relation to end-of-life care through narrative interviews with family members close to a decedent. Design: Qualitative follow-up interviews with 54 respondents who had participated in an earlier national survey of 1,578 informants. Setting: Brown University interviewers conducted telephone interviews with participants throughout the United States. Participants: The 54 participants agreed to a follow-up qualitative interview and were family members or close to the decedent. Measurements: A five-member, multidisciplinary team to identify overarching themes taped, transcribed, and then coded interviews. Results: Respondents report that healthcare professionals often insufficiently address the needs of dying patients in nursing homes and that 'missing in action' physicians and insufficient staffing create extra burdens on dying nursing home residents and their families. Conclusion: Sustained efforts to increase the presence of physicians and improve staffing in nursing homes are suggested to improve end-of-life care for dying residents in nursing homes. [ABSTRACT FROM AUTHOR]
Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Physicians 'missing in action': family perspectives on physician and staffing problems in end-of-life care in the nursing home.
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  Data: <searchLink fieldCode="AR" term="%22Shield+RR%22">Shield RR</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wetle+T%22">Wetle T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Teno+J%22">Teno J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller+SC%22">Miller SC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Welch+L%22">Welch L</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+the+American+Geriatrics+Society%22">Journal of the American Geriatrics Society</searchLink>. Oct2005, Vol. 53 Issue 10, p1651-1657. 7p.
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives: To understand the roles of physicians and staff in nursing homes in relation to end-of-life care through narrative interviews with family members close to a decedent. Design: Qualitative follow-up interviews with 54 respondents who had participated in an earlier national survey of 1,578 informants. Setting: Brown University interviewers conducted telephone interviews with participants throughout the United States. Participants: The 54 participants agreed to a follow-up qualitative interview and were family members or close to the decedent. Measurements: A five-member, multidisciplinary team to identify overarching themes taped, transcribed, and then coded interviews. Results: Respondents report that healthcare professionals often insufficiently address the needs of dying patients in nursing homes and that 'missing in action' physicians and insufficient staffing create extra burdens on dying nursing home residents and their families. Conclusion: Sustained efforts to increase the presence of physicians and improve staffing in nursing homes are suggested to improve end-of-life care for dying residents in nursing homes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of the American Geriatrics Society is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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