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. 2018 Mar 15;17(1):49.
doi: 10.1186/s12904-018-0301-9.

Developing and testing a nursing home end -of -life care chart audit tool

Genevieve N Thompson  1 , Susan E McClement  2 , Nina Labun  3 , Kathleen Klaasen  4
Affiliations

Developing and testing a nursing home end -of -life care chart audit tool

Genevieve N Thompson et al. BMC Palliat Care. .

Abstract

Background: Nursing home (NH) administrators need tools to measure the effectiveness of care delivered at the end of life so that they have objective data on which to evaluate current practices, and identify areas of resident care in need of improvement.

Methods: A three-phase mixed methods study was used to develop and test an empirically derived chart audit tool aimed at assessing the care delivered along the entire dying trajectory.

Results: The Auditing Care at the End of Life (ACE) instrument contains 27 questions captured across 6 domains, which are indicative of quality end-of-life care for nursing home residents.

Conclusions: By developing a brief chart audit tool that captures best practices derived from expert consensus and the research literature, NH facilities will be equipped with one means for monitoring and assessing the care delivered to dying residents.

Keywords: Audit tool; Focus groups; Nursing home; Palliative care; Quality of care; Tool development; Tool validation.

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Conflict of interest statement

Ethics approval and consent to participate

Ethical approval for this study was obtained from the University of Manitoba Education Nursing Research Ethics Board, Winnipeg Manitoba, Canada. Reference number E2013:079.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Phase III protocol
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