TY - JOUR
T1 - Toward a Practice-Informed Agenda for Hospice Intervention Research
T2 - What Are Staff Members’ Biggest Challenges?
AU - Washington, Karla T.
AU - Alaniz Staner, Leticia M.
AU - Collie, Benjamin E.
AU - Craig, Kevin W.
AU - Demiris, George
AU - Oliver, Debra Parker
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The research described in this article was internally funded by the University of Missouri School of Medicine.
Publisher Copyright:
© The Author(s) 2020.
PY - 2021/5
Y1 - 2021/5
N2 - The translation of evidence-based interventions into routine hospice care is impeded by numerous barriers, including a disconnect between research priorities and clinical care. To inform the development of a more practice-informed agenda for hospice intervention research, our team conducted a qualitative descriptive study, posing the following research questions: 1) How do hospice staff members describe their most significant work-related challenges? and 2) What regulatory changes do hospice staff members report would most improve hospice care? To answer these research questions, we interviewed 22 hospice staff members and then conducted a template analysis of the interview content. In doing so, we identified themes that described challenges in 5 key areas: time, documentation, professional roles, recruitment and retention, and burn-out. In addition, we identified a perceived need among hospice staff members for more regulatory flexibility and clarity. Based on our findings, we conclude that a practice-informed agenda for hospice intervention research includes the development and testing of interventions that increase efficiency, explicitly speak to the humanity of hospice care, and elevate the roles of all members of the interdisciplinary team.
AB - The translation of evidence-based interventions into routine hospice care is impeded by numerous barriers, including a disconnect between research priorities and clinical care. To inform the development of a more practice-informed agenda for hospice intervention research, our team conducted a qualitative descriptive study, posing the following research questions: 1) How do hospice staff members describe their most significant work-related challenges? and 2) What regulatory changes do hospice staff members report would most improve hospice care? To answer these research questions, we interviewed 22 hospice staff members and then conducted a template analysis of the interview content. In doing so, we identified themes that described challenges in 5 key areas: time, documentation, professional roles, recruitment and retention, and burn-out. In addition, we identified a perceived need among hospice staff members for more regulatory flexibility and clarity. Based on our findings, we conclude that a practice-informed agenda for hospice intervention research includes the development and testing of interventions that increase efficiency, explicitly speak to the humanity of hospice care, and elevate the roles of all members of the interdisciplinary team.
KW - bereavement
KW - chaplaincy
KW - hospice
KW - nursing
KW - policy
KW - regulations
KW - social work
KW - volunteers
UR - http://www.scopus.com/inward/record.url?scp=85089183255&partnerID=8YFLogxK
U2 - 10.1177/1049909120948222
DO - 10.1177/1049909120948222
M3 - Article
C2 - 32757823
AN - SCOPUS:85089183255
SN - 1049-9091
VL - 38
SP - 467
EP - 471
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 5
ER -