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Using the recommended summary plan for emergency care and treatment (ReSPECT) in care homes: a qualitative interview study.
- Source :
- Age & Ageing; Oct2022, Vol. 51 Issue 10, p1-8, 8p
- Publication Year :
- 2022
-
Abstract
- Background The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is an advance care planning process designed to facilitate discussion and documentation of preferences for care in a medical emergency. Advance care planning is important in residential and nursing homes. Aim To explore the views and experiences of GPs and care home staff of the role of ReSPECT in: (i) supporting, and documenting, conversations about care home residents' preferences for emergency care situations, and (ii) supporting decision-making in clinical emergencies. Setting/participants Sixteen GPs providing clinical care for care home residents and 11 care home staff in the West of England. Methods A qualitative research design using semi-structured interviews. Results Participants' accounts described the ReSPECT process as facilitating person-centred conversations about residents' preferences for care in emergency situations. The creation of personalised scenarios supported residents to consider their preferences. However, using ReSPECT was complex, requiring interactional work to identify and incorporate resident or relative preferences. Subsequent translation of preferences into action during emergency situations also proved difficult in some cases. Care staff played an important role in facilitating and supporting ReSPECT conversations and in translating it into action. Conclusions The ReSPECT process in care homes was positive for GPs and care home staff. We highlight challenges with the process, communication of preferences in emergency situations and the importance of balancing detail with clarity. This study highlights the potential for a multi-disciplinary approach engaging care staff more in the process. [ABSTRACT FROM AUTHOR]
- Subjects :
- OCCUPATIONAL roles
ATTITUDES of medical personnel
WORK
RESEARCH methodology
PHYSICIANS' attitudes
PATIENT-centered care
INTERVIEWING
ADVANCE directives (Medical care)
PATIENTS' attitudes
QUALITATIVE research
NURSING care facilities
EMERGENCY medical services
RESIDENTIAL care
EXPERIENTIAL learning
COMMUNICATION
SOUND recordings
PATIENT-professional relations
THEMATIC analysis
DATA analysis software
ELDER care
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 51
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 159980085
- Full Text :
- https://doi.org/10.1093/ageing/afac226