BE N = 43 | NL N = 44 | EN N = 48 | FI N = 88 | IT N = 33 | PL N = 49 | P-value* | |
---|---|---|---|---|---|---|---|
N(%) | N(%) | N(%) | N(%) | N(%) | N(%) | ||
Availability of specialist palliative care | |||||||
Specialist PC team present in the facility (employed by facility)? | |||||||
Yes | 19 (48.7) | 13 (29.5) | 3 (6.5) | 8 (9.5) | 4 (12.1) | 3 (6.1) | < 0.001 |
If present, use specialist PC team? | |||||||
Yes, for all residents in need of SPC | 11 (61.1) | 1 (7.7) | 2 (66.7) | 4 (50.0) | 2 (66.7) | 2 (66.7) | < 0.05 |
Yes, for most residents in need of SPC | 3 (16.7) | 1 (7.7) | 0 (0.0) | 0 (0.0) | 1 (33.3) | 0 (0.0) | |
Yes, for some residents in need of SPC | 4 (22.2) | 7 (53.8) | 1 (33.3) | 4 (50.0) | 0 (0.0) | 1 (33.3) | |
No, never | 0 (0.0) | 4 (30.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | |
Specialist PC advice available to professionals delivering PC in your facility? | |||||||
Yes | 38 (92.7) | 28 (65.1) | 41 (87.2) | 31 (35.6) | 15 (46.9) | 21 (45.7) | < 0.001 |
If available, use specialist PC advice? | |||||||
Yes, for all residents in need of SPC | 14 (38.9) | 5 (19.2) | 30 (81.1) | 11 (40.7) | 8 (57.1) | 11 (57.9) | < 0.001 |
Yes, for most residents in need of SPC | 6 (16.7) | 2 (7.7) | 2 (5.4) | 3 (11.1) | 1 (7.1) | 0 (0.0) | |
Yes, for some residents in need of SPC | 16 (44.4) | 15 (57.7) | 5 (13.5) | 10(37.0) | 4 (28.6) | 5 (26.3) | |
No, never | 0 (0.0) | 4 (15.4) | 0 (0.0) | 3 (11.1) | 1 (7.1) | 3 (15.8) | |
Procedure bereavement support relatives? | |||||||
Yes | 11 (26.2) | 9 (22.0) | 30 (68.2) | 52 (59.8) | 19 (59.4) | 10 (20.4) | < 0.001 |
Opioids available 24/7 for residents with PC? | |||||||
Yes, for all residents | 33 (78.6) | 32 (72.7) | 35 (83.3) | 70 (80.5) | 23 (69.7) | 18 (37.5) | < 0.001 |
Yes, for most residents | 1 (2.4) | 4 (9.1) | 4 (9.5) | 6 (6.9) | 3 (9.1) | 1 (2.1) | |
Yes, for some residents | 7 (16.7) | 4 (9.1) | 2 (4.8) | 7 (8.0) | 4 (12.1) | 16 (33.3) | |
No, never | 1 (2.4) | 4 (9.1) | 1 (2.4) | 4 (4.6) | 3 (9.1) | 13 (27.1) | |
Contact person for residents/relatives to ensure coordinated health and social care? | |||||||
Yes, for all residents | 21 (51.2) | 32 (72.7) | 38 (82.6) | 63 (71.6) | 15 (45.5) | 19 (38.8) | < 0.001 |
Yes, for most residents | 5 (12.2) | 1 (2.3) | 2 (4.3) | 5 (5.7) | 0 (0.0) | 0 (0.0) | |
Yes, for some residents | 4 (9.8) | 0 (0.0) | 4 (8.7) | 3 (3.4) | 2 (6.1) | 2 (4.1) | |
No, never | 11 (26.8) | 11 (25.0) | 2 (4.3) | 17 (19.3) | 16 (48.5) | 28 (57.1) | |
Facilities for residents and families | |||||||
Specialized equipment availablea | |||||||
Pressure relieving mattresses | 42 (97.7) | 43 (97.7) | 46 (95.8) | 80 (90.9) | 33 (100.0) | 47 (95.9) | 0.377 |
Suction equipment | 34 (79.1) | 34 (77.3) | 19 (39.6) | 70 (79.5) | 33 (100.0) | 45 (91.8) | < 0.001 |
Stoma care supplies | 29 (67.4) | 38 (86.4) | 24 (50.0) | 67 (76.1) | 25 (75.8) | 35 (71.4) | < 0.01 |
Oxygen delivery | 42 (97.7) | 43 (97.7) | 32 (66.7) | 61 (69.3) | 30 (90.9) | 34 (69.4) | < 0.001 |
Syringe driver | 28 (65.1) | 32 (72.7) | 40 (83.8) | 34 (38.6) | 12 (36.4) | 21 (42.9) | < 0.001 |
Hospital beds | 37 (86.0) | 40 (90.9) | 43 (89.6) | 87 (98.9) | 26 (78.8) | 47 (95.9) | < 0.01 |
Single bedrooms in facility for ALL dying residents who wish to have one? | |||||||
Yes | 34 (79.1) | 40 (93.0) | 43 (93.5) | 69 (78.4) | 16 (50.0) | 13 (27.1) | < 0.001 |
Unrestricted visiting hours for relatives of dying residents if they wish? | |||||||
Yes | 43 (100.0) | 40 (93.0) | 40 (87.0) | 88 (100.0) | 31 (96.9) | 47 (95.9) | < 0.01 |
Relatives can stay overnight with dying relative | |||||||
Yes | 36 (87.8) | 38 (88.4) | 36 (90.0) | 72 (81.8) | 30 (90.9) | 29 (59.2) | 0.001 |
Multidisciplinary approaches | |||||||
Regular multidisciplinary meeting (with at least a physician and a nurse) to review treatment and care plans organized in your facility? | |||||||
Yes | 37 (88.1) | 43 (97.7) | 29 (64.4) | 44 (50.6) | 26 (78.8) | 35 (72.9) | < 0.001 |
If yes, how frequently is this meeting organized? | |||||||
Weekly | 8 (21.6) | 12 (27.9) | 11 (37.9) | 8 (18.2) | 13 (50) | 12 (34.3) | < 0.01 |
Quality improvement initiatives | |||||||
Systematic assessment of relatives’ experiences regarding provided care? | |||||||
Yes, for all residents | 18 (45.0) | 18 (40.9) | 29 (64.4) | 29 (33.7) | 20 (62.5) | 5 (10.2) | < 0.001 |
Yes, for most residents | 7 (17.5) | 4 (9.1) | 5 (11.1) | 21 (24.4) | 1 (3.1) | 7 (14.3) | |
Yes, for some residents | 6 (15.0) | 6 (13.6) | 2 (4.4) | 25 (29.1) | 4 (12.5) | 5 (10.2) | |
No, never | 9 (22.5) | 16 (36.4) | 9 (20.0) | 11 (12.8) | 7 (21.9) | 32 (65.3) | |
Specific guidelines used for the last 3 days of life of a resident in need of palliative care in your facility? | |||||||
Yes | 15 (36.6) | 18 (40.9) | 21 (51.2) | 36 (40.9) | 3 (9.7) | 7 (14.9) | < 0.001 |