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American Journal of Hospice and Palliative Medicine®, Vol. 22, No. 4, 269-276 (2005)
DOI: 10.1177/104990910502200407
© 2005 SAGE Publications

Predictors of social service staff involvement in selected palliative care tasks in nursing homes: An exploratory model

Debra Lacey, PhD, MSW

School of Social Work, Florida Atlantic University, Fort Lauderdale, Florida

Little research has been conducted on nursing home social service staff and end-of-life care in nursing homes. To address this gap, a cross-sectional study on end-of-life issues for people with dementia in nursing homes was conducted in New York State, in which 138 nursing home social service staff participated. This exploratory study examined issues such as perceived confidence, perceived influence, and demographic variables in relation to self-reported frequency of tasks related to palliative care of nursing home residents with dementia. Results showed that participants in this survey who discussed specific treatment issues during advance directive discussions perceived themselves to have higher degrees of influence in their respective facilities, were directors or managers of their departments, and were more likely to engage in tasks related to palliative care.

Key Words: palliative care • social service • dementia • long-term care • advance directives


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