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The effects of life review on hospice caregivers perceptions of patient quality of life and quality of death

Posted on:2010-06-08Degree:Ph.DType:Dissertation
University:University of LouisvilleCandidate:Rodgers, James RFull Text:PDF
GTID:1444390002989667Subject:Psychology
Abstract/Summary:
Existing research demonstrates that life review may be useful as a psychosocial intervention that raises self-esteem and life satisfaction, mitigates depression, and is useful for death preparation. The purpose of this study was to assess healthcare provider perspectives of patient outcomes and provider job satisfaction in light of the use of life review as an intervention for terminally ill patients. A one-shot sample of 750 healthcare providers was obtained from the National Hospice and Palliative Care Organization. A total of 93 participants participated in the online survey establishing a 12.4% response rate. Seven pilot study participants were included for a total of 100 providers who were assessed for their perceptions of a recent patient death and for their level of job satisfaction. Analyses demonstrated that providers perceived patients who engaged in life review to experience a significantly higher quality of life t (98) = 2.109, p = .038 and significantly lower levels of depression t(98) = 2.463, p = .016. Use of life review did not impact provider job satisfaction. High levels of job satisfaction for the provider were found to significantly correlate with patient life satisfaction r (98) = .301, p < .05, self-esteem r (98) = .207, p < .05, quality of life r (98) = .231, p < .05, and quality of death r (98) = .217, p < .05 but not depression. The results indicate that life review is perceived by professional healthcare providers as being a useful intervention for individuals approaching the end of life.
Keywords/Search Tags:Life review, Quality, Satisfaction, Patient, Useful, Death, Provider
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