Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions

The provision of care that enhances the quality of life at the end of life is a fundamental goal of palliative care services. This pilot study explored the application of the Quality of Life at the End of Life (QUAL-E) instrument in a sample of 52 patients who were hospitalized in two metropolitan W...

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Main Authors: Wilkinson, A., Slatyer, Susan, McCullough, K., Williams, Anne
Format: Journal Article
Published: Centre for Bioethics, IRCM 2014
Subjects:
Online Access:http://www.ncbi.nlm.nih.gov/pubmed/24826439
http://hdl.handle.net/20.500.11937/16427
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author Wilkinson, A.
Slatyer, Susan
McCullough, K.
Williams, Anne
author_facet Wilkinson, A.
Slatyer, Susan
McCullough, K.
Williams, Anne
author_sort Wilkinson, A.
building Curtin Institutional Repository
collection Online Access
description The provision of care that enhances the quality of life at the end of life is a fundamental goal of palliative care services. This pilot study explored the application of the Quality of Life at the End of Life (QUAL-E) instrument in a sample of 52 patients who were hospitalized in two metropolitan Western Australian hospitals. Participants were given the option to complete the QUAL-E either as a self-report (n = 9, 17.3 percent) or, aided by a research assistant, as a structured interview (n = 43, 82.7 percent). The instrument demonstrated patient acceptability and face validity, particularly when it was administered with the assistance of a research assistant. Despite having difficulty with some questions, patients expressed their appreciation at being given the opportunity to contribute to the research and to reflect upon and give voice to their thoughts and feelings. Health practitioners indicated that the instrument could be a valuable tool for holistic assessment and service evaluation. We suggest that minor changes be made to the QUAL-E before it is used further in an Australian context; we also recommend that this instrument be tested in other settings and populations.
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spelling curtin-20.500.11937-164272017-01-30T11:55:41Z Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions Wilkinson, A. Slatyer, Susan McCullough, K. Williams, Anne ethics patient experience patient assessment quality of life palliative care instrument development end of life hospital The provision of care that enhances the quality of life at the end of life is a fundamental goal of palliative care services. This pilot study explored the application of the Quality of Life at the End of Life (QUAL-E) instrument in a sample of 52 patients who were hospitalized in two metropolitan Western Australian hospitals. Participants were given the option to complete the QUAL-E either as a self-report (n = 9, 17.3 percent) or, aided by a research assistant, as a structured interview (n = 43, 82.7 percent). The instrument demonstrated patient acceptability and face validity, particularly when it was administered with the assistance of a research assistant. Despite having difficulty with some questions, patients expressed their appreciation at being given the opportunity to contribute to the research and to reflect upon and give voice to their thoughts and feelings. Health practitioners indicated that the instrument could be a valuable tool for holistic assessment and service evaluation. We suggest that minor changes be made to the QUAL-E before it is used further in an Australian context; we also recommend that this instrument be tested in other settings and populations. 2014 Journal Article http://hdl.handle.net/20.500.11937/16427 http://www.ncbi.nlm.nih.gov/pubmed/24826439 Centre for Bioethics, IRCM fulltext
spellingShingle ethics
patient experience
patient assessment
quality of life
palliative care
instrument development
end of life
hospital
Wilkinson, A.
Slatyer, Susan
McCullough, K.
Williams, Anne
Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions
title Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions
title_full Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions
title_fullStr Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions
title_full_unstemmed Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions
title_short Exploring the quality of life at the end of life (QUAL-E) instrument with Australian palliative care hospital patients: hurdles and directions
title_sort exploring the quality of life at the end of life (qual-e) instrument with australian palliative care hospital patients: hurdles and directions
topic ethics
patient experience
patient assessment
quality of life
palliative care
instrument development
end of life
hospital
url http://www.ncbi.nlm.nih.gov/pubmed/24826439
http://hdl.handle.net/20.500.11937/16427