Table 3.
Survey Items for Palliative Care and Infection Management
| Palliative Care (PC) | Weighted μ | SE | Range |
|---|---|---|---|
| End-of-Life Culture Change Scale | 76.61 | 0.72 | 7.78-100 |
| How often does your facility: | % Rarely/Sometimes | % Often | % Almost Always |
| 1. Discuss a resident’s spiritual needs at care planning conferences when the resident has a terminal illness? | 11.46 | 17.09 | 71.45 |
| 2. Document in the care plan what is important to the individual, such as the presence of family or religious or cultural practices? | 9.14 | 17.66 | 73.20 |
| 3. Honor in some public way (either at the facility or in the community) a resident who has died? | 36.11 | 17.33 | 46.55 |
| 4. Honor the resident’s body in some manner upon its removal from the facility? | 46.30 | 11.17 | 42.53 |
| 5. Send a sympathy card to family members or significant others after a resident has died? | 19.17 | 14.08 | 66.74 |
| 6. Follow up with roommate(s) or friend(s) in the facility to provide emotional support after a resident has died? | 14.02 | 22.66 | 63.31 |
| Infection Management (IM) | Weighted μ | SE | Range |
| Antibiotic Stewardship Policies | 65.81 | 0.90 | 0-100 |
| Which of the following policies or programs are in place at your facility? | % Present | ||
| 1. Collect data on antibiotic use | 91.74 | ||
| 2. Use antibiotic prescribing guidelines or therapeutic formularies | 65.39 | ||
| 3. Restrict use of specific antibiotics | 18.97 | ||
| 4. Communicate antibiotic use information when residents are transferred | 81.20 | ||
| 5. Review cases to assess appropriateness of antibiotic administration and/or indication | 69.16 | ||
| 6. Provide feedback to clinicians on antibiotic use and prescribing | 71.20 | ||
| 7. Provide education resources for improving antibiotic use | 63.01 | ||
| Weighted μ | SE | Range | |
| Urinary Tract Infection Prevention Policies | 55.70 | 0.76 | 0-100 |
| Which of the following policies does your facility have in place related to prevention of urinary tract infections? | % Present | ||
| 1. Hydration protocols | 77.50 | ||
| 2. Staff education on perineal care | 97.71 | ||
| 3. Urinary catheter reminder/stop-order or nurse-initiated urinary catheter discontinuation | 65.92 | ||
| 4. Leg bag cleaning policy | 45.34 | ||
| 5. Condom catheters used instead of indwelling catheters for men | 12.63 | ||
| 6. Catheters replaced & specimens collected prior to antimicrobial therapy for symptomatic infection of residents with indwelling catheters | 60.90 | ||
| 7. Portable bladder ultrasound scanner for determining post void residual | 29.87 | ||