[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-428366-105":59,"doc-detail-428366-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","implementing-palliative-care-consultation-programs-in-nursing-homes-key-stakeholders-perspectives","Implementing Palliative Care Consultation Programs in Nursing Homes - Key Stakeholders’ Perspectives","","Palliative care consultations in nursing homes are linked to reduced acute care use and fewer burdensome transitions for residents, yet the implementation steps remain insufficiently understood. This qualitative descriptive study interviewed key stakeholders in fourteen Eastern U.S. nursing homes and analyzed transcripts with conventional content analysis (N=33). The findings describe a six-step implementation process shaped by residents’ families, nursing home staff, PC agencies, and primary care providers, yielding an actionable framework for effective PC consultation adoption.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/implementing-palliative-care-consultation-programs-in-nursing-homes-key-stakeholders-perspectives/428366/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/implementing-palliative-care-consultation-programs-in-nursing-homes-key-stakeholders-perspectives/428366.png","ImageObject",300,407,{"name":92,"@type":93},"Grenda","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why are palliative care (PC) consultations important for nursing home residents?","Question",{"text":113,"@type":114},"PC consultations are associated with reduced acute care use and less burdensome transitions for nursing home residents.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did the study investigate implementation steps for PC consultations?",{"text":118,"@type":114},"The study used a qualitative descriptive approach with semi-structured interviews in fourteen nursing homes in the Eastern United States, followed by conventional content analysis of transcripts.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the six steps in the PC consultation implementation process identified by stakeholders?",{"text":122,"@type":114},"The process includes establishing partnerships, identifying the need for PC referral, initiating referrals, processing referrals, and continuing PC provider actions with follow-up to ensure PC care is implemented.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},428366,1790740885,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},7971474921005,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","1238 Innovation in Aging, 2025, Vol. 9, No. S2  \nconducting consult, and (6) PC and NH follow-up to ensure PC care is implemented. Within each step, NH residents and their families, PC agency and NH leaders, and primary care providers significantly shape the process by undertaking actions that either move or stall the PC consultation process. Strategies that support the process include strong NH and PC agency relationships, PC consultant provider availability, PC consultant access to resident information, and NH staff investment in PC consultation services. Our findings provide an actionable framework to guide the implementation of effective NH PC consultations.  \nAbstract citation ID: igaf122.4138  \nIMPLEMENTING PALLIATIVE CARE CONSULTATION  \nPROGRAMS IN NURSING HOMES: KEY  \nSTAKEHOLDERS’ PERSPECTIVES  \nElisha Oduro1, Alexandra Mora2, Ruth Lopez3, Kathleen Unroe4, Moses Akwobugi2, and Joan Carpenter5, 1. University of Maryland Baltimore, Baltimore, Maryland, United States, 2.  \nUniversity of Maryland Baltimore, Baltimore, Maryland, United States, 3. MGH Institute of Health Professions, Sharon, Massachusetts, United States, 4. Indiana University School of Medicine, Indiana, Indiana, United States,  \n5. University of Maryland School of Nursing, Baltimore, Maryland, United States  \nPalliative care (PC) consultation is associated with reduced acute care use and burdensome transitions for nursing home (NH) residents. However, little is known about the steps for implementing PC consultations into NHs. This study identified the processes of implementing PC consultations into NH workflows from the perspective of key stakeholders. Using a qualitative descriptive approach, we conducted semi-structured interviews with stakeholders in fourteen NHs in the Eastern United States. We analyzed transcribed interviews using conventional content analysis. Participants (N = 33) were NH direct care workers (e.g., nurses, social workers), PC consultants (e.g., PC nurse practitioners), and leaders (e.g., PC agency and NH directors), predominantly female (93.9%), and White (93.9%) .  \nOne-third had 20 years of experience working in NHs. We identified a six-step PC consultation implementation process: (1) NHand PC agency establishing partnerships,(2) NH staff identifying and determining the need for PC referral,(3) NH staff initiating PC referrals,(4) PC agency processing referrals,(5) PC provider","cbCaiignltLCt9zc","https://ap.wps.com/l/cbCaiignltLCt9zc","pdf",1087047,"English","# Key Stakeholders’ Perspectives\n## Study Design and Participants\n## Six-Step Implementation Process\n## Actionable Implementation Framework","[{\"question\":\"Why are palliative care (PC) consultations important for nursing home residents?\",\"answer\":\"PC consultations are associated with reduced acute care use and less burdensome transitions for nursing home residents.\"},{\"question\":\"How did the study investigate implementation steps for PC consultations?\",\"answer\":\"The study used a qualitative descriptive approach with semi-structured interviews in fourteen nursing homes in the Eastern United States, followed by conventional content analysis of transcripts.\"},{\"question\":\"What are the six steps in the PC consultation implementation process identified by stakeholders?\",\"answer\":\"The process includes establishing partnerships, identifying the need for PC referral, initiating referrals, processing referrals, and continuing PC provider actions with follow-up to ensure PC care is implemented.\"}]","Implementing Palliative Care Consultation Programs in Nursing Homes - Key Stakeholders’ Perspectives | PDF",1790646496]