title: Managing expectations: Providing palliative care in aged care facilities.
abstract: OBJECTIVE
  To explore the views and experiences of staff from RACFs and community palliative care services (CPCSs) on providing palliative and end-of-life care in RACFs.
  
  
  METHODS
  Qualitative exploratory interviews and focus groups were conducted with staff working in two RACFs and two CPCSs, and, following data saturation, a thematic analysis undertaken.
  
  
  RESULTS
  15 RACF and 15 CPCS staff participated. The overarching theme was of managing expectations in the provision of care. This included low expectations of the care available in RACFs, tensions in addressing complex decision-making and concurrent administrative expectations, and differences between views of RACF and CPCS staff regarding their respective roles.
  
  
  CONCLUSIONS
  Improved understanding of the needs of RACF staff will improve the care of residents and, in turn, reduce hospitalisations.
authors: Centre for Palliative Care, St Vincent's Hospital, Melbourne, Victoria, Australia.
authors: Heather
authors: H
authors: Lane
authors: Centre for Palliative Care, St Vincent's Hospital, Melbourne, Victoria, Australia.
authors: Jennifer
authors: J
authors: Philip
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D003153:Community Health Services / Q000191:economics / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D005260:Female; D017144:Focus Groups; D017048:Health Care Costs; D006295:Health Resources / Q000458:organization & administration; D006302:Health Services Research; D006707:Homes for the Aged / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007407:Interviews as Topic; D007587:Job Description; D008297:Male; D009735:Nursing Homes / Q000191:economics / Q000458:organization & administration*; D010166:Palliative Care / Q000191:economics / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling; D036301:Qualitative Research; D013727:Terminal Care / Q000191:economics / Q000458:organization & administration*; D016526:Workload
keywords: aged; hospitalisation; nursing homes; palliative care; residential facilities