A qualitative evidence synthesis exploring the attitudes, beliefs and values of the long-term care workforce towards palliative care

This qualitative systematic review aimed to identify and appraise the available qualitative evidence on the attitudes, beliefs, and values of the long-term care workforce towards palliative care. These attributes are important antecedents of behaviour in care provision. The qualitative findings were synthesized into two statements: 'Staff in long-term care facilities understand the importance of clear communication and family engagement for optimal palliative and end-of-life care (PEoLC)', and 'Staff in long-term care facilities deliver palliative and end-of-life care (PEoLC) that is both functional and interpersonal, while managing competing system, professional, and emotional demands.' Key findings showed favourable attitudes in key aspects of PEoLC. Beliefs were consistent with the broader healthcare literature on dying and death, and values favourably aligned with contemporary understandings of palliative care. The review's key findings extend the understanding of workforce attributes beyond knowledge of palliative care and show recognition of broader holistic domains of PEoLC that staff strive to address. Strategies for education and training that enable staff to promote these core holistic values are recommended.