A Toolkit for Enhancing End-of-Life Care: An Examination of Implementation and Impact

• Published date: 01 January 2018
• DOI: 10.1177/0032885517743933
• Author: Janice Penrod,Erin Kitt-Lewis,Christopher S. Hollenbeak,Susan J. Loeb,Rachel K. Wion,Gwen McGhan
• Date: 01 January 2018
• Subject Matter: Articles

https://doi.org/10.1177/0032885517743933

The Prison Journal

2018, Vol. 98(1) 104 –118

© 2017 SAGE Publications

Reprints and permissions:

sagepub.com/journalsPermissions.nav

DOI: 10.1177/0032885517743933

journals.sagepub.com/home/tpj

Article

A Toolkit for Enhancing

End-of-Life Care:

An Examination of

Implementation and

Impact

Susan J. Loeb1, Rachel K. Wion1, Janice Penrod1,

Gwen McGhan2, Erin Kitt-Lewis1,

and Christopher S. Hollenbeak3,4

Abstract

The purpose of this study was to examine the infusion of a Toolkit for

Enhancing End-of-Life Care in prisons, as well as the outcome and impact

on the quality of prison end-of-life care. A total of 74 front-line staff and

administrators were in attendance across two post-Toolkit-infusion evaluation

visits. Applying qualitative analysis, co-researcher outcome findings were

related to activities, community outreach and relations, multidisciplinary team,

quality improvement approach, and participatory action research team effects.

Organizational outcomes included barriers and challenges, cost, organizational

features, sphere of influence, readiness (for change), and sustainability.

Keywords

prison, end-of-life care, toolkit, prison staff

1Penn State College of Nursing, University Park, PA, USA

2The University of Calgary, CA

3Penn State College of Medicine, Hershey, PA, USA

4Penn State Department of Health Policy & Administration, University Park, PA, USA

Corresponding Author:

Susan J. Loeb, Penn State College of Nursing, 201 Nursing Sciences Building, University Park,

PA 16802, USA.

Email: SVL100@PSU.EDU

743933TPJXXX10.1177/0032885517743933The Prison JournalLoeb et al.

research-article2017