Abstract
Background/aims: Seamless collaboration between healthcare professionals is essential to optimal palliative care, especially when making decisions about symptom management. This is the goal of the KWASA study, in which two instruments, Signaling in the Palliative Phase (SPP) and Decision making in the Palliative Phase (DPP) will be developed into an integrated digital application to improve multiprofessional collaboration. The first step is an expert meeting on the essential content.
Methods: An expert meeting was held, using the nominal group technique. The meeting was recorded, transcribed and analyzed thematically. Five palliative care experts participated of whom four are owner of the instruments.
Results: Participants agreed on the essentialness of the four step DPP and set this methodology as the basis of an integrated application: 1. assess the individual situation; 2. summarize the problem and formulate a proactive care plan; 3. evaluate; and 4. Adapt the care plan as needed and constant evaluate. Coordination with patients and families during all steps is significant. Each step is comprised of practical guidelines for structured thought and action, to which participants added clarifying words. Two concepts are made complementary in step 2: classic shared decision making, a consideration of relative meaningfulness and degree of effectiveness, is brought forward into policy considerations, and parts of advanced care planning are integrated in the plan of approach.
Conclusions: The methodology build into the DPP instrument is an essential component of optimal care for patients in the palliative phase, including patient wishes and priorities. Based on this methodology a practical form can be developed that improves multiprofessional collaboration in palliative care and can be used by all involved healthcare professionals.Funding: the Netherlands Organization for Health Research and Development.
Methods: An expert meeting was held, using the nominal group technique. The meeting was recorded, transcribed and analyzed thematically. Five palliative care experts participated of whom four are owner of the instruments.
Results: Participants agreed on the essentialness of the four step DPP and set this methodology as the basis of an integrated application: 1. assess the individual situation; 2. summarize the problem and formulate a proactive care plan; 3. evaluate; and 4. Adapt the care plan as needed and constant evaluate. Coordination with patients and families during all steps is significant. Each step is comprised of practical guidelines for structured thought and action, to which participants added clarifying words. Two concepts are made complementary in step 2: classic shared decision making, a consideration of relative meaningfulness and degree of effectiveness, is brought forward into policy considerations, and parts of advanced care planning are integrated in the plan of approach.
Conclusions: The methodology build into the DPP instrument is an essential component of optimal care for patients in the palliative phase, including patient wishes and priorities. Based on this methodology a practical form can be developed that improves multiprofessional collaboration in palliative care and can be used by all involved healthcare professionals.Funding: the Netherlands Organization for Health Research and Development.
| Original language | English |
|---|---|
| Article number | P01-326 |
| Journal | Palliative Medicine |
| Volume | 34 |
| Issue number | Suppl_1 |
| Publication status | Published - 21 Sept 2020 |