Abstract
ackground/aims: Development of an integrated symptom management working method, consisting of two good examples in Dutch palliative care.
RQ: How can signaling and decision making be integrated and implemented in palliative care for patients at home and nursing homes?
Methods: A Participatory Action Research design (PAR) with three action
cycles to develop an integrated working method in symptom management was performed from Oct 2020 – June 2022. In total, 17 nursing
homes wards and 3 home care teams were enrolled. Each cycle consisted of three steps. During the planning phase education was provided,
healthcare professionals (HCP) were trained, and agreements for the
execution were documented. After three months execution was evaluated and the new cycle planned. During this period the contact persons
per team were coached by PC specialized nurse practitioners. Data were
gathered during the evaluation phase to optimize the integrated working method and supportive implementation materials.
Results: In total 306 HCP participated in the project. Supportive materials were developed to integrate palliative reasoning in daily practice,
information for patients and families, instruction, and support materials
for multidisciplinary team members with different NLQF levels and the
management. To enable incorporating supporting structures in electronic health records an information standard was developed.
HCP perceived a value of working with palliative reasoning (PR) on their
own knowledge and that of colleagues, consciousness, collaboration,
and individual PC provided. Implementation success depends on: leadership of contact persons, supportive structures, educational levels and
multiprofessional collaboration.
Conclusions: The implementation of palliative reasoning as a working
method for symptom management requires a phased approach, including a tailored multifaced implementation strategy. Leadership and a
diversity of competences and educational levels in the nursing team are
essential for a successful implementation.
RQ: How can signaling and decision making be integrated and implemented in palliative care for patients at home and nursing homes?
Methods: A Participatory Action Research design (PAR) with three action
cycles to develop an integrated working method in symptom management was performed from Oct 2020 – June 2022. In total, 17 nursing
homes wards and 3 home care teams were enrolled. Each cycle consisted of three steps. During the planning phase education was provided,
healthcare professionals (HCP) were trained, and agreements for the
execution were documented. After three months execution was evaluated and the new cycle planned. During this period the contact persons
per team were coached by PC specialized nurse practitioners. Data were
gathered during the evaluation phase to optimize the integrated working method and supportive implementation materials.
Results: In total 306 HCP participated in the project. Supportive materials were developed to integrate palliative reasoning in daily practice,
information for patients and families, instruction, and support materials
for multidisciplinary team members with different NLQF levels and the
management. To enable incorporating supporting structures in electronic health records an information standard was developed.
HCP perceived a value of working with palliative reasoning (PR) on their
own knowledge and that of colleagues, consciousness, collaboration,
and individual PC provided. Implementation success depends on: leadership of contact persons, supportive structures, educational levels and
multiprofessional collaboration.
Conclusions: The implementation of palliative reasoning as a working
method for symptom management requires a phased approach, including a tailored multifaced implementation strategy. Leadership and a
diversity of competences and educational levels in the nursing team are
essential for a successful implementation.
| Original language | English |
|---|---|
| Pages (from-to) | 223 |
| Number of pages | 1 |
| Journal | Palliative Medicine |
| Volume | 37 |
| Issue number | S1 |
| DOIs | |
| Publication status | Published - 7 Jun 2023 |
| Event | European Association of Palliative Care World Congress: Equity and diversity - De Doelen, Rotterdam, Netherlands Duration: 15 Jun 2023 → 17 Jun 2023 https://eapccongress.eu/2023/ |