Abstract
ackground/aims: Appropriate palliative care requires multidimensional symptom management, provided by a multiprofessional team.
The working method “Palliative Reasoning”(PR), was developed and
implemented in primary care and in nursing homes.
Aim: To investigate the influence of the implementation of Palliative
Reasoning on symptom management, interdisciplinary collaboration
and communication. Methods: A quantitative observational study with a pretest -posttest
design. An online, non-linked survey was completed by health care professionals (HCPs) working in participating teams. The Modified Index for
Interdisciplinary Collaboration (MIIC) was used to measure interdisciplinary collaboration. Symptom management, interdisciplinary collaboration and communication with patients&relatives and colleagues were
inquired by self-developed surveys. Data analysis was performed using
descriptive statistics.
Results: The study samples (n=121 and n=92) contained mostly female
nurse assistants and registered nurses. After implementation, participants
reported a higher grade of knowledge of palliative care, improved attention to the spiritual domain and estimation of life expectancy, and more
frequent execution of all aspects of symptom management. Mean MIIC
scores were moderately high and did not improve after implementation.
Communication with both patients&relatives and colleague HCPs were
generally perceived as high and remained high post-implementation.
Conclusions: Implementation of the working method Palliative
Reasoning in primary care and nursing homes resulted in HCPs earlier
marking patients with life-threatening diseases, potentially leading to
earlier and more appropriate palliative care. Besides, more attention
was created for the spiritual dimension. Communication and collaboration remained high.
The working method “Palliative Reasoning”(PR), was developed and
implemented in primary care and in nursing homes.
Aim: To investigate the influence of the implementation of Palliative
Reasoning on symptom management, interdisciplinary collaboration
and communication. Methods: A quantitative observational study with a pretest -posttest
design. An online, non-linked survey was completed by health care professionals (HCPs) working in participating teams. The Modified Index for
Interdisciplinary Collaboration (MIIC) was used to measure interdisciplinary collaboration. Symptom management, interdisciplinary collaboration and communication with patients&relatives and colleagues were
inquired by self-developed surveys. Data analysis was performed using
descriptive statistics.
Results: The study samples (n=121 and n=92) contained mostly female
nurse assistants and registered nurses. After implementation, participants
reported a higher grade of knowledge of palliative care, improved attention to the spiritual domain and estimation of life expectancy, and more
frequent execution of all aspects of symptom management. Mean MIIC
scores were moderately high and did not improve after implementation.
Communication with both patients&relatives and colleague HCPs were
generally perceived as high and remained high post-implementation.
Conclusions: Implementation of the working method Palliative
Reasoning in primary care and nursing homes resulted in HCPs earlier
marking patients with life-threatening diseases, potentially leading to
earlier and more appropriate palliative care. Besides, more attention
was created for the spiritual dimension. Communication and collaboration remained high.
| Original language | English |
|---|---|
| Pages (from-to) | 88 |
| 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/ |