Strategies for the implementation of palliative care education and organizational interventions in long-term care facilities: A scoping review
| Autor: | Giovanni Gambassi, Luc Deliens, Lara Pivodic, Anne B. Wichmann, Lieve Van den Block, Federica Mammarella, Julie Ling, Marc Tanghe, Yvonne Engels, Violetta Kijowska, Paula Andreasen, Danielle Collingridge Moore, Sheila Payne, Yuliana Gatsolaeva, Katherine Froggatt, Paola Rossi, Ivan Segat, Catherine Bassal, Rose Miranda, Ruth Piers, Rauha Heikkilä, Outi Kuitunen-Kaija, Nele Van Den Noortgate, Suvi Leppaaho, Teija Hammar, Agnieszka Pac, Tinne Smets, Eddy M. M. Adang, Harriet Finne-Soveri, Mariska Oosterveld-Vlug, Martina Mercuri, Agata Stodolska, Hein P.J. van Hout, Sophie Pautex, Emilie Morgan de Paula, Jenny T. van der Steen, Katarzyna Szczerbińska, Jo Hockley, Maud ten Koppel, Bregje D. Onwuteaka-Philipsen, Myrra Vernooij-Dassen, Marika Kylänen, Eleanor Sowerby, Elisabeth Honinx, H. Roeline W. Pasman, Ilona Baranska |
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| Přispěvatelé: | Clinical sciences, Family Medicine and Chronic Care, End-of-life Care Research Group |
| Rok vydání: | 2020 |
| Předmět: |
Palliative care
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] literature review Psychological intervention Social Sciences Review Article nursing homes palliative medicine 0302 clinical medicine Medicine and Health Sciences PROGRAM Medicine 030212 general & internal medicine Education Nursing implementation Qualitative Research intervention media_common palliative care 030503 health policy & services General Medicine FIDELITY 0305 other medical science End-of-life care FEASIBILITY GOLD STANDARDS FRAMEWORK media_common.quotation_subject Fidelity NURSING-HOMES Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences Population Groups Nursing PEOPLE Intervention (counseling) Humans care homes end-of-life care BARRIERS business.industry Long-term care facilities Health Plan Implementation Organizational interventions ADVANCED DEMENTIA Long-Term Care FACILITATION Long-term care Anesthesiology and Pain Medicine scoping review OF-LIFE CARE Older people business Delivery of Health Care |
| Zdroj: | Palliative Medicine, 34, 5, pp. 558-570 Moore, D C, Payne, S, Van den Block, L, Ling, J, Froggatt, K, Gatsolaeva, Y, Honinx, E, Pivodic, L, Miranda, R, Onwuteaka-Philipsen, B D, van Hout, H, Pasman, H R W, Oosterveld-Vlug, M, Ten Koppel, M, Piers, R, Van Den Noortgate, N, Engels, Y, Vernooij-Dassen, M, Hockley, J, Szczerbinska, K, Kylanen, M, Gambassi, G, Pautex, S, Bassal, C, Deliens, L, Smets, T, Adang, E, Andreasen, P, Baranska, I, Finne-Soveri, H, Hammar, T, Heikkila, R, Kijowska, V, Leppaaho, S, Mammarella, F, Mercuri, M, Kuitunen-Kaija, O, Pac, A, de Paula, E M, Rossi, P, Segat, I, Sowerby, E, van der Steen, J T, Stodolska, A, Tanghe, M & Wichmann, A B 2020, ' Strategies for the implementation of palliative care education and organizational interventions in long-term care facilities: A scoping review ', Palliative Medicine, vol. 34, no. 5, pp. 558-570 . https://doi.org/10.1177/0269216319893635 Palliative Medicine, 34, 558-570 PALLIATIVE MEDICINE Palliative Medicine |
| ISSN: | 0269-2163 1477-030X |
| DOI: | 10.1177/0269216319893635 |
| Popis: | Background: The number of older people dying in long-term care facilities is increasing; however, care at the end of life can be suboptimal. Interventions to improve palliative care delivery within these settings have been shown to be effective in improving care, but little is known about their implementation. Aim: The aim of this study was to describe the nature of implementation strategies and to identify facilitators and/or barriers to implementing palliative care interventions in long-term care facilities. Design: Scoping review with a thematic synthesis, following the ENTREQ guidelines. Data sources: Published literature was identified from electronic databases, including MEDLINE, EMBASE, PsycINFO and CINAHL. Controlled, non-controlled and qualitative studies and evaluations of interventions to improve palliative care in long-term care facilities were included. Studies that met the inclusion criteria were sourced and data extracted on the study characteristics, the implementation of the intervention, and facilitators and/or barriers to implementation. Results: The review identified 8902 abstracts, from which 61 studies were included in the review. A matrix of implementation was developed with four implementation strategies (facilitation, education/training, internal engagement and external engagement) and three implementation stages (conditions to introduce the intervention, embedding the intervention within day-to-day practice and sustaining ongoing change). Conclusion: Incorporating an implementation strategy into the development and delivery of an intervention is integral in embedding change in practice. The review has shown that the four implementation strategies identified varied considerably across interventions; however, similar facilitators and barriers were encountered across the studies identified. Further research is needed to understand the extent to which different implementation strategies can facilitate the uptake of palliative care interventions in long-term care facilities. |
| Databáze: | OpenAIRE |
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