Development and implementation of an advance care planning program in Catalonia, Spain
| Autor: | Xavier Gómez-Batiste, Sebastià Santaeugènia, Sara Ela, Sara Delgado, Carles Blay, Amor Aradilla-Herrero, Cristina Lasmarías, Nuria Terribas |
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| Rok vydání: | 2018 |
| Předmět: |
Advance care planning
Palliative care 03 medical and health sciences Advance Care Planning 0302 clinical medicine Deliverable Humans Project management Program Development Health Education General Nursing Qualitative Research Medical education Internet business.industry Teaching Palliative Care General Medicine Bioethics Focus Groups Psychiatry and Mental health Clinical Psychology Conceptual framework Spain 030220 oncology & carcinogenesis Scale (social sciences) business Working group Psychology |
| Zdroj: | Palliativesupportive care. 17(4) |
| ISSN: | 1478-9523 1478-9515 |
| Popis: | ObjectiveImplementation of an advance care planning (ACP) program for people with advanced chronic conditions is a complex process. The aims of this paper are to describe (1) the development of the ACP program in Catalonia, Spain, for patients with advanced chronic conditions and complex needs and (2) the preliminary results of the implementation of this program in health and social services.MethodThe ACP program was developed and implemented in a four-stage process as follows: (1) design and organization of the project; (2) selection of the professionals to carry out the project; (3) creation of four working groups to develop the conceptual model, guidelines, training program, and perform a qualitative evaluation; and (4) project implementation.ResultThe following deliverables were completed: (1) conceptual framework document; (2) practical guidelines for the application of the ACP; (3) online training course (3,763 healthcare professionals completed the online course, with an overall satisfaction rating of 8.4 on a 10-point scale); and (4) additional training activities (conferences, short courses, and seminars) in between 2015 and 2017.Significance of resultsThis project was led by the Catalan Ministry of Health. The strengths of the project development include the contribution of a wide range of professionals from the entire region, approval by the Catalan Bioethics Committee and the Social Services Ethics Committee, and the ongoing validation by members of the community. A standardized online training course was offered to all primary care professionals and included as a quality indicator for continuing education for those professionals in the period 2016–2020. The main outcome of this project is the establishment of a pragmatic ACP throughout the region and training of the health and social care professionals involved in the care of advanced chronic patients. |
| Databáze: | OpenAIRE |
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