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  • Implementation of improvement strategies in palliative care: An integrative review

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    MoylePUB744.pdf (617.4Kb)
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    Author(s)
    Paap, Jasper van Riet
    Vernooij-Dassen, Myrra
    Sommerbakk, Ragni
    Moyle, Wendy
    Hjermstad, Marianne J
    Leppert, Wojciech
    Vissers, Kris
    Engels, Yvonne
    Griffith University Author(s)
    Moyle, Wendy
    Year published
    2015
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    Abstract
    Background: The European population is ageing, and as a consequence, an increasing number of patients are in need of palliative care, including those with dementia. Although a growing number of new insights and best practices in palliative care have been published, they are often not implemented in daily practice. The aim of this integrative review is to provide an overview of implementation strategies that have been used to improve the organisation of palliative care. Methods: Using an integrative literature review, we evaluated publications with strategies to improve the organisation of palliative care. Qualitative ...
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    Background: The European population is ageing, and as a consequence, an increasing number of patients are in need of palliative care, including those with dementia. Although a growing number of new insights and best practices in palliative care have been published, they are often not implemented in daily practice. The aim of this integrative review is to provide an overview of implementation strategies that have been used to improve the organisation of palliative care. Methods: Using an integrative literature review, we evaluated publications with strategies to improve the organisation of palliative care. Qualitative analysis of the included studies involved categorisation of the implementation strategies into subgroups, according to the type of implementation strategy. Results: From the 2379 publications identified, 68 studies with an experimental or quasi-experimental design were included. These studies described improvements using educational strategies (n = 14), process mapping (n = 1), feedback (n = 1), multidisciplinary meetings (n = 1) and multi-faceted implementation strategies (n = 51). Fifty-three studies reported positive outcomes, 11 studies reported mixed effects and four studies showed a limited effect (two educational and two multi-faceted strategies). Conclusions: This review is one of the first to provide an overview of the available literature in relation to strategies used to improve the organisation of palliative care. Since most studies reported positive results, further research is needed to identify and improve the effects of strategies aiming to improve the organisation of palliative care.
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    Journal Title
    Implementation Science
    Volume
    10
    DOI
    https://doi.org/10.1186/s13012-015-0293-2
    Copyright Statement
    © van Riet Paap et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
    Subject
    Information and computing sciences
    Biomedical and clinical sciences
    Publication URI
    http://hdl.handle.net/10072/125154
    Collection
    • Journal articles

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