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Developing collaborative person-centred practice: a pilot project on a palliative care unit.

Pippa Hall1, Lynda Weaver, Debbie Gravelle

  • 1SCO Health Service, Ottawa, Ontario, Canada. phall@scohs.on.ca

Journal of Interprofessional Care
|March 17, 2007
PubMed
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A pilot study on a palliative care unit demonstrated that a collaborative, person-centered model improved continuity of care and job satisfaction. This model, focusing on nurse-physician collaboration, enhanced efficiency with reduced physician hours.

Area of Science:

  • Healthcare Management
  • Nursing
  • Palliative Care

Background:

  • Canadian healthcare system demands increased efficiency, cost-effectiveness, and quality improvement.
  • Interprofessional collaboration, particularly between nurses and physicians, is crucial for enhancing patient care and work satisfaction.
  • A palliative care team piloted a new model due to reduced medical staff.

Purpose of the Study:

  • To develop and evaluate a collaborative person-centered model of care for a 12-bed palliative care pilot project.
  • To assess the impact of this model on patient care, interprofessional collaboration, and work satisfaction.
  • To examine the efficiency and continuity of care with reduced physician presence.

Main Methods:

  • Development of a collaborative person-centered model based on existing frameworks and team input.

Related Experiment Videos

  • Implementation of the model in a 12-bed palliative care pilot project.
  • Comparison of physician hours on pilot versus non-pilot wings (3.82 vs. 8 hours).

    • Main Results:

    • The pilot team perceived benefits in continuity of care and interprofessional collaboration.
    • Physician presence was reduced by over 50% on the pilot wing.
    • The model showed potential for improved efficiency, job satisfaction, and continuity of care.

    Conclusions:

    • A person-centered model, focused on the physician-nurse dyad, may enhance efficiency and job satisfaction in palliative care.
    • Further research is essential to understand the broader impact on healthcare professionals, management, patients, and families.
    • Expanding the model across the unit and incorporating all team members are key future challenges.