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Developing a best practice model for partnership practice between specialist palliative care and intellectual
Dorry McLaughlin1, Owen Barr2, Sonja McIlfatrick3
1School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK d.mclaughlin@qub.ac.uk.
Partnership practice between intellectual disability and palliative care services is infrequent but essential for quality end-of-life care. A new best practice model was developed to improve joint working and learning for better patient outcomes.
Area of Science:
- Healthcare Services Research
- Intellectual Disability Care
- Palliative Care
Background:
- International literature highlights poor access to quality palliative care for individuals with intellectual disabilities.
- Partnership practice in end-of-life care is increasingly proposed as a solution.
- Existing services often lack effective collaboration between palliative and intellectual disability care.
Purpose of the Study:
- To develop a best practice model for partnership working.
- To guide and promote collaboration between specialist palliative care and intellectual disability services.
- To address the identified gap in integrated end-of-life care.
Main Methods:
- A mixed-methods research design was employed across two phases.
- Phase 1 utilized questionnaires to scope end-of-life care provision (71.2% response rate).
- Phase 2 involved semi-structured interviews with 30 health and social care professionals.
Main Results:
- Good practice examples were identified, but partnership working was infrequent.
- Professionals reported unmet educational needs in end-of-life care for this population.
- Key themes included challenges, learning, support, and practical partnership issues.
Conclusions:
- Joint working and continuous learning are fundamental for effective care.
- A transferable framework for partnership practice has been developed.
- The model has potential international applicability for end-of-life care services.
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