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Strengthening palliative care in the hospital setting: a codesign study
Claudia Virdun1, Tim Luckett2, Patricia M Davidson2,3
1IMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), University of Technology Sydney, Sydney, New South Wales, Australia claudia.virdun@uts.edu.au.
Strengthening hospital palliative care requires policy, practice, and education changes. A codesign approach identified nine key actions for better patient and family-centered care.
Area of Science:
- Palliative Care Research
- Health Services Research
- Healthcare Policy
Background:
- Hospital-based palliative care is crucial for patients with life-limiting illnesses.
- Existing services may not fully address the needs and preferences of patients and families.
- A person and family-centered approach is essential for optimal care delivery.
Purpose of the Study:
- To identify actionable strategies for enhancing person and family-centered hospital-based palliative care.
- To ensure palliative care aligns with the priorities of patients and their families.
Main Methods:
- A codesign study was conducted in Australia.
- Involved a workshop with diverse stakeholders including policy, clinical, and consumer representatives.
- A modified nominal group process was used to generate and refine actions, followed by a consensus-building phase.
Main Results:
- Nine key actions were identified to improve inpatient palliative care.
- These include evidence-informed practice, funding reform, executive support, mandatory education, community awareness, policy review, advance care planning integration, nursing leadership, and communities of practice.
Conclusions:
- Optimizing hospital palliative care necessitates changes in policy, practice, and education.
- A comprehensive, sector-wide approach with strong national and jurisdictional leadership is required.
- Further research is needed to support these improvements.
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