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Implementing person-centred outcome measures (PCOMs) into routine palliative care: A protocol for a mixed-methods
Andy Bradshaw1, Martina Santarelli2, Assem M Khamis2
1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK andrew.bradshaw@hyms.ac.uk.
This study evaluates the RESOLVE Implementation Strategy to improve consistent use of person-centred outcome measures in palliative care. Findings will guide better implementation for enhanced patient care quality.
Area of Science:
- Palliative Care
- Implementation Science
- Health Services Research
Background:
- Person-centred outcome measures are vital for enhancing palliative care quality and patient outcomes.
- Inconsistent application of these measures presents a significant implementation gap in routine palliative care.
- The 'RESOLVE Implementation Strategy' was developed to address this gap.
Purpose of the Study:
- To conduct a process evaluation of the 'RESOLVE Implementation Strategy'.
- To explore the mechanisms through which the strategy facilitates or hinders the implementation of outcome measures in palliative care.
- To understand changes in professionals' understanding, skills, and organizational practices related to outcome measure use.
Main Methods:
- A multistrand, mixed-methods process evaluation design.
- Strand 1: Collection of routine outcome data (e.g., Palliative Phase of Illness, IPOS, AMPs) over 12 months.
- Strands 2 & 3: Collection of survey and interview data to explore changes in professionals' perspectives and strategy mechanisms.
Main Results:
- Data collection spanned July 2021 to July 2022.
- Analysis included thematic framework analysis for qualitative data and descriptive statistics for quantitative data.
- Ethical approvals obtained from relevant committees for all study strands.
Conclusions:
- The process evaluation aims to elucidate the effectiveness of the RESOLVE Implementation Strategy.
- Findings will inform strategies for optimizing the use of person-centred outcome measures in palliative care.
- Dissemination includes publications, conference presentations, and stakeholder briefings to promote wider adoption.
Related Concept Videos
Methods of Documentation II: POMR
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient-centered Care
Methods of Documentation III: PIE
Nursing Evaluation
Nursing Implementation
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

