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Identifying Key Domains and Implementation Challenges for a Live Discharge From Hospice Protocol.
Stephanie P Wladkowski1, Susan Enguídanos2, Tracy A Schroepfer3
1Social Work, Department of Human Services, Bowling Green State University, Bowling Green, OH, USA.
Hospice agencies need a structured live discharge protocol (LDP) to guide patient and caregiver transitions. Social workers identified benefits and challenges, emphasizing the need for clear roles and education for effective implementation.
Area of Science:
- Palliative Care
- Social Work in Healthcare
Background:
- Hospice agencies currently lack a defined live discharge process.
- A preliminary live discharge protocol (LDP) was developed, focusing on services, psychosocial needs, and follow-up.
- This study explored hospice social workers' views on the proposed LDP.
Purpose of the Study:
- To gather hospice social workers' perspectives on a proposed live discharge protocol (LDP).
- To identify essential assessment components and implementation needs for the LDP.
Main Methods:
- Purposive and convenience sampling of 14 hospice social workers.
- Four focus groups conducted via Zoom over 4 months.
- Thematic analysis of qualitative data.
Main Results:
- Participants recognized the benefits and challenges of a structured discharge protocol.
- A need for defined roles for LDP implementation across the hospice team was identified.
- Education and clear boundaries for patients, caregivers, and professionals are crucial.
Conclusions:
- The three core assessment components of the preliminary LDP were considered necessary.
- Implementation challenges varied by agency but reflected broader hospice culture.
- Further research is required to evaluate the LDP's impact.
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