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Evaluating a palliative care program: methodology and limitations

H Jarvis1, F I Burge, C A Scott

  • 1Queen Elizabeth II Health Science Centre, Halifax, Nova Scotia, Canada.

Journal of Palliative Care
|January 1, 1996
PubMed
Summary
This summary is machine-generated.

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This study evaluated a regional palliative care service, finding reduced symptom distress and generally satisfied patients and families. Nurses reported adequate resources and support for delivering quality care.

Area of Science:

  • Palliative Care
  • Healthcare Service Evaluation
  • Quality Improvement

Background:

  • Palliative care services are crucial for managing complex patient needs.
  • Evaluating service components and outcomes is essential for optimizing care delivery.
  • Regional and tertiary care settings require tailored palliative care models.

Purpose of the Study:

  • To assess the effectiveness of a palliative care service in a regional/tertiary facility.
  • To evaluate patient/family satisfaction and symptom relief.
  • To examine community resource utilization and nursing staff well-being.

Main Methods:

  • Utilized symptom distress scale for quality of life.
  • Employed adapted Kristjanson FAMCARE scale for patient/family satisfaction.

Related Experiment Videos

  • Assessed community resource utilization via surveys.
  • Measured nursing morale and stress using Maslach Burnout Inventory and Latack's Coping Questionnaire.
  • Main Results:

    • Overall symptom distress significantly decreased.
    • Patients and families reported general satisfaction, with identified areas for improvement.
    • Physicians noted benefits in psychosocial support, respite, and education.
    • Nurses felt equipped with time, energy, resources, and support for quality care.

    Conclusions:

    • The palliative care service effectively reduced symptom distress and generally satisfied patients/families.
    • The service positively impacts nursing staff morale and perceived ability to provide quality care.
    • Recommendations for enhancing specific aspects of patient/family satisfaction are indicated.