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Emergency departmen...
Emergency department staff priorities for improving palliative care provision for older people : A qualitative study
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- Wright, Rebecca J. (författare)
- Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK
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- Lowton, Karen (författare)
- Department of Sociology, University of Sussex, Brighton, UK
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- Robert, Glenn (författare)
- Jönköping University,The Jönköping Academy for Improvement of Health and Welfare,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK
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- Grudzen, Corita R (författare)
- Ronald O. Perelman Department of Emergency Medicine, School of Medicine, New York University, New York, NY, USA
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- Grocott, Patricia (författare)
- Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK
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(creator_code:org_t)
- 2017-04-21
- 2018
- Engelska.
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Ingår i: Palliative Medicine. - : Sage Publications. - 0269-2163 .- 1477-030X. ; 32:2, s. 417-425
- Relaterad länk:
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http://sro.sussex.ac...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- BACKGROUND: Emergency department-based palliative care services are increasing, but research to develop these services rarely includes input from emergency clinicians, jeopardizing the effectiveness of subsequent palliative care interventions.AIM: To collaboratively identify with emergency clinicians' improvement priorities for emergency department-based palliative care for older people.DESIGN: This was one component of an experience-based co-design project, conducted using semi-structured interviews and feedback sessions.SETTING/PARTICIPANTS: In-depth interviews with 15 emergency clinicians (nurses and doctors) at a large teaching hospital emergency department in the United Kingdom exploring experiences of palliative care delivery for older people. A thematic analysis identified core challenges that were presented to 64 clinicians over five feedback sessions, validating interview findings, and identifying shared priorities for improving palliative care delivery.RESULTS: Eight challenges emerged: patient age; access to information; communication with patients, family members, and clinicians; understanding of palliative care; role uncertainty; complex systems and processes; time constraints; and limited training and education. Through feedback sessions, clinicians selected four challenges as improvement priorities: time constraints; communication and information; systems and processes; and understanding of palliative care. As resulting improvement plans evolved, "training and education" replaced "time constraints" as a priority.CONCLUSION: Clinician priorities for improving emergency department-based palliative care were identified through collaborative, iterative processes. Though generally aware of older palliative patients' needs, clinicians struggled to provide high-quality care due to a range of complex factors. Further research should identify whether priorities are shared across other emergency departments, and develop, implement, and evaluate strategies developed by clinicians.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Palliative care
- emergency department
- frail older adults
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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