期刊论文详细信息
BMC Palliative Care
Strategies to implement evidence into practice to improve palliative care: recommendations of a nominal group approach with expert opinion leaders
Research Article
Kris Vissers1  Yvonne Engels1  Lukas Radbruch2  Rabih Chattat3  Marianne J. Hjermstad4  Steve Iliffe5  Jasper van Riet Paap6  Myrra Vernooij-Dassen7 
[1] Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands;Department of Palliative Medicine, Universitätsklinikum Bonn, Sigmund-Freud-Street 25, 53127, Bonn, Germany;Department of Palliative Care, Malteser Hospital Bonn/Rhein-Sieg, Bonn, Germany;Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy;Regional Centre for Excellence in Palliative Care Department of Oncology, Oslo University Hospital, P.O. Box 4956, 0424, Nydalen, Oslo, Norway;European Palliative Care Research Centre, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology, P.O. Box 8905, N-7491, Trondheim, Norway;Research Department of Primary Care and Population Health, University College London, Royal Free Campus, Rowland Hill Street, NW3 2PF, London, UK;Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands;Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands;Kalorama Foundation, Nijmegen, The Netherlands;
关键词: Palliative care;    Europe;    Implementation strategies;    Quality improvement;    Nominal group technique;   
DOI  :  10.1186/s12904-015-0044-9
 received in 2015-04-07, accepted in 2015-09-21,  发布年份 2015
来源: Springer
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【 摘 要 】

BackgroundIn the past decades, many new insights and best practices in palliative care, a relatively new field in health care, have been published. However, this knowledge is often not implemented. The aim of this study therefore was to identify strategies to implement improvement activities identified in a research project within daily palliative care practice.MethodsA nominal group technique was used with members of the IMPACT consortium, being international researchers and clinicians in cancer care, dementia care and palliative care. Participants identified and prioritized implementation strategies. Data was analyzed qualitatively using inductive coding.ResultsTwenty international clinicians and researchers participated in one of two parallel nominal group sessions. The recommended strategies to implement results from a research project were grouped in five common themes: 1. Dissemination of results e.g. by publishing results tailored to relevant audiences, 2. Identification and dissemination of unique selling points, 3. education e.g. by developing e-learning tools and integrating scientific evidence into core curricula, 4. Stimulation of participation of stakeholders, and 5. consideration of consequences e.g. rewarding services for their implementation successes but not services that fail to implement quality improvement activities.DiscussionThe added value of this nominal group study lies in the prioritisation by the experts of strategies to influence the implementation of quality improvement activities in palliative care. Efforts to ensure future use of scientific findings should be built into research projects in order to prevent waste of resources.

【 授权许可】

CC BY   
© van Riet Paap et al. 2015

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