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The Use of a Palliative Care Screening Tool to Improve Referrals to Palliative Care Services in Community-Based Hospitals
- Source :
- Journal of Hospice & Palliative Nursing. 22:327-334
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- Despite efforts to improve access to palliative care services, a significant number of patients still have unmet needs throughout their continuum of care. As such, this project was conducted to increase recognition of patients who could benefit from palliative care, increase referrals, and connect regional sites. This study utilized Plan-Do-Study-Act cycles through a quality improvement approach to develop and test the Palliative Care Screening Tool and aimed to screen 100% of patients within 24 hours who were admitted to selected units by February 2017. The intervention was implemented in 3 different units, each within community hospitals. Patients 18 years or older were screened if they were admitted to one of the selected units for the project, regardless of their diagnosis, age, or comorbidities. The percentage of newly admitted patients who were screened and the total number of palliative care consults were assessed as outcome measures. The tool was met with varying compliance among the 3 sites. However, there was an overall increase in consults across all hospital sites, and an increase in the proportion of noncancer patients was demonstrated. Although the aim was not reached, the tool helped to create a shift in the demographic of patients identified as palliative.
- Subjects :
- Adult
Male
medicine.medical_specialty
Quality management
Palliative care
MEDLINE
Hospitals, Community
Workload
Health Services Accessibility
Unmet needs
03 medical and health sciences
0302 clinical medicine
030502 gerontology
Intervention (counseling)
Humans
Mass Screening
Medicine
Screening tool
Referral and Consultation
Qualitative Research
Advanced and Specialized Nursing
Community and Home Care
Community based
business.industry
Palliative Care
Middle Aged
Quality Improvement
030220 oncology & carcinogenesis
Family medicine
Female
0305 other medical science
business
Qualitative research
Subjects
Details
- ISSN :
- 15390705 and 15222179
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- Journal of Hospice & Palliative Nursing
- Accession number :
- edsair.doi.dedup.....471f7c07648415dbda0f6beafd79b7c3