RT Journal Article
SR Electronic
T1 Strengthening palliative care in the hospital setting: a codesign study
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP e798
OP e806
DO 10.1136/bmjspcare-2020-002645
VO 14
IS e1
A1 Virdun, Claudia
A1 Luckett, Tim
A1 Davidson, Patricia M
A1 Phillips, Jane
YR 2024
UL http://spcare.bmj.com/content/14/e1/e798.abstract
AB Objective To identify actions required to strengthen the delivery of person and family centred hospital-based palliative care so that it addressed the domains of care identified as important for inpatients with palliative care needs and their families.Methods A codesign study involving a workshop with palliative care and acute hospital policy, consumer and clinical representatives in Australia. A modified nominal group process generated a series of actions, which were thematically analysed and refined, before being circulated to participants to gain consensus.Results More than half (n=30, 58%) of the invited representatives (n=52) participated in the codesign process. Nine actions were identified as required to strengthen inpatient palliative care provision being: (a) evidence-informed practice and national benchmarking; (b) funding reforms; (c) securing executive level support; (d) mandatory clinical and ancillary education; (e) fostering greater community awareness; (f) policy reviews of care of the dying; (g) better integration of advance care planning; (h) strengthen nursing leadership; and (i) develop communities of practice for improving palliative care.Conclusions Changes to policy, practice, education and further research are required to optimise palliative care within hospital settings, in accordance with the domains inpatients with palliative care needs and their families consider to be important. Achieving these changes will require a whole of sector approach and significant national and jurisdictional leadership.All data relevant to the study are included in the article or uploaded as supplementary information. Additional data related to this study are available by contacting the corresponding author: claudia.virdun@uts.edu.au.