Implementation of the ID-PALL Assessment Tool for Palliative Care Needs: A Feasibility and Prevalence Study in a Tertiary Hospital.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_61B5D3171778
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Implementation of the ID-PALL Assessment Tool for Palliative Care Needs: A Feasibility and Prevalence Study in a Tertiary Hospital.
Périodique
Palliative medicine reports
Auteur⸱e⸱s
Teike Lüthi F., Bernard M., Behaghel G., Burgniard S., Larkin P., Borasio G.D.
ISSN
2689-2820 (Electronic)
ISSN-L
2689-2820
Statut éditorial
Publié
Date de publication
2024
Peer-reviewed
Oui
Volume
5
Numéro
1
Pages
350-358
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Identifying patients who require palliative care is a major public health concern. ID-PALL is the first screening instrument developed and validated to differentiate between patients in need of general versus specialized palliative care.
This study aimed to (1) evaluate user satisfaction and the facilitators and barriers for ID-PALL use and (2) assess the prevalence of patients who require palliative care.
A mixed methods study with an explanatory sequential design.
Over a six-month period, patients admitted to two internal medicine wards of a Swiss tertiary hospital were screened by nurses and physicians with ID-PALL, two to three days after hospitalization. Nurses and physicians completed a questionnaire and participated in focus groups.
Out of 969 patients, ID-PALL was completed for 420 (43.3%). Sixty percent of patients assessed needed general palliative care and 26.7% specialized palliative care. From the questionnaire and focus groups, five subthemes were identified concerning facilitators and barriers: organization, knowledge, collaboration, meaning, and characteristics of the instrument. ID-PALL was recognized as an easy-to-use and helpful instrument that facilitates discussion between health care professionals about palliative care. The difficulties in using ID-PALL in nurse-physician collaboration and the paucity of referrals to the palliative care team were highlighted.
ID-PALL helped to identify a very high prevalence of palliative care needs among internal medicine patients in a tertiary hospital setting. Although regarded as helpful and easy to use, challenges remain concerning interprofessional implementation and inclusion of palliative care specialists, which may be met by automatic referrals in case of specialist needs.
Mots-clé
ID-PALL, feasibility, hospital, nurses, palliative care, physicians
Pubmed
Web of science
Création de la notice
19/08/2024 12:55
Dernière modification de la notice
07/09/2024 6:12
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