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Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal

Research output: Contribution to journalArticlepeer-review

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Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal. / Antunes, Bárbara; Rodrigues, Pedro PEREIRA; Higginson, Irene J. et al.

In: Acta Medica Portuguesa, Vol. 34, No. 13, 2021.

Research output: Contribution to journalArticlepeer-review

Harvard

Antunes, B, Rodrigues, PPEREIRA, Higginson, IJ & Ferreira, L 2021, 'Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal', Acta Medica Portuguesa, vol. 34, no. 13. https://doi.org/10.20344/AMP.15294

APA

Antunes, B., Rodrigues, P. PEREIRA., Higginson, I. J., & Ferreira, L. (2021). Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal. Acta Medica Portuguesa, 34(13). https://doi.org/10.20344/AMP.15294

Vancouver

Antunes B, Rodrigues PPEREIRA, Higginson IJ, Ferreira L. Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal. Acta Medica Portuguesa. 2021;34(13). https://doi.org/10.20344/AMP.15294

Author

Antunes, Bárbara ; Rodrigues, Pedro PEREIRA ; Higginson, Irene J. et al. / Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal. In: Acta Medica Portuguesa. 2021 ; Vol. 34, No. 13.

Bibtex Download

@article{c917d5f8f68c43caa09c0c3f94d71a2e,
title = "Avalia{\c c}{\~a}o de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal",
abstract = "Introduction: Evidence shows most patients are not recognised by their attending healthcare professionals as having palliative needs. This feasibility study aimed to aid healthcare professionals identify hospital patients with palliative needs. Material and Methods: Mixed-methods, cross-sectional, observational study. The patient inclusion criteria comprised: age over 18 years old, being mentally capable to give consent judged as such by participating healthcare professionals, and if unable, having a legal substitute to consent, having a diagnosis of an incurable, potentially life-threatening illness. Field notes were taken for reflexive purposes. Outcome measures included: Integrated Palliative Care Outcome scale, surprise question, phase of illness, referral request status, The Eastern Cooperative Oncology Group Performance Status and social needs assessment. An interim data collection period meeting assessed implementation outcomes in each context. A web-based survey was sent to all participating healthcare professionals at the end of data collection period to explore overall experiences of participation and implementation outcomes. Results: Forty-two departments in four hospitals were contacted. The study was presented in nine departments. The field notes were vital to understand the recruitment process and difficulties experienced: time constraints, fear of additional work, department dynamics and organisation, relationships between departments and need of training in palliative care and research. One department agreed to participate. There were six participating healthcare professionals and only 45 patients included. Three participating healthcare professionals responded to the web-based survey. Discussion: The response rate was very low. Legislating palliative care is not enough, and an integrated palliative care plan needs to be implemented at country and institution level. Conclusion: There is an urgent need to provide generalist palliative care training to clinicians.",
keywords = "Decision making, Health services research, Implementation science, Medical education, Palliative care, Patient-centered care",
author = "B{\'a}rbara Antunes and Rodrigues, {Pedro PEREIRA} and Higginson, {Irene J.} and Lopes Ferreira",
note = "Funding Information: Currently B{\'a}rbara Antunes is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration East of England (ARC EoE) programme. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. The funding organizations had no role in the design of the study, collection, analysis, interpretation of the data, or writing of the manuscript. Funding Information: B{\'a}rbara Antunes was funded by Foundation for Science and Technology (FCT) - Grant number PD/BD/113664/2015, Faculty of Medicine, University of Porto. The Doctoral Program Clinical and Health Services Research was funded by FCT -Grant number PD/0003/2013. Publisher Copyright: {\textcopyright} 2021 CELOM. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",
year = "2021",
doi = "10.20344/AMP.15294",
language = "Portuguese",
volume = "34",
journal = "Acta Medica Portuguesa",
issn = "0870-399X",
publisher = "CELOM",
number = "13",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Avaliação de Processo de um Estudo de Viabilidade de Metodologia Mista para Identificar Doentes Hospitalares com Necessidades de Cuidados Paliativos em Portugal

AU - Antunes, Bárbara

AU - Rodrigues, Pedro PEREIRA

AU - Higginson, Irene J.

AU - Ferreira, Lopes

N1 - Funding Information: Currently Bárbara Antunes is funded by the National Institute for Health Research (NIHR) Applied Research Collaboration East of England (ARC EoE) programme. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. The funding organizations had no role in the design of the study, collection, analysis, interpretation of the data, or writing of the manuscript. Funding Information: Bárbara Antunes was funded by Foundation for Science and Technology (FCT) - Grant number PD/BD/113664/2015, Faculty of Medicine, University of Porto. The Doctoral Program Clinical and Health Services Research was funded by FCT -Grant number PD/0003/2013. Publisher Copyright: © 2021 CELOM. All rights reserved. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021

Y1 - 2021

N2 - Introduction: Evidence shows most patients are not recognised by their attending healthcare professionals as having palliative needs. This feasibility study aimed to aid healthcare professionals identify hospital patients with palliative needs. Material and Methods: Mixed-methods, cross-sectional, observational study. The patient inclusion criteria comprised: age over 18 years old, being mentally capable to give consent judged as such by participating healthcare professionals, and if unable, having a legal substitute to consent, having a diagnosis of an incurable, potentially life-threatening illness. Field notes were taken for reflexive purposes. Outcome measures included: Integrated Palliative Care Outcome scale, surprise question, phase of illness, referral request status, The Eastern Cooperative Oncology Group Performance Status and social needs assessment. An interim data collection period meeting assessed implementation outcomes in each context. A web-based survey was sent to all participating healthcare professionals at the end of data collection period to explore overall experiences of participation and implementation outcomes. Results: Forty-two departments in four hospitals were contacted. The study was presented in nine departments. The field notes were vital to understand the recruitment process and difficulties experienced: time constraints, fear of additional work, department dynamics and organisation, relationships between departments and need of training in palliative care and research. One department agreed to participate. There were six participating healthcare professionals and only 45 patients included. Three participating healthcare professionals responded to the web-based survey. Discussion: The response rate was very low. Legislating palliative care is not enough, and an integrated palliative care plan needs to be implemented at country and institution level. Conclusion: There is an urgent need to provide generalist palliative care training to clinicians.

AB - Introduction: Evidence shows most patients are not recognised by their attending healthcare professionals as having palliative needs. This feasibility study aimed to aid healthcare professionals identify hospital patients with palliative needs. Material and Methods: Mixed-methods, cross-sectional, observational study. The patient inclusion criteria comprised: age over 18 years old, being mentally capable to give consent judged as such by participating healthcare professionals, and if unable, having a legal substitute to consent, having a diagnosis of an incurable, potentially life-threatening illness. Field notes were taken for reflexive purposes. Outcome measures included: Integrated Palliative Care Outcome scale, surprise question, phase of illness, referral request status, The Eastern Cooperative Oncology Group Performance Status and social needs assessment. An interim data collection period meeting assessed implementation outcomes in each context. A web-based survey was sent to all participating healthcare professionals at the end of data collection period to explore overall experiences of participation and implementation outcomes. Results: Forty-two departments in four hospitals were contacted. The study was presented in nine departments. The field notes were vital to understand the recruitment process and difficulties experienced: time constraints, fear of additional work, department dynamics and organisation, relationships between departments and need of training in palliative care and research. One department agreed to participate. There were six participating healthcare professionals and only 45 patients included. Three participating healthcare professionals responded to the web-based survey. Discussion: The response rate was very low. Legislating palliative care is not enough, and an integrated palliative care plan needs to be implemented at country and institution level. Conclusion: There is an urgent need to provide generalist palliative care training to clinicians.

KW - Decision making

KW - Health services research

KW - Implementation science

KW - Medical education

KW - Palliative care

KW - Patient-centered care

UR - http://www.scopus.com/inward/record.url?scp=85113997156&partnerID=8YFLogxK

U2 - 10.20344/AMP.15294

DO - 10.20344/AMP.15294

M3 - Article

AN - SCOPUS:85113997156

VL - 34

JO - Acta Medica Portuguesa

JF - Acta Medica Portuguesa

SN - 0870-399X

IS - 13

ER -

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