An evidence-base for the implementation of hospital-based palliative care programs in routine cancer practice: A systematic review.
Background: Despite global support, there remain gaps in the integration of early palliative care into cancer care. The methods of implementation whereby evidence of benefits of palliative care is translated into practice deserve attention. Aim: To identify implementation frameworks utilised in inte...
| Publicado en: | Palliative Medicine Vol. 37; no. 9; pp. 1326 - 1345 |
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| Autores principales: | , , , , , , , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172779536&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172779536 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02692163 31I jtl: Palliative Medicine issn: 02692163 maglogo: Y pubinfo: dt: Oct2023 vid: 37 iid: 9 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 172779536 172779536 172779536 10.1177/02692163231186177 172779536 ppf: 1326 ppct: 19 formats: tig: atl: An evidence-base for the implementation of hospital-based palliative care programs in routine cancer practice: A systematic review. aug: au: Rizvi, Farwa Wilding, Helen Elizabeth Rankin, Nicole M Le Gautier, Roslyn Gurren, Lorna Sundararajan, Vijaya Bellingham, Kylee Chua, Joyce Crawford, Gregory B Nowak, Anna K Le, Brian Mitchell, Geoff McLachlan, Sue-Anne Sousa, Tanara Vieira Hudson, Robyn IJzerman, Maarten Collins, Anna Philip, Jennifer affil: Palliative Medicine, University of Melbourne, Parkville, Victoria, Australia sug: subj: Medical Practice, Evidence-Based Hospital Programs Program Implementation Conceptual Framework Palliative Care Oncologic Care Health Care Delivery, Integrated Health Services Accessibility Cancer Care Facilities Human Systematic Review Embase Psycinfo CINAHL Database Cochrane Library Medline Implementation Science Quality of Life Funding Source ab: Background: Despite global support, there remain gaps in the integration of early palliative care into cancer care. The methods of implementation whereby evidence of benefits of palliative care is translated into practice deserve attention. Aim: To identify implementation frameworks utilised in integrated palliative care in hospital-based oncology services and to describe the associated enablers and barriers to service integration. Design: Systematic review with a narrative synthesis including qualitative, mixed methods, pre-post and quasi experimental designs following the guidance by the Centre for Reviews and Dissemination (PROSPERO registration CRD42021252092). Data sources: Six databases searched in 2021: EMBASE, EMCARE, APA PsycINFO, CINAHL, Cochrane Library and Ovid MEDLINE searched in 2023. Included were qualitative or quantitative studies, in English language, involving adults >18 years, and implementing hospital-based palliative care into cancer care. Critical appraisal tools were used to assess the quality and rigour. Results: Seven of the 16 studies explicitly cited the use of frameworks including those based on RE-AIM, Medical Research Council evaluation of complex interventions and WHO constructs of health service evaluation. Enablers included an existing supportive culture, clear introduction to the programme across services, adequate funding, human resources and identification of advocates. Barriers included a lack of communication with the patients, caregivers, physicians and palliative care team about programme goals, stigma around the term 'palliative', a lack of robust training, or awareness of guidelines and undefined staff roles. Conclusions: Implementation science frameworks provide a method to underpin programme development and evaluation as palliative care is integrated within the oncology setting. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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