Extended-hours palliative care service with a hospital-avoidance and enhanced-care approach: report of a quality improvement project.

Keall, R; Lovell, M

Extended-hours palliative care service with a hospital-avoidance and enhanced-care approach: report of a quality improvement project.

Keall, R Lovell, M

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Publication Type:: Journal Article
Citation:: International journal of palliative nursing, 2020, 26, (5), pp. 222-228
Issue Date:: 2020-06

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Field	Value	Language
dc.contributor.author	Keall, R
dc.contributor.author	Lovell, M https://orcid.org/0000-0002-1407-2748
dc.date.accessioned	2020-09-29T05:56:18Z
dc.date.available	2020-09-29T05:56:18Z
dc.date.issued	2020-06
dc.identifier.citation	International journal of palliative nursing, 2020, 26, (5), pp. 222-228
dc.identifier.issn	1357-6321
dc.identifier.issn	1357-6321
dc.identifier.uri	http://hdl.handle.net/10453/142915
dc.description.abstract	BACKGROUND:A community palliative care service (CPCS) identified its after-hours support as sub-optimal in avoiding acute hospitalisation and supporting patients to remain at home. It created and conducted a pilot of an extended hours palliative care service (EHPCS) using current resources. AIMS:To evaluate the efficacy of an extended hours palliative care service pilot. METHODS:Retrospective chart review of after-hours calls taken before the trial, usual care, was undertaken. During the trial, quantitative data was gathered of the outcome of each after-hours call, including outcomes of occasion of service, reason for and length and times of calls. FINDINGS:The extended hours palliative care service, compared with usual care, showed an almost 50% decrease in acute hospitalisation, nearly doubled after-hours palliative care unit admission and a 17% increase in patients staying in their home. EHPCS was positively received by CPCS staff, despite cost and workforce impact. CONCLUSIONS:EHPCS can positively impact on reducing avoidable hospitalisations and facilitate palliative care patients to be in their preferred place of care.
dc.format	Print
dc.language	eng
dc.relation.ispartof	International journal of palliative nursing
dc.relation.isbasedon	10.12968/ijpn.2020.26.5.222
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1110 Nursing
dc.title	Extended-hours palliative care service with a hospital-avoidance and enhanced-care approach: report of a quality improvement project.
dc.type	Journal Article
utslib.citation.volume	26
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-09-29T05:56:11Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	26
utslib.citation.issue	5

Abstract:

BACKGROUND:A community palliative care service (CPCS) identified its after-hours support as sub-optimal in avoiding acute hospitalisation and supporting patients to remain at home. It created and conducted a pilot of an extended hours palliative care service (EHPCS) using current resources. AIMS:To evaluate the efficacy of an extended hours palliative care service pilot. METHODS:Retrospective chart review of after-hours calls taken before the trial, usual care, was undertaken. During the trial, quantitative data was gathered of the outcome of each after-hours call, including outcomes of occasion of service, reason for and length and times of calls. FINDINGS:The extended hours palliative care service, compared with usual care, showed an almost 50% decrease in acute hospitalisation, nearly doubled after-hours palliative care unit admission and a 17% increase in patients staying in their home. EHPCS was positively received by CPCS staff, despite cost and workforce impact. CONCLUSIONS:EHPCS can positively impact on reducing avoidable hospitalisations and facilitate palliative care patients to be in their preferred place of care.

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http://hdl.handle.net/10453/142915