TY - JOUR
T1 - Strategies for the implementation of palliative care education and organizational interventions in long-term care facilities: A scoping review
AU - Collingridge Moore, Danni
AU - Payne, Sheila
AU - Van Den Block, Lieve
AU - Ling, Julie
AU - Froggatt, Katherine
AU - Gatsolaeva, Yuliana
AU - Honinx, Elisabeth
AU - Pivodic, Lara
AU - Miranda, Rose
AU - Onwuteaka-Philipsen, Bregje D.
AU - Van Hout, Hein
AU - Pasman, H. Roeline W.
AU - Oosterveld-Vlug, Mariska
AU - Ten Koppel, Maud
AU - Piers, Ruth
AU - Van Den Noortgate, Nele
AU - Engels, Yvonne
AU - Vernooij-Dassen, Myrra
AU - Hockley, Jo
AU - Szczerbińska, Katarzyna
AU - Kylänen, Marika
AU - Gambassi, Giovanni
AU - Pautex, Sophie
AU - Bassal, Catherine
AU - Deliens, Luc
AU - Smets, Tinne
AU - Adang, Eddy
AU - Andreasen, Paula
AU - Barańska, Ilona
AU - Finne-Soveri, Harriet
AU - Hammar, Teija
AU - Heikkilä, Rauha
AU - Kijowska, Violetta
AU - Leppäaho, Suvi
AU - Mammarella, Federica
AU - Mercuri, Martina
AU - Kuitunen-Kaija, Outi
AU - Pac, Agnieszka
AU - Morgan De Paula, Emilie
AU - Rossi, Paola
AU - Segat, Ivan
AU - Sowerby, Eleanor
AU - Van Der Steen, Jenny T.
AU - Stodolska, Agata
AU - Tanghe, Marc
AU - Wichmann, Anne B.
PY - 2020
Y1 - 2020
N2 - Background: The number of older people dying in long-term care facilities is increasing; however, care at the end of life can be suboptimal. Interventions to improve palliative care delivery within these settings have been shown to be effective in improving care, but little is known about their implementation. Aim: The aim of this study was to describe the nature of implementation strategies and to identify facilitators and/or barriers to implementing palliative care interventions in long-term care facilities. Design: Scoping review with a thematic synthesis, following the ENTREQ guidelines. Data sources: Published literature was identified from electronic databases, including MEDLINE, EMBASE, PsycINFO and CINAHL. Controlled, non-controlled and qualitative studies and evaluations of interventions to improve palliative care in long-term care facilities were included. Studies that met the inclusion criteria were sourced and data extracted on the study characteristics, the implementation of the intervention, and facilitators and/or barriers to implementation. Results: The review identified 8902 abstracts, from which 61 studies were included in the review. A matrix of implementation was developed with four implementation strategies (facilitation, education/training, internal engagement and external engagement) and three implementation stages (conditions to introduce the intervention, embedding the intervention within day-to-day practice and sustaining ongoing change). Conclusion: Incorporating an implementation strategy into the development and delivery of an intervention is integral in embedding change in practice. The review has shown that the four implementation strategies identified varied considerably across interventions; however, similar facilitators and barriers were encountered across the studies identified. Further research is needed to understand the extent to which different implementation strategies can facilitate the uptake of palliative care interventions in long-term care facilities.
AB - Background: The number of older people dying in long-term care facilities is increasing; however, care at the end of life can be suboptimal. Interventions to improve palliative care delivery within these settings have been shown to be effective in improving care, but little is known about their implementation. Aim: The aim of this study was to describe the nature of implementation strategies and to identify facilitators and/or barriers to implementing palliative care interventions in long-term care facilities. Design: Scoping review with a thematic synthesis, following the ENTREQ guidelines. Data sources: Published literature was identified from electronic databases, including MEDLINE, EMBASE, PsycINFO and CINAHL. Controlled, non-controlled and qualitative studies and evaluations of interventions to improve palliative care in long-term care facilities were included. Studies that met the inclusion criteria were sourced and data extracted on the study characteristics, the implementation of the intervention, and facilitators and/or barriers to implementation. Results: The review identified 8902 abstracts, from which 61 studies were included in the review. A matrix of implementation was developed with four implementation strategies (facilitation, education/training, internal engagement and external engagement) and three implementation stages (conditions to introduce the intervention, embedding the intervention within day-to-day practice and sustaining ongoing change). Conclusion: Incorporating an implementation strategy into the development and delivery of an intervention is integral in embedding change in practice. The review has shown that the four implementation strategies identified varied considerably across interventions; however, similar facilitators and barriers were encountered across the studies identified. Further research is needed to understand the extent to which different implementation strategies can facilitate the uptake of palliative care interventions in long-term care facilities.
KW - care homes
KW - end-of-life care
KW - implementation
KW - intervention
KW - scoping review
KW - Long-term care facilities
KW - nursing homes
KW - palliative care
KW - palliative medicine
KW - literature review
KW - care homes
KW - end-of-life care
KW - implementation
KW - intervention
KW - scoping review
KW - Long-term care facilities
KW - nursing homes
KW - palliative care
KW - palliative medicine
KW - literature review
UR - http://hdl.handle.net/10807/302081
U2 - 10.1177/0269216319893635
DO - 10.1177/0269216319893635
M3 - Article
SN - 0269-2163
VL - 34
SP - 558
EP - 570
JO - Palliative Medicine
JF - Palliative Medicine
ER -