Hub and Spokes-Implementation of Basic Palliative Care into University Hospital Practice-A Pilot Study.
J Palliat Med
; 2024 May 21.
Article
in En
| MEDLINE
| ID: mdl-38770692
ABSTRACT
Background:
The aim is to implement knowledge of basic palliative care in selected departments by the Hub and Spokes model.Methods:
Implementation of basic palliative care was designed as a stepwise training model by skills lectures over a time period of 2 years. In each of the six selected oncological and nononcological departments, one physician and two nurses were trained in semi-annual half-day meetings as expert representatives within their departments.Results:
Semi-structured interviews were conducted to assess implementation outcomes with 12 nurses and 6 physicians. Overall acceptability was high for all departments and professions. Feasibility was given in all departments. Adoption and penetration of a trained expert representative differed between medical and nursing professions. Implementation was more appropriate in the stationary sector. Implementation costs were low.Conclusion:
Expansion of the system into a second follow-up period, including more departments, is planned to ensure sustainability.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
J Palliat Med
Journal subject:
SERVICOS DE SAUDE
Year:
2024
Document type:
Article