'Necessity is the mother of invention': Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall).
'Necessity is the mother of invention': Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall).
复制标题
DOI：
10.1177/02692163211000660
复制
发表时间：
2021-05
影响因子：
4.4
通讯作者：
Walshe C
中科院分区：
文献类型：
--
作者：
Dunleavy L;Preston N;Bajwah S;Bradshaw A;Cripps R;Fraser LK;Maddocks M;Hocaoglu M;Murtagh FE;Oluyase AO;Sleeman KE;Higginson IJ;Walshe C
专科姑息治疗服务在整个系统应对 COVID-19（一种由 SARS-CoV-2 病毒引起的疾病）的过程中发挥着关键作用。需要了解服务响应以分享良好实践并为未来的护理做好准备。绘制和了解针对 COVID-19 的专业姑息治疗服务创新和实践变化。通过主要利益相关者传播的专业姑息治疗提供者在线调查 (CovPall)。收集有关应对 COVID-19 的服务特征、创新和变化的数据。统计分析包括频率、比例和平均值，并使用定性框架方法对自由文本评论进行分析。来自任何国家的住院姑息治疗单位、家庭护理服务、医院和家庭姑息治疗团队。 458 名受访者：277 个英国、85 个欧洲（英国除外）、95 个世界（英国和欧洲除外）、1 个缺失国家。 54.8% 的人在 2 个以上的环境中提供护理； 47.4% 为医院姑息治疗团队，57% 为住院姑息治疗单位，57% 为家庭姑息治疗团队。危机背景意味着服务发生了快速变化。变革涉及精简、扩展和扩大服务范围、利用技术促进沟通以及实施员工福利创新。包括障碍；恐惧和焦虑、重复努力、信息超载和资金。包括促成因素；协作团队合作、员工灵活性、现有 IT 基础设施和强大的领导力。针对 COVID-19，专业姑息治疗服务灵活、适应性强，并采用了低成本解决方案，也称为“节俭创新”。除了财政支持外，加强合作对于最大限度地减少重复工作和优化资源利用也至关重要。 ISRCTN16561225 https://doi.org/10.1186/ISRCTN16561225
Specialist palliative care services have a key role in a whole system response to COVID-19, a disease caused by the SARS-CoV-2 virus. There is a need to understand service response to share good practice and prepare for future care. To map and understand specialist palliative care services innovations and practice changes in response to COVID-19. Online survey of specialist palliative care providers (CovPall), disseminated via key stakeholders. Data collected on service characteristics, innovations and changes in response to COVID-19. Statistical analysis included frequencies, proportions and means, and free-text comments were analysed using a qualitative framework approach. Inpatient palliative care units, home nursing services, hospital and home palliative care teams from any country. Four hundred and fifty-eight respondents: 277 UK, 85 Europe (except UK), 95 World (except UK and Europe), 1 missing country. 54.8% provided care across 2+ settings; 47.4% hospital palliative care teams, 57% in-patient palliative care units and 57% home palliative care teams. The crisis context meant services implemented rapid changes. Changes involved streamlining, extending and increasing outreach of services, using technology to facilitate communication, and implementing staff wellbeing innovations. Barriers included; fear and anxiety, duplication of effort, information overload and funding. Enablers included; collaborative teamwork, staff flexibility, a pre-existing IT infrastructure and strong leadership. Specialist palliative care services have been flexible, highly adaptive and have adopted low-cost solutions, also called ‘frugal innovations’, in response to COVID-19. In addition to financial support, greater collaboration is essential to minimise duplication of effort and optimise resource use. ISRCTN16561225 https://doi.org/10.1186/ISRCTN16561225
登录
查看更多内容
影响因子：
4.7
作者：
Fusi-Schmidhauser, Tanja;Preston, Nancy J.;Gamondi, Claudia
通讯作者：
Gamondi, Claudia
影响因子：
2.3
作者：
Newby, Jamison C.;Mabry, Madison C.;Lane, Blair E.
通讯作者：
Lane, Blair E.
影响因子：
--
作者：
Ramendra Singh, Ramendra Singh;Vaibhav Gupta, Vaibhav Gupta;Mondal, A.
通讯作者：
Mondal, A.
影响因子：
3.9
作者：
Khan, Rakhshanda
通讯作者：
Khan, Rakhshanda
DOI：
10.4103/0259-1162.128890
发表时间：
2014-01
期刊：
Anesthesia, essays and researches
影响因子：
--
作者：
Bajwa SJ;Takrouri MS
通讯作者：
Takrouri MS