Evidence map›Paper›PMID 28801007›Full record

ArticleJournal of pain and symptom management2017

A Survey to Evaluate Facilitators and Barriers to Quality Measurement and Improvement: Adapting Tools for Implementation Research in Palliative Care Programs.

Sydney M Dy, Nebras Abu Al Hamayel, Susan M Hannum, Ritu Sharma, Sarina R Isenberg, Kamini Kuchinad, Junya Zhu, Katherine Smith, Karl A Lorenz, Arif H Kamal and 2 more

Abstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Sydney M DyDepartment of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland, USA; Johns Hopkins School of Medicine, Baltimore, Maryland, USA; Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. Electronic address: dy1@jhu.edu.
Nebras Abu Al HamayelDepartment of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Susan M HannumDepartment of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Ritu SharmaDepartment of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Sarina R IsenbergDepartment of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Kamini KuchinadJohns Hopkins School of Medicine, Baltimore, Maryland, USA.
Junya ZhuDepartment of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Katherine SmithDepartment of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Karl A LorenzStanford School of Medicine, Stanford, California, USA.
Arif H KamalDuke Cancer Institute, Duke University, Durham, North Carolina, USA.
Anne M WallingVA Greater Los Angeles Health System, University of California, Los Angeles, Los Angeles, California, USA.
Sallie J WeaverNational Cancer Institute, Bethesda, Maryland, USA.

Funding

Evaluation of Implementation of Point-of-Care Palliative Care Quality MeasuresR21CA197362 · NCI · JOHNS HOPKINS UNIVERSITY · PI DY, SYDNEY MORSS · 2016 to 2017
$388k
NCI NIH HHS R21 CA197362
6 · The paper itself

Abstract

contextAlthough critical for improving patient outcomes, palliative care quality indicators are not yet widely used. Better understanding of facilitators and barriers to palliative care quality measurement and improvement might improve their use and program quality.

objectivesDevelopment of a survey tool to assess palliative care team perspectives on facilitators and barriers to quality measurement and improvement in palliative care programs.

methodsWe used the adapted Consolidated Framework for Implementation Research to define domains and constructs to select instruments. We assembled a draft survey and assessed content validity through pilot testing and cognitive interviews with experts and frontline practitioners for key items. We analyzed responses using a constant comparative process to assess survey item issues and potential solutions. We developed a final survey using these results.

resultsThe survey includes five published instruments and two additional item sets. Domains include organizational characteristics, individual and team characteristics, intervention characteristics, and process of implementation. Survey modules include Quality Improvement in Palliative Care, Implementing Quality Improvement in the Palliative Care Program, Teamwork and Communication, Measuring the Quality of Palliative Care, and Palliative Care Quality in Your Program. Key refinements from cognitive interviews included item wording on palliative care team members, programs, and quality issues.

conclusionThis novel, adaptable instrument assesses palliative care team perspectives on barriers and facilitators for quality measurement and improvement in palliative care programs. Next steps include evaluation of the survey's construct validity and how survey results correlate with findings from program quality initiatives.

Indexed as

Palliative CareQuality ImprovementQuality Indicators, Health CareSurveys and QuestionnairesAttitude of Health PersonnelHealth PersonnelHumansInterviews as Topiccognitive interviewsImplementation researchpalliative carequality improvementquality measurementsurvey

Identifiers

PMID28801007
PMCPMC5705262

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.