Evidence map›Paper›PMID 39056397›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2024

Implementation Strategies for Quality Improvement in Palliative Care: A Scoping Review.

Yunyun Dai, Barbara A Daveson, Luyu Gan, Jinfeng Ding, Yongyi Chen, Claire E Johnson

Abstract readScoping Review
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Yunyun DaiFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID 0000-0001-7352-5850
Barbara A DavesonPalliative Care Outcomes Collaboration, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Luyu GanSchool of Nursing, Guilin Medical University, Guilin, Guangxi, China.
Jinfeng DingXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Yongyi ChenHunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
Claire E JohnsonPalliative Aged Care Outcomes Program, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID 0000-0001-9190-8441

Funding

This work was supported by the Guilin Science and Technology Bureau (Grant Number: 20220139-6-4), the University Postgraduate Award (UPA) of the University of Wollongong and the Hunan Provincial Natural Science Foundation Youth Program (Grant Number: 2023JJ40791).
6 · The paper itself

Abstract

backgroundQuality improvement (QI) programs based on person-centred outcome measures (PCOMs) play an important role in promoting optimal palliative care. However, routine use of PCOMs has been slow and difficult to implement, including within QI programs.

objectiveThis study aimed to identify implementation strategies that support the implementation of PCOMs as routine practice in hospital-based palliative care, as well as the implementation theories, models and frameworks (TMFs) guiding the design of these implementation strategies.

methodsA scoping review was conducted in accordance with the Joanna Briggs Institute (JBI) Scoping Review framework. Four databases (Medline, CINAHL, Scopus and PubMed) were systematically searched for literature published between 1 January 1990 and 8 March 2024.

resultsOne hundred and fifteen unique implementation strategies, identified from 11 included studies, were mapped onto the 73 Expert Recommendations for Implementing Change (ERIC) discrete implementation strategies, covering 52% of the ERIC strategies. The most commonly used categories were train and educate stakeholders, and support clinicians, followed by develop stakeholder interrelationships and use evaluation and iterative strategies. Three key themes emerged: what to do; how to do it; and who to do it with. Only four studies employed TMFs to guide the design of the implementation strategies in this review.

conclusionsTo promote the implementation of PCOM-based QI programs, strategies should be developed based on identified/potential barriers and facilitators by using rigorous TMFs. The components of the implementation strategies must be reported transparently and consistently to enable replication and measurement in future research and practice. PATIENT AND PUBLIC CONTRIBUTION: This scoping review does not directly involve patients or the general public in its design or execution. However, it is part of an implementation study aimed at integrating the Palliative Care Outcome Collaboration (PCOC) model into routine clinical practice at a cancer hospital in China. Before the formal implementation, palliative care professionals from this hospital highlighted the need for a comprehensive analysis of existing evidence to support the effective adoption of the PCOC model in their specific clinical setting.

Indexed as

Palliative CareQuality ImprovementHumansPatient-Centered CarePatient Outcome Assessmentimplementation strategiespalliative careperson‐centered outcomesquality improvement program

Identifiers

PMID39056397
PMCPMC11273214

What OpenQuestion holds

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Registered trials

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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.