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‘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)

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‘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). / CovPall Study Team ; Dunleavy, Lesley; Preston, Nancy et al.
In: Palliative Medicine, Vol. 35, No. 5, 31.05.2021, p. 814-829.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

CovPall Study Team, Dunleavy, L, Preston, N, Bajwah, S, Bradshaw, A, Cripps, R, Fraser, L, Maddocks, M, Hocaoglu, M, Murtagh, FEM, Oluyase, A, Sleeman, K, Higginson, IJ & Walshe, C 2021, '‘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)', Palliative Medicine, vol. 35, no. 5, pp. 814-829. https://doi.org/10.1177/02692163211000660

APA

CovPall Study Team, Dunleavy, L., Preston, N., Bajwah, S., Bradshaw, A., Cripps, R., Fraser, L., Maddocks, M., Hocaoglu, M., Murtagh, F. EM., Oluyase, A., Sleeman, K., Higginson, I. J., & Walshe, C. (2021). ‘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). Palliative Medicine, 35(5), 814-829. https://doi.org/10.1177/02692163211000660

Vancouver

CovPall Study Team, Dunleavy L, Preston N, Bajwah S, Bradshaw A, Cripps R et al. ‘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). Palliative Medicine. 2021 May 31;35(5):814-829. Epub 2021 Mar 23. doi: 10.1177/02692163211000660

Author

CovPall Study Team ; Dunleavy, Lesley ; Preston, Nancy et al. / ‘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). In: Palliative Medicine. 2021 ; Vol. 35, No. 5. pp. 814-829.

Bibtex

@article{81999f7f6f4d4e77bdf5c2fcbdf2863a,
title = "{\textquoteleft}Necessity is the mother of invention{\textquoteright}: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall)",
abstract = "Background: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.Aim:To map and understand specialist palliative care services innovations and practice changes in response to COVID-19.Design: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.Setting/participants:Inpatient palliative care units, home nursing services, hospital and home palliative care teams from any country.Results: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.Conclusions:Specialist palliative care services have been flexible, highly adaptive and have adopted low-cost solutions, also called {\textquoteleft}frugal innovations{\textquoteright}, in response to COVID-19. In addition to financial support, greater collaboration is essential to minimise duplication of effort and optimise resource use.",
author = "{CovPall Study Team} and Lesley Dunleavy and Nancy Preston and Sabrina Bajwah and Andy Bradshaw and Rachel Cripps and Lorna Fraser and Matthew Maddocks and Mevhibe Hocaoglu and Murtagh, {Fliss EM} and Adejoke Oluyase and Katherine Sleeman and Higginson, {Irene J.} and Catherine Walshe",
year = "2021",
month = may,
day = "31",
doi = "10.1177/02692163211000660",
language = "English",
volume = "35",
pages = "814--829",
journal = "Palliative Medicine",
issn = "0269-2163",
publisher = "SAGE Publications Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - ‘Necessity is the mother of invention’

T2 - Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multinational survey (CovPall)

AU - CovPall Study Team

AU - Dunleavy, Lesley

AU - Preston, Nancy

AU - Bajwah, Sabrina

AU - Bradshaw, Andy

AU - Cripps, Rachel

AU - Fraser, Lorna

AU - Maddocks, Matthew

AU - Hocaoglu, Mevhibe

AU - Murtagh, Fliss EM

AU - Oluyase, Adejoke

AU - Sleeman, Katherine

AU - Higginson, Irene J.

AU - Walshe, Catherine

PY - 2021/5/31

Y1 - 2021/5/31

N2 - Background: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.Aim:To map and understand specialist palliative care services innovations and practice changes in response to COVID-19.Design: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.Setting/participants:Inpatient palliative care units, home nursing services, hospital and home palliative care teams from any country.Results: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.Conclusions: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.

AB - Background: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.Aim:To map and understand specialist palliative care services innovations and practice changes in response to COVID-19.Design: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.Setting/participants:Inpatient palliative care units, home nursing services, hospital and home palliative care teams from any country.Results: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.Conclusions: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.

U2 - 10.1177/02692163211000660

DO - 10.1177/02692163211000660

M3 - Journal article

VL - 35

SP - 814

EP - 829

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 5

ER -