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Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper

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Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper. / Froggatt, K.; Moore, D.C.; Van den Block, Lieve et al.
In: Journal of the American Medical Directors Association, Vol. 21, No. 8, 01.08.2020, p. 1051-1057.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Froggatt, K, Moore, DC, Van den Block, L, Ling, J, Payne, SA, Kylanen, M & PACE consortium 2020, 'Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper', Journal of the American Medical Directors Association, vol. 21, no. 8, pp. 1051-1057. https://doi.org/10.1016/j.jamda.2020.01.009

APA

Froggatt, K., Moore, D. C., Van den Block, L., Ling, J., Payne, S. A., Kylanen, M., & PACE consortium (2020). Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper. Journal of the American Medical Directors Association, 21(8), 1051-1057. https://doi.org/10.1016/j.jamda.2020.01.009

Vancouver

Froggatt K, Moore DC, Van den Block L, Ling J, Payne SA, Kylanen M et al. Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper. Journal of the American Medical Directors Association. 2020 Aug 1;21(8):1051-1057. Epub 2020 Feb 28. doi: 10.1016/j.jamda.2020.01.009

Author

Froggatt, K. ; Moore, D.C. ; Van den Block, Lieve et al. / Palliative Care Implementation in Long-Term Care Facilities : European Association for Palliative Care White Paper. In: Journal of the American Medical Directors Association. 2020 ; Vol. 21, No. 8. pp. 1051-1057.

Bibtex

@article{347e2e7f3fe84090885e8c39a8ea71d6,
title = "Palliative Care Implementation in Long-Term Care Facilities: European Association for Palliative Care White Paper",
abstract = "ObjectivesThe number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of palliative care interventions in LTCFs. The PACE study mapped palliative care in LTCFs in Europe, evaluated quality of end-of-life care and quality of dying in a cross-sectional study of deceased residents of LTCFs in 6 countries, and undertook a cluster-randomized control trial that evaluated the impact of the PACE Steps to Success intervention in 7 countries. Working with the European Association for Palliative Care, a white paper was written that outlined recommendations for the implementation of interventions to improve palliative and end-of-life care for all older adults with serious illness, regardless of diagnosis, living in LTCFs. The goal of the article is to present these key domains and recommendations.DesignTransparent expert consultation.SettingInternational experts in LTCFs.ParticipantsEighteen (of 20 invited) international experts from 15 countries participated in a 1-day face-to-face Transparent Expert Consultation (TEC) workshop in Bern, Switzerland, and 21 (of 28 invited) completed a follow-up online survey.MethodsThe TEC study used (1) a face-to-face workshop to discuss a scoping review and initial recommendations and (2) an online survey.ResultsThirty recommendations about implementing palliative care for older people in LTCFs were refined during the TEC workshop and, of these, 20 were selected following the survey. These 20 recommendations cover domains at micro (within organizations), meso (across organizations), and macro (at national or regional) levels addressed in 3 phases: establishing conditions for action, embedding in everyday practice, and sustaining ongoing change.Conclusions and implicationsWe developed a framework of 20 recommendations to guide implementation of improvements in palliative care in LTCFs.",
author = "K. Froggatt and D.C. Moore and {Van den Block}, Lieve and J. Ling and S.A. Payne and M. Kylanen and {PACE consortium}",
year = "2020",
month = aug,
day = "1",
doi = "10.1016/j.jamda.2020.01.009",
language = "English",
volume = "21",
pages = "1051--1057",
journal = "Journal of the American Medical Directors Association",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "8",

}

RIS

TY - JOUR

T1 - Palliative Care Implementation in Long-Term Care Facilities

T2 - European Association for Palliative Care White Paper

AU - Froggatt, K.

AU - Moore, D.C.

AU - Van den Block, Lieve

AU - Ling, J.

AU - Payne, S.A.

AU - Kylanen, M.

AU - PACE consortium

PY - 2020/8/1

Y1 - 2020/8/1

N2 - ObjectivesThe number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of palliative care interventions in LTCFs. The PACE study mapped palliative care in LTCFs in Europe, evaluated quality of end-of-life care and quality of dying in a cross-sectional study of deceased residents of LTCFs in 6 countries, and undertook a cluster-randomized control trial that evaluated the impact of the PACE Steps to Success intervention in 7 countries. Working with the European Association for Palliative Care, a white paper was written that outlined recommendations for the implementation of interventions to improve palliative and end-of-life care for all older adults with serious illness, regardless of diagnosis, living in LTCFs. The goal of the article is to present these key domains and recommendations.DesignTransparent expert consultation.SettingInternational experts in LTCFs.ParticipantsEighteen (of 20 invited) international experts from 15 countries participated in a 1-day face-to-face Transparent Expert Consultation (TEC) workshop in Bern, Switzerland, and 21 (of 28 invited) completed a follow-up online survey.MethodsThe TEC study used (1) a face-to-face workshop to discuss a scoping review and initial recommendations and (2) an online survey.ResultsThirty recommendations about implementing palliative care for older people in LTCFs were refined during the TEC workshop and, of these, 20 were selected following the survey. These 20 recommendations cover domains at micro (within organizations), meso (across organizations), and macro (at national or regional) levels addressed in 3 phases: establishing conditions for action, embedding in everyday practice, and sustaining ongoing change.Conclusions and implicationsWe developed a framework of 20 recommendations to guide implementation of improvements in palliative care in LTCFs.

AB - ObjectivesThe number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of palliative care interventions in LTCFs. The PACE study mapped palliative care in LTCFs in Europe, evaluated quality of end-of-life care and quality of dying in a cross-sectional study of deceased residents of LTCFs in 6 countries, and undertook a cluster-randomized control trial that evaluated the impact of the PACE Steps to Success intervention in 7 countries. Working with the European Association for Palliative Care, a white paper was written that outlined recommendations for the implementation of interventions to improve palliative and end-of-life care for all older adults with serious illness, regardless of diagnosis, living in LTCFs. The goal of the article is to present these key domains and recommendations.DesignTransparent expert consultation.SettingInternational experts in LTCFs.ParticipantsEighteen (of 20 invited) international experts from 15 countries participated in a 1-day face-to-face Transparent Expert Consultation (TEC) workshop in Bern, Switzerland, and 21 (of 28 invited) completed a follow-up online survey.MethodsThe TEC study used (1) a face-to-face workshop to discuss a scoping review and initial recommendations and (2) an online survey.ResultsThirty recommendations about implementing palliative care for older people in LTCFs were refined during the TEC workshop and, of these, 20 were selected following the survey. These 20 recommendations cover domains at micro (within organizations), meso (across organizations), and macro (at national or regional) levels addressed in 3 phases: establishing conditions for action, embedding in everyday practice, and sustaining ongoing change.Conclusions and implicationsWe developed a framework of 20 recommendations to guide implementation of improvements in palliative care in LTCFs.

U2 - 10.1016/j.jamda.2020.01.009

DO - 10.1016/j.jamda.2020.01.009

M3 - Journal article

VL - 21

SP - 1051

EP - 1057

JO - Journal of the American Medical Directors Association

JF - Journal of the American Medical Directors Association

SN - 1525-8610

IS - 8

ER -