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dc.rights.licenseCreative Commons Attribution 4.0 Unported (CC BY 4.0) license
dc.contributor.authorMacgregor, Aisha
dc.contributor.authorRutherford, Alasdair
dc.contributor.authorMcCormack, Brendan
dc.contributor.authorHockley, Jo
dc.contributor.authorOgden, Margaret
dc.contributor.authorSoulsby, Irene
dc.contributor.authorMcKenzie, Maisie
dc.contributor.authorSpilsbury, Karen
dc.contributor.authorHanratty, Barbara
dc.contributor.authorForbat, Liz
dc.date.accessioned2021-03-15T14:23:13Z
dc.date.available2021-03-15T14:23:13Z
dc.date.issued2021-02-22
dc.identifier.citationMacgregor, A., Rutherford, A., McCormack, B., Hockley, J., Ogden, M., Soulsby, I., McKenzie, M., Spilsbury, K., Hanratty, B. & Forbat, L. (2021) Palliative and end-of-life care in care homes: Protocol for codesigning and implementing an appropriate scalable model of Needs Rounds in the UK. BMJ Open, 11(2):e049486.
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/11150
dc.identifier.urihttps://doi.org/10.1136/bmjopen-2021-049486
dc.descriptionFrom PubMed via Jisc Publications Router
dc.description.abstractPalliative and end-of-life care in care homes is often inadequate, despite high morbidity and mortality. Residents can experience uncontrolled symptoms, poor quality deaths and avoidable hospitalisations. Care home staff can feel unsupported to look after residents at the end of life. Approaches for improving end-of-life care are often education-focused, do not triage residents and rarely integrate clinical care. This study will adapt an evidence-based approach from Australia for the UK context called 'Palliative Care Needs Rounds' (Needs Rounds). Needs Rounds combine triaging, anticipatory person-centred planning, case-based education and case-conferencing; the Australian studies found that Needs Rounds reduce length of stay in hospital, and improve dying in preferred place of care, and symptoms at the end of life. This implementation science study will codesign and implement a scalable UK model of Needs Rounds. The Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework will be used to identify contextual barriers and use facilitation to enable successful implementation. Six palliative care teams, working with 4-6 care homes each, will engage in two phases. In phase 1 (February 2021), stakeholder interviews (n=40) will be used to develop a programme theory to meet the primary outcome of identifying what works, for whom in what circumstances for UK Needs Rounds. Subsequently a workshop to codesign UK Needs Rounds will be run. Phase 2 (July 2021) will implement the UK model for a year. Prospective data collection will focus on secondary outcomes regarding hospitalisations, residents' quality of death and care home staff capability of adopting a palliative approach. Frenchay Research Ethics Committee (287447) approved the study. Findings will be disseminated to policy-makers, care home/palliative care practitioners, residents/relatives and academic audiences. An implementation package will be developed for practitioners to provide the tools and resources required to adopt UK Needs Rounds. Registration details: ISRCTN15863801.
dc.languageen
dc.publisherBMJ
dc.relation.ispartofBMJ Open
dc.rights© Author(s) (or their employer(s)) 2021.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdult Palliative Care
dc.subjectGeriatric Medicine
dc.subjectPalliative Care
dc.subjectProtocols & Guidelines
dc.titlePalliative and end-of-life care in care homes: Protocol for codesigning and implementing an appropriate scalable model of Needs Rounds in the UK
dc.typeArticle
dc.date.updated2021-03-09T01:36:06Z
dc.description.volume11
dc.description.ispublishedpub
qmu.authorMcCormack, Brendan
qmu.centreCentre for Person-centred Practise Research
dc.description.statuspub
dc.description.number2


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Creative Commons Attribution 4.0 Unported (CC BY 4.0) license
Except where otherwise noted, this item's license is described as Creative Commons Attribution 4.0 Unported (CC BY 4.0) license