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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Palliative Care 1/2015

Strategies to implement evidence into practice to improve palliative care: recommendations of a nominal group approach with expert opinion leaders

Zeitschrift:
BMC Palliative Care > Ausgabe 1/2015
Autoren:
Jasper van Riet Paap, Kris Vissers, Steve Iliffe, Lukas Radbruch, Marianne J. Hjermstad, Rabih Chattat, Myrra Vernooij-Dassen, Yvonne Engels, on behalf of the IMPACT research team
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

YE and MVD are responsible for the design of the study. JvRP is responsible for the first draft of the manuscript. YE, MVD, SI, LR, MJH, RC, and KV provided extensive feedback to different versions of the manuscript. All authors approved the final manuscript.

Authors’ information

Not applicable.

Availability of data and materials

Not applicable.

Abstract

Background

In the past decades, many new insights and best practices in palliative care, a relatively new field in health care, have been published. However, this knowledge is often not implemented. The aim of this study therefore was to identify strategies to implement improvement activities identified in a research project within daily palliative care practice.

Methods

A nominal group technique was used with members of the IMPACT consortium, being international researchers and clinicians in cancer care, dementia care and palliative care. Participants identified and prioritized implementation strategies. Data was analyzed qualitatively using inductive coding.

Results

Twenty international clinicians and researchers participated in one of two parallel nominal group sessions. The recommended strategies to implement results from a research project were grouped in five common themes: 1. Dissemination of results e.g. by publishing results tailored to relevant audiences, 2. Identification and dissemination of unique selling points, 3. education e.g. by developing e-learning tools and integrating scientific evidence into core curricula, 4. Stimulation of participation of stakeholders, and 5. consideration of consequences e.g. rewarding services for their implementation successes but not services that fail to implement quality improvement activities.

Discussion

The added value of this nominal group study lies in the prioritisation by the experts of strategies to influence the implementation of quality improvement activities in palliative care. Efforts to ensure future use of scientific findings should be built into research projects in order to prevent waste of resources.
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