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State-wide implementation of patient-reported outcome measures (PROMs) in specialized outpatient palliative care teams (ELSAH): A mixed-methods evaluation and implications for their sustainable use
Background: Such patient-reported outcome measures (PROMs) and patient-centered outcome measures as the Integrated Palliative Care Outcome Scale (IPOS), Phase of Illness, and IPOS Views on Care (IPOS VoC), facilitate patientcentered care and help improve quality. To ensure sustainability, implemen...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philipps-Universität Marburg
2022
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| Subjects: | |
| Online Access: | PDF Full Text |
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| Summary: | Background: Such patient-reported outcome measures (PROMs) and patient-centered outcome measures as the
Integrated Palliative Care Outcome Scale (IPOS), Phase of Illness, and IPOS Views on Care (IPOS VoC), facilitate patientcentered
care and help improve quality. To ensure sustainability, implementation and usage should be adapted
according to setting. When settings involve several distinct teams that differ in terms of views and working practices,
it is more difficult to integrate outcome measures into daily care. The ELSAH study aimed to learn how health professionals
working in specialized outpatient palliative care (SOPC) viewed the use of these outcome measures in daily
care, and what they express is needed for successful sustainable, state-wide application.
Methods: We used a parallel mixed-methods design involving three focus groups (n = 14) and an online-survey
based on normalization process theory (n = 76). Most participants were nurses and physicians from 19 SOPC-teams in
Hesse, Germany. We used a triangulation protocol including convergence coding matrices to triangulate findings.
Results: The majority of health professionals were able to integrate the outcome measures into their working lives
and said that it had become a normal part of their day-to-day work. To ensure their sustainable integration into daily
care, the motivation and concerns of health professionals should be taken into consideration. Health professionals
must clearly recognize how the measures help improve daily care and quality evaluation.
Conclusions: To implement the outcome measures in a number of teams, it will be necessary to take individual team
characteristics into account, because they influence motivation and concerncs. Further, it will be necessary to offer
opportunities for them to engage in peer support and share information with other teams. The sustainable use of
outcome measures in SOPC will require continuous support within each team as well as across teams. When several
distinct teams are working in the same setting, a cross-team coordination unit can help to coordinate their work
efficiently. |
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| Item Description: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.1186/s12904-022-01109-w |