Integration of a Palliative Care Intervention into Community Practice for Lung Cancer: A Study Protocol and Lessons Learned with Implementation

Nguyen, Huong Q.; Cuyegkeng, Thomas; Phung, Tieu O.; Jahn, Karisa; Borneman, Tami; Macias, Mayra; Ruel, Nora; Ferrell, Betty

doi:10.1089/jpm.2017.0143

Cited by 10 publications

(9 citation statements)

References 23 publications

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“…The TLC-PC intervention was adapted from earlier work at City of Hope 4,5 and described recently. 2 The PC intervention consisted of three key components: comprehensive patient/FCG assessment using standardized study measures, interdisciplinary care planning, and patient/FCG education. The first component involved a comprehensive baseline assessment of the patient’s and caregiver’s QOL followed by the development of an individualized interdisciplinary care plan based on patient’s and FCG’s concerns.…”

Section: Methodsmentioning

confidence: 99%

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Translation and Evaluation of a Lung Cancer, Palliative Care Intervention for Community Practice

Nguyen

Ruel

Macias

et al. 2018

Journal of Pain and Symptom Management

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Section: Methodsmentioning

confidence: 99%

“…We recently described the protocol for the Translation of a Lung Cancer Palliative Care Intervention (TLC-PCI) study and lessons learned from adapting and implementing the PC intervention at three sites in a large integrated health care system (Kaiser Permanente Southern California (KPSC)). 2…”

Section: Introductionmentioning

confidence: 99%

Translation and Evaluation of a Lung Cancer, Palliative Care Intervention for Community Practice

Nguyen

Ruel

Macias

et al. 2018

Journal of Pain and Symptom Management

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“…Nevertheless, detailed attention to planning is needed for introducing palliative care into varied settings. A recent study implementing palliative care into a real-world community practice identified the need to adapt palliative care support to the existing work settings [ 63 ]. To support sustainability, assessment tools, planning forms and educational programmes need to be tested in the actual practice settings to decrease patient and caregiver burden and truly integrate the palliative care team into the system of care.…”

Section: Palliative Care Symptom Management For Patients With Respiramentioning

confidence: 99%

The potential of palliative care for patients with respiratory diseases

Narsavage¹,

Chen²,

Korn³

et al. 2017

Breathe

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Based on the demonstrated effectiveness of palliative care in the alleviation of symptoms and enhancement of life quality, it is important to incorporate palliative care early in the respiratory disease trajectory. Quality palliative care addresses eight domains that are all patient and family centred. Palliative care interventions in respiratory conditions include management of symptoms such as dyspnoea, cough, haemoptysis, sputum production, fatigue and respiratory secretion management, especially as the end-of-life nears. A practical checklist of activities based on the domains of palliative care can assist clinicians to integrate palliative care into their practice. Clinical management of patients receiving palliative care requires consideration of human factors and related organisational characteristics that involve cultural, educational and motivational aspects of the patient/family and clinicians.Educational aimsTo explain the basic domains of palliative care applicable to chronic respiratory diseases.To review palliative care interventions for patients with chronic respiratory diseases.To outline a checklist for clinicians to use in practice, based on the domains of palliative care.To propose recommendations for clinical management of patients receiving palliative care for chronic respiratory diseases.

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“…Since adoption of PC services is subject to variance across the sites, this variability in implementation provided an opportunity for the PCI model to be adopted, and if successful would be disseminated to the remaining sites within the healthcare system. 18 This healthcare system was chosen for its substantial commitment of bridging outpatients services to the community and to include diverse populations. This PCI was previously developed and tested at a National Cancer Institute (NCI)-designated comprehensive cancer center.…”

Section: Methodsmentioning

confidence: 99%

“…16 The study protocol and lessons learned were previously discussed, which included the facilitators and barrier to implementation. 18 This study describes the perspectives of PC and oncology clinicians as they prepared to implement this structured nurse-led PCI for NSCLC patients and their primary FCGs in community based settings.…”

Section: Methodsmentioning

confidence: 99%

The Perceived Facilitators and Challenges of Translating a Lung Cancer Palliative Care Intervention Into Community-Based Settings

Siler

Mamier

Winslow

2018

J Hosp Palliat Nurs

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Despite significant progress in implementing palliative care interventions for patients with cancer, few intervention studies seek health care clinicians' input before implementation of these into the community. The purpose of this study was to explore palliative care and oncology clinicians' perspectives on the perceived facilitators and challenges in meeting the quality-of-life needs of patients with lung cancer and family caregivers in community-based settings. The Reach Effectiveness Adoption Implementation Maintenance model for implementation research was used as a framework. This was a multisite qualitative study using focus group and key informant interviews. Nineteen clinicians addressed useful practices and challenges in the following areas: (a) early palliative care, (b) interdisciplinary care planning, (c) symptom management, (d) addressing psychological and social needs, and (e) providing culturally respectful care, including spiritual care. In preparation for the intervention, specific education needs and organizational challenges were revealed. Challenges included timing and staffing constraints, the need for clinician education on palliative care services to increase organizational buy-in, and education in providing spiritual support for patients and family caregivers. This research allowed investigators to understand perceptions of clinicians as they prepared to integrate palliative care in their settings. Hospice and palliative care nurses can be instrumental in implementing palliative care into community practice.

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Integration of a Palliative Care Intervention into Community Practice for Lung Cancer: A Study Protocol and Lessons Learned with Implementation

Abstract: Efforts to disseminate and implement previously tested PC models into real-world community practices need to be more realistic and consider the local context.

Cited by 10 publications

References 23 publications

Translation and Evaluation of a Lung Cancer, Palliative Care Intervention for Community Practice

Translation and Evaluation of a Lung Cancer, Palliative Care Intervention for Community Practice

The potential of palliative care for patients with respiratory diseases

The Perceived Facilitators and Challenges of Translating a Lung Cancer Palliative Care Intervention Into Community-Based Settings

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