Implementing audit in palliative care: an action research approach

Cooper, Jan; Hewison, Alistair

doi:10.1046/j.1365-2648.2002.02297.x

Cited by 32 publications

(30 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a critical and unresolved barrier was the top-down approach to decision making, which hindered the use of the POS within the hospice setting. This finding supports previous work by Cooper and Hewison (2002) who identified 'good relationships with management…as crucial to success'. A good relationship with managers involves management having both an awareness of the extra time needed to implement new outcome measures and providing the appropriate resources and practical support to use the measures and carry out data analysis (Cheater and Keane, 1998).…”

Section: Discussionsupporting

confidence: 91%

See 1 more Smart Citation

A research study to identify facilitators and barriers to outcome measure implementation

et al. 2005

View full text Add to dashboard Cite

Aim To identify facilitators and barriers to implementing outcome measures. Methods An action-research approach within a hospice and nursing home was used. Staff took part in semistructured interviews pre- and post-implementation of the Palliative Care Outcome Scale (POS), completed diaries and participated in monthly meetings. Findings Qualitative content analysis identified barriers to implementation including: a top-down decision-making approach; outcome measures perceived as time-consuming to use; limited resources for data analysis; and a lack of knowledge of the importance of outcome measures. Facilitators to successful implementation include: involving all staff in decisions about implementation; and using a measure that can be adapted to organization needs and clinical practice. The benefits of using the measure are rapidly noticeable. Conclusions Given the need to evaluate services and the role outcome measures can have within clinical governance, this article indicates methods by which measures may be more successfully implemented.

show abstract

Section: Discussionsupporting

confidence: 91%

“…Here the benefits of implementing the measure had to be easily identifiable for staff to feel its continued use was worthwhile in improving care. The timely feedback of results is, therefore, very important (Cooper and Hewison, 2002).…”

Section: Discussionmentioning

confidence: 99%

A research study to identify facilitators and barriers to outcome measure implementation

et al. 2005

View full text Add to dashboard Cite

show abstract

“…This methodological approach is of special relevance in palliative care and education [31–34], particularly in terms of community-based interventions aimed at improving change [34–37]. Following the action-research approach, the education program was tailored to the specific context of its implementation [38].…”

Section: Methodsmentioning

confidence: 99%

Towards a public health approach for palliative care: an action-research study focused on engaging a local community and educating teenagers

2018

View full text Add to dashboard Cite

BackgroundEducation sessions about palliative care among teenagers are uncommon in developed countries. However, very little is known either about the impact of this type of intervention or about how this age-group perceives its impact. The purpose of this study was therefore to (i) implement an education program about palliative care among teenagers and (ii) to investigate the impact of the program on the participants.MethodsAn action-research study was conducted at a local community parish in Portugal in November 2015. An education programme was purposively built about palliative care, using active educational strategies adapted for teenagers. Quantitative and qualitative techniques and instruments were used for data collection: questionnaire; reflective diaries; interviews and written testimony. The program had three stages: preparation; intervention; and evaluation. Qualitative data were analysed using thematic content analysis; quantitative data were analysed descriptively.Results69 people (47 teenagers) participated in the education program. Findings show that the education program contributed to creating awareness about palliative care. Both the teenagers and other participants assessed the education program positively. At the end of the program, teenagers had a constructive message about palliative care.ConclusionsThe education-intervention contributed to create awareness about palliative care among the participant teenagers, who ended the program with a positive message about palliative care. Based on our findings, the following policy implications can be drawn: (1) Further research is needed to evaluate the effect of education programs about palliative care among younger age groups (teenagers and children), particularly in relation to the changing of attitudes toward palliative care. (2) Education about palliative care should be promoted to local communities, involving all age groups, to foster involvement, participation and empowerment. (3) Compassionate communities should be promoted to enhance the health and wellbeing of all citizens at the end of their life.

show abstract

“…'Top down' management approaches, whereby audit is imposed upon professionals by managers, or others in positions of power, has led to difficulties in implementing audit as professionals do not feel involved in the process of change (Hunt 1993). However, 'bottom up' management can encourage more equal power sharing, ownership of the process and in doing so can improve teamwork (Cooper & Hewison 2002). For example, a comparative study of audit implementation in two contrasting care setting found 'top down' implementation coupled with hierarchical management styles inhibited the use of audit outcome measures.…”

Section: Journal Of Health and Social Policymentioning

confidence: 99%

Discussion of Quality and Audit in Health

Hughes

Higginson

2006

Journal of Health & Social Policy

View full text Add to dashboard Cite

Attaining quality health care has long been a social policy priority for countries internationally. This discussion considers issues important to understanding quality, and audit implementation in particular. The paper covers, first, the principles and practice of audit and, second, broader implementation issues, which together point to the further development of quality initiatives in health in the United Kingdom health care context. To close, the future of audit as a means of improving health care is elaborated.

show abstract

Implementing audit in palliative care: an action research approach

Abstract: Combining the cyclical nature of action research methodology and the audit process with Lewin's change theory provided a clear conceptual framework for the research. This approach would be applicable in a range of health care settings to bring about improvements in quality management.

Cited by 32 publications

References 32 publications

A research study to identify facilitators and barriers to outcome measure implementation

A research study to identify facilitators and barriers to outcome measure implementation

Towards a public health approach for palliative care: an action-research study focused on engaging a local community and educating teenagers

Discussion of Quality and Audit in Health

Contact Info

Product

Resources

About