Palliative Care Education: An Overview

Latta, Lis; MacLeod, Rod

doi:10.1007/978-3-319-31738-0_95-1

Cited by 5 publications

(6 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Perhaps the reason most FPs stated they were more aware of Hip & Knee and Spine is because they are the oldest pathways in Saskatchewan, originating in 2009 and 2010 respectively (9). FPs recognized a lack of pathway related education and training for themselves and related allied health professionals.…”

Section: Knowledgementioning

confidence: 99%

“…Findings from the KI interview indicated that MoH formed an advisory group responsible for the development and implementation of CPWs, however ndings from the KI did not clarify the protocols for FP participation and engagement in the advisory groups. For instance, as indicted in TABLE 1 only three of the seven currently operational CPWs included Family physician engagement (9). The engagement of the FPs in quality of care initiatives is fundamental to increase success of health interventions and quality improvement ( 12), (27).…”

Section: Communicationmentioning

confidence: 99%

“…The current provincial CPWs development charts show limited involvement of Family Physicians in three out of seven pathways: Fertility Care, Lower Extremity Wound Care, and Spine (9). The variable success with system-wide implementation in Saskatchewan highlights the need to better understand barriers and facilitators for successful CPW implementation (5).…”

mentioning

confidence: 99%

“…In Saskatchewan, seven operational provincial CPWs have been developed and implemented by the Ministry of Health (MoH) in collaboration with Physicians and Saskatchewan Health Authority (SHA) partners, through the Acute and Emergency Services Branch, with more currently in development. Active pathways include: Hip and Knee, Spine, Prostate Assessment, Pelvic Floor, Fertility Care, Lower Extremity Wound Care, and Acute Stroke (9).…”

mentioning

confidence: 99%

See 3 more Smart Citations

Facilitators and Barriers to Clinical Pathway Uptake and Utilization Among Primary Care Providers in Saskatchewan - A Qualitative Study

Groot

Ollegasagrem

Khakpour

et al. 2022

CIM

View full text Add to dashboard Cite

Purpose: Clinical Pathways (CPWs) are multidisciplinary, evidence-based, complex interventions designed to standardize patient care. In Saskatchewan, development, implementation and evaluation of the seven provincial CPWs (Hip & Knee, Spine, Pelvic Floor, Prostate Assessment, Fertility Care, Lower Extremity Wound Care and Acute Stroke) present significant challenges, leading to low utilization. This study aimed to identify facilitators and barriers to CPW utilization by Saskatchewan family physicians. Methods: To identify the facilitators and barriers to CPWs, a qualitative interpretive approach consisted of eight one-on-one key informant interviews and five focus groups held with 30 family physicians in two larger urban and two smaller Saskatchewan cities. Inductive, thematic analysis of the interviews based on the Theoretical Domain Framework for behavioral changes was used to identify facilitators and barriers to CPW uptake and utilization. Results: Fifty-one themes were mapped under 14 Theoretical Domain Framework domains. Major barriers included the following: system-level (knowledge and communication, social/professional identity, family physician engagement and education); objective clarification (goals, belief about consequences of implementing CPW); and technical and resource related (administrative, access to local specialists, enforcement and incentives). The most prominent barrier was lack of systematic CPW promotion and inconsistencies in communication between the following: organization-to-practitioner; organization-to-organization; and practitioner-to-practitioner. Facilitators who mitigated barriers were need for optimized and integrated information technology services (i.e., Electronic Medical Records) and optimism towards CPW usage and patient outcomes. Conclusions: This exploratory study identified specific improvements and recommendations required to promote uptake of CPWs based on perceived facilitators and barriers.

show abstract

Section: Knowledgementioning

confidence: 99%

Section: Communicationmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Facilitators and Barriers to Clinical Pathway Uptake and Utilization Among Primary Care Providers in Saskatchewan - A Qualitative Study

Groot

Ollegasagrem

Khakpour

et al. 2022

CIM

View full text Add to dashboard Cite

show abstract

“…Physicians and Saskatchewan Health Authority (SHA) partners, through the Acute and Emergency Services Branch, with more currently in development. Active pathways include: Hip and Knee, Spine, Prostate Assessment, Pelvic Floor, Fertility Care, Lower Extremity Wound Care, and Acute Stroke (9). Given the complex nature of CPWs, the practicality of translating these methods to primary care has been questioned (10).…”

Section: Cpws Have Been Developed and Implemented By The Ministry Of Health (Moh) In Collaboration Withmentioning

confidence: 99%

Facilitators and Barriers to Clinical Pathway Uptake and Utilization among Primary Care Providers in Saskatchewan – A Qualitative Study

Groot

Ollegasagrem

Khakpour

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Clinical Pathways (CPWs) are multidisciplinary, evidence based, complex interventions designed to standardize patient care. In Saskatchewan, development, implementation, and evaluation of seven provincial CPWs (Hip & Knee, Spine, Pelvic Floor, Prostate Assessment, Fertility Care, Lower Extremity Wound Care, and Acute Stroke) present significant challenges, leading to lower uptake and utilization. This study aimed to identify facilitators and barriers to CPW uptake and utilization by Family Physicians in Saskatchewan. Methods: A qualitative interpretive approach was used consisting of eight one-on-one key informant (KI) interviews and five focus groups (FG) in identifying the facilitators and barriers to CPWs. KIs had been involved in the design and implementation of CPWs. FGs were held with 30 Family Physicians in two urban and two rural Saskatchewan cities. All interviews were audio recorded and transcribed. Inductive, thematic analysis of the interviews based on the Theoretical Domain Framework (TDF) for behavioral changes was used to identify facilitators and barriers to CPW uptake and utilization by Family Physicians.Results: KI interviews informed the FG interview guide. From 5 FG discussions, 51 themes emerged and were mapped under 14 TDF domains. Family Physicians notably emphasized the barriers for utilizing CPWs. Major barriers were: system-level (knowledge & communication, social/professional identity, Family Physician engagement and education); objective clarification (goals, belief about consequences of implementing CPW) and technical and resource related (administrative, access to local specialists, enforcement and incentives). The most prominent barrier was lack of systematic CPW promotion and inconsistencies in communication between: organization to practitioner; organization to organization; and practitioner to practitioner. Facilitators were recognized to mitigate barriers and ranged from need for optimized and integrated IT services (i.e. Electronic Medical Records), to optimism towards CPW usage and patient outcomes. Conclusions: Informed by data from KIs and FGs, this exploratory study identified specific improvements required to promote uptake of CPWs based on perceived facilitators and barriers. Recommendations are provided to enhance uptake among FPs. These initial findings will inform the creation of a theory-based, province -wide survey instrument to further evaluate CPWs.

show abstract

A Palliative Approach

Hudson¹

2022

Ageing in a Nursing Home

View full text Add to dashboard Cite

Palliative Care Education: An Overview

Cited by 5 publications

References 47 publications

Facilitators and Barriers to Clinical Pathway Uptake and Utilization Among Primary Care Providers in Saskatchewan - A Qualitative Study

Facilitators and Barriers to Clinical Pathway Uptake and Utilization Among Primary Care Providers in Saskatchewan - A Qualitative Study

Facilitators and Barriers to Clinical Pathway Uptake and Utilization among Primary Care Providers in Saskatchewan – A Qualitative Study

A Palliative Approach

Contact Info

Product

Resources

About