Using Patient-Centered Dissemination and Implementation Frameworks and Strategies in Palliative Care Settings for Improved Quality of Life and Health Outcomes: A Scoping Review.

Lea Sacca, Diana Lobaina, Sara Burgoa, Meera Rao, Vama Jhumkhawala, Sheena M Zapata, Michelle Issac, Suleyki Medina
{"title":"Using Patient-Centered Dissemination and Implementation Frameworks and Strategies in Palliative Care Settings for Improved Quality of Life and Health Outcomes: A Scoping Review.","authors":"Lea Sacca, Diana Lobaina, Sara Burgoa, Meera Rao, Vama Jhumkhawala, Sheena M Zapata, Michelle Issac, Suleyki Medina","doi":"10.1177/10499091231214241","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is a need for patient-provider dissemination and implementation frameworks, strategies, and protocols in palliative care settings for a holistic approach when it comes to addressing pain and other distressing symptoms affecting the quality of life, function, and independence of patients with chronic illnesses. The purpose of this scoping review is to explore patient-centered D&I frameworks and strategies that have been adopted in PC settings to improve behavioral and environmental determinants influencing health outcomes through evidence-based programs and protocols.</p><p><strong>Methods: </strong>The five step Arksey and O'Malley's (2005) York methodology was adopted as a guiding framework: (1) identifying research questions; (2) searching for relevant studies; (3) selecting studies relevant to the research questions; (4) charting the data; and (5) collating, summarizing, and reporting results.</p><p><strong>Results: </strong>Only 6 out of the 38 (16%) included studies applied a D&I theory and/or framework. The RE-AIM framework was the most prominently cited (n = 3), followed by the Diffusion of Innovation Model (n = 2), the CONNECT framework (n = 1), and the Transtheoretical Stages of Change Model (n = 1). The most frequently reported ERIC strategy was strategy #6 \"Develop and organize quality monitoring systems\", as it identified in all 38 of the included studies.</p><p><strong>Conclusion: </strong>This scoping review identifies D&I efforts to translate research into practice in U.S. palliative care settings. Results may contribute to enhancing future D&I initiatives for dissemination/adaptation, implementation, and sustainability efforts aiming to improve patient health outcomes and personal satisfaction with care received.</p>","PeriodicalId":94222,"journal":{"name":"The American journal of hospice & palliative care","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The American journal of hospice & palliative care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/10499091231214241","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/13 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: There is a need for patient-provider dissemination and implementation frameworks, strategies, and protocols in palliative care settings for a holistic approach when it comes to addressing pain and other distressing symptoms affecting the quality of life, function, and independence of patients with chronic illnesses. The purpose of this scoping review is to explore patient-centered D&I frameworks and strategies that have been adopted in PC settings to improve behavioral and environmental determinants influencing health outcomes through evidence-based programs and protocols.

Methods: The five step Arksey and O'Malley's (2005) York methodology was adopted as a guiding framework: (1) identifying research questions; (2) searching for relevant studies; (3) selecting studies relevant to the research questions; (4) charting the data; and (5) collating, summarizing, and reporting results.

Results: Only 6 out of the 38 (16%) included studies applied a D&I theory and/or framework. The RE-AIM framework was the most prominently cited (n = 3), followed by the Diffusion of Innovation Model (n = 2), the CONNECT framework (n = 1), and the Transtheoretical Stages of Change Model (n = 1). The most frequently reported ERIC strategy was strategy #6 "Develop and organize quality monitoring systems", as it identified in all 38 of the included studies.

Conclusion: This scoping review identifies D&I efforts to translate research into practice in U.S. palliative care settings. Results may contribute to enhancing future D&I initiatives for dissemination/adaptation, implementation, and sustainability efforts aiming to improve patient health outcomes and personal satisfaction with care received.

在姑息治疗环境中使用以患者为中心的传播和实施框架和策略来改善生活质量和健康结果:范围综述
背景:在姑息治疗环境中,有必要对患者-提供者传播和实施框架、策略和协议进行全面的研究,以解决影响慢性疾病患者生活质量、功能和独立性的疼痛和其他痛苦症状。本综述的目的是探讨在PC环境中采用的以患者为中心的D&I框架和策略,通过循证方案和协议改善影响健康结果的行为和环境决定因素。方法:采用Arksey和O'Malley (2005) York的五步法作为指导框架:(1)确定研究问题;(2)查找相关研究;(3)选择与研究问题相关的研究;(四)绘制数据图;(五)对结果进行整理、总结和报告。结果:38项研究中只有6项(16%)纳入了应用D&I理论和/或框架的研究。RE-AIM框架被引用最多(n = 3),其次是创新扩散模型(n = 2), CONNECT框架(n = 1)和跨理论变革阶段模型(n = 1)。最常被报道的ERIC策略是策略#6“开发和组织质量监控系统”,这在所有38项纳入的研究中都得到了证实。结论:这一范围审查确定D&I努力将研究转化为实践在美国姑息治疗设置。结果可能有助于加强未来D&I倡议的传播/适应、实施和可持续性努力,旨在改善患者健康结果和个人对所接受护理的满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信