Improving Quality of Care for the Dying Patient in Hospice: A Quasi Experimental Trial in Liguria Region
- Conditions
- End-of-Life
- Interventions
- Other: LCP Program
- Registration Number
- NCT01470625
- Lead Sponsor
- Regional Palliative Care Network
- Brief Summary
This is a before-after phase II study, according to the Medical Research Council framework, investigating the feasibility of introducing the Liverpool Care Pathway for the dying patient (LCP) in 5 Ligurian hospices.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 282
- All patients deceased in the hospice during the evaluation period
- Approval of ethics committee
- Prior use of LCP in the hospice
- Deceased was a relative of a hospice member of staff
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description LCP Program LCP Program The LCP Program is continuous quality improvement program of end-of-life care implemented in hospice
- Primary Outcome Measures
Name Time Method feasibility of LCP implementation 6 months after the end of LCP implementation measured as proportion of hospices that complete the experimental phase of introducing the LCP Program and maintain the program in the 6 months subsequent the process of experimental LCP implementation
- Secondary Outcome Measures
Name Time Method quality of information provided to patients and to family 2-4 months after the patient's death measured with the scale 1 (Informing and promoting shared decision making) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Level of advanced care planning among patients 2 - 4 months after the patient's death measured with the scale 2 (Encouraging advance care planning) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Provision of care focusing on patient's individual needs. 2 - 4 months after the patient's death measured with the scale 3 (Focus on individual) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Quality of emotional support to family members before an after the patient's death 2 - 4 months after the patient's death measured with the scale 4 (Attending to the emotional and spiritual needs of the family) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Level of care coordination 2 - 4 months after the patient's death measured with the scale 5 (Providing coordination of care) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Family support levels 2 - 4 months after the death of the patient measured with the scale 6 (Supporting the self-efficacy of the family) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Appropriateness of therapeutic and diagnostic procedures the last 3 days of life measured with a specific tool in which all diagnostic and therapeutic procedures and drugs administered to the patient during the last 3 days of life are reported
Overall quality of care experience for patients and family 2 - 4 months after the death of the patient measured with the scale 7 (Overall quality of care provided to patients and family) from the Toolkit After-death bereaved family member interview (Teno 2001). The Toolkit will be administered to non-professional caregivers 2-4 months after the patient's death
Quality of communication between General Practitioner and hospice an expected average of 2 months after the patient's death measured with a telephonic interview
Trial Locations
- Locations (5)
Hospice ASL 4
🇮🇹Chiavari, Genova, Italy
CENTRO MISERICORDIA" SANTA M.G.ROSSELLO. Ist.Figlie Ns Signora Misericordia
🇮🇹Savona, Italy
Hospice Gigi Ghirotti "Albaro"
🇮🇹Genova, Italy
Hospice Gigi Ghirotti "Bolzaneto"
🇮🇹Genova, Italy
Hospice ASL1 Liguria
🇮🇹Imperia, Italy