Elaboration of a Multi-dimensional Indicator of Quality in Palliative Care
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Terminal Illness
- Sponsor
- Assistance Publique - Hôpitaux de Paris
- Enrollment
- 560
- Locations
- 1
- Primary Endpoint
- Indicator for medical files
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to elaborate a multi-dimensional indicator of the quality in palliative care for patients of end-of-life.
The study will, as secondary objectives:
- elaborate in a standard manner one set of indicators of organization and inner working of a palliative care setting.
- compare according to these indicators, the qualities of 3 types of palliative care: palliative care unit in hospitals, specified identified bed for palliative care patients and non-specified bed.
- explore the relationship between organizational aspects and results in term of burden.
Detailed Description
A multicentric study aims on quality of palliative care and will be conducted in three types of 7 palliative care settings: two hospices, two hospital-based palliative care units and three medical units where a mobile palliative care team intervenes.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Aged ≥ 18 years.
- •Patient with serious progressive illness and in terminal phase (life expectancy \< 3 months): OMS stage is 3 or 4, regardless of etiology.
- •Patient informed their diagnosis or not.
- •Hospitalized at the moment of inclusion in one of the following care settings: palliative care unit, identified bed or non-identified bed in a care department of short stay.
- •No-oppose to participate to the study, by patients, their families or trusted person.
Exclusion Criteria
- •Patient has difficulties in reading, writing or understanding french language, also their family.
- •Hospitalization in the palliative care setting \< 48 hours.
Outcomes
Primary Outcomes
Indicator for medical files
Time Frame: At enrollment
The indicators have been defined by the study, in order to evaluate quality of medical files, such as completeness and discriminatory capacity.
Questionnaire for patients
Time Frame: From date of enrollment until the date of first documented leaving from hospital or date of death, whichever came first, up to 2 years
A questionnaire has been elaborated beforehand by the study will be answered by patients in order to evaluate quality such as reliability, dimensionality and validity against criterion.
Indicator for caregivers
Time Frame: From date of enrollment until the date of receiving questionnaire returned by caregiver, up to 2 years
In order to evaluate quality such as reliability and dimensionality, a questionnaire will be answered by caregivers: - the Nursing Stress Scale (NSS).
Questionnaire for families
Time Frame: From date of enrollment until the date of receiving questionnaire sent by family, up to 2 years
A questionnaire has been elaborated, will be answered by patients' families.