Elaboration of a Multi-dimensional Indicator of Quality in Palliative Care

Completed

• Conditions: End of Life; Terminal Illness

• Registration Number: NCT02814682
• Lead Sponsor: Assistance Publique - Hôpitaux de Paris

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.

Study Timeline

• Study Start: 2012-12
• Primary Completion: 2014-05
• Study Completion: 2014-05
• Status Verified: 2014-11
• Study First Submitted: 2016-04-01
• Study First Submitted QC: 2016-06-23
• Last Update Submitted: 2016-06-23
• Study First Posted: 2016-06-28
• Last Update Posted: 2016-06-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 560

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Indicator for medical files	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	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	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	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.

Trial Locations

Locations (1)

Maison Médicale Jeanne Garnier; 🇫🇷 Paris, Ile de France, France