Table 4.
Programme component | Results | Relevance to practise |
---|---|---|
Early intervention | —Lower emergency department use —Fewer acute care stays —Symptom distress/disease understanding improved |
Start palliative care as soon as it is apparent the patient needs such services |
Education | —Increased learner knowledge —Increased learner competence or skill |
Train palliative care team members, volunteers and students in palliative care topics; it may improve their knowledge, confidence and skills |
Telehealth | —Using telehealth is feasible and acceptable —Increased patient access to services —Improved patient satisfaction |
Use telehealth to potentially augment palliative care services, being mindful of facilitating access to such services by making technology training and electronic devices available |
Standardised sessions | —Increased respecting patient’s life will —Increased home deaths —Lower hospital utilisation rates |
Conduct interdisciplinary team meetings that are planned in advance and focus on patient-related concerns |
Volunteers | —Positive experiences reported by volunteers, patient/caregivers and medical professionals | Engage and train volunteers to assist with palliative care to increase and enhance the provision of services |
Innovative approaches (service provision) | —Overall, positive experiences were reported by patients/caregivers | Testing innovative approaches (e.g. music therapy) in community-based palliative care may lead to improvements in outcomes and patient and caregiver experiences |
Innovative approaches (personnel roles) | —Overall, a lack of improvements | Establishing new types of personnel roles within community-based palliative care may not be the best use of resources until further research can determine the value of specific roles |