Evidence-based practices and competencies in palliative care

Evidence-based practices and competencies in palliative care

The purposes of this study in specialized and primary health care settings is

– to identify and describe evidence-based practices in palliative and end-of-life care
– to identify and describe competencies required in palliative and end-of-life care
– to evaluate the practices of palliative and end-of-life care
– to evaluate competencies of palliative and end-of-life care

The ultimate goal is to improve quality of care and patients safety by developing tools to evaluate care and generate educational content.

This research includes four phases: theoretical, instrumentation, evaluation and development of digital learning environment. These phases are described in detail below.

Phases

Phase I: Theoretical (2018- 2020)

The theoretical phase consists of three parts:

  1. Six systematic literature reviews of evidence-based practices and the competencies required in palliative and end-of-life care.
  2. Empirical data collected through semi-structured interviews with patients and their relatives in specialized and primary health care as well as relatives who had a loved one die in hospice. Health care professionals will be interviewed through focus groups.
  3. The third part includes the analysis of the content areas of palliative and end-of-life care and competencies through the method of meta-ethnography.

Phase II: Instrumentation (2020-2021)

Instruments of evidence-based practices and competencies will be developed. Development will be based on the results of the theoretical phase.

Phase III: Evaluation (2021-2022)

Evidence-based practices and competences will be evaluated all over Finland as well as in Estonia and Scotland. The psychometric properties will be evaluated as well.

Phase IV: Development of digital learning environment (2020-2021)

The digital learning environment of cancer patients´ palliative care will be developed and its effectiveness will be evaluated by using quasi-experimental design.

Principal investigator

Elina Haavisto Professorelina.haavisto@utu.fi

Research team

Professor, PhD, RN Elina Haavisto, University of Turku, Head of the research project
Professor, PhD, RN Riitta Suhonen, University of Turku
Professor, PhD, RN Kaija Saranto, University of Eastern Finland
Professor, PhD, MD Päivi Korhonen, University of Turku
Docent, PhD, University lecturer Minna Stolt, University of Turku
Docent, PhD, RN Satu Elo, University, of Oulu
PhD, RN, Director Sanna-Mari Pudas-Tähkä, Hospice of Western Finland
MD, special competence in palliative medicine Kristiina Halminen, Hospice of Western Finland
PhD, Development manager Mervi Siekkinen, FicanWest
Docent, PhD, Harri Ketamo, University of Tampere
President, Managing Director, Dr.Tech. Jari Multisilta, Satakunta University of Applied Sciences
PhD, post doc – researcher, RN Jaana-Maija Koivisto, University of Turku
PhD, post doc – researcher, RN Anne Kuusisto, University of Turku
PhD, RN, Rector Ulle Ernits, Nursing College (higher education), Estonia
PhD, RN, Kristi Rannus, Chief Nurse, Oncology and Hematology Clinic, North Estonia Medical Centre
PhD Professor Angela Kydd, Robert Gordon University, Scotland
PhD Professor Catriona Kennedy, Robert Gordon University, Scotland
MNSc, nurse director Tuula Huumonen, Oncology nursing, Hospital District of Satakunta

Research related to the topic

Post-doc research related to topic
Anne Kuusisto, Advance care plan

PhD-research related to topic
Pauliina Kesonen, Interprofessional competence in palliative care
Johanna Aappola, Nursing staffs´ competence in palliative care in primary Health care and developing a competence instrument

Master theses related to topic
Linda Heino, Palliative sedation
Anu Soikkeli-Jalonen, Instruments to measure nurses´ palliative care knowledge and skills in specialized care.

Bachelor theses related to topic
Petra Auramo, Hospice at home