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  • CHPCA 2017 Conference - Expanding Our Horizons: A Palliative Approach to Care

CHPCA 2017 Conference - Expanding Our Horizons: A Palliative Approach to Care

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Ottawa, Ontario.  September 23 to 23, 2017

iPANEL Highlights:

Opening Plenary - Looking Forward, Looking Back: What History Can Teach Us about the Integration of a Palliative Approach to Care

Presenter: Dr. Kelli Stajduhar

Integration of palliative approaches to care has become a central focus within the field of palliative care. But what does a palliative approach mean and how can integration happen within the context of the current health care system? Drawing on over 30 years of research and practice experience in palliative care, Dr. Stajduhar will reflect on the implications that palliative approaches to care have for the field of palliative care and remind us of why going back to our roots is more important than ever.

Workshop - Developing a volunteer navigator program to support early palliative care: would it work for you?

Presenter:  Dr. Barb Pesut

In this workshop participants will have the opportunity to explore an innovative program called NCARE (navigating, connecting, accessing, resourcing, and engaging) in which hospice volunteers provide supportive services in the home for clients who are early in the palliative trajectory. In this model, hospice volunteers receive training in navigation and then conduct regular visits with clients in the home. Supportive interventions include assisting clients with making connections, identifying and accessing relevant resources, engaging with meaningful activities, and assisting with decision-making. NCARE was successfully piloted in 2015/2016 and is now being implemented in communities across Canada. Findings from these studies will be shared with participants including experiences learned through implementation and the impact on volunteers and clients. Participants will have the opportunity to work with the NCARE implementation tool-kit to better understand the potential of the program for their hospice society and community.

Participants in this workshop will meet the following objectives:

  1. Understand the NCARE program.
  2. Explore how NCARE fits with a public health and a compassionate communities approach to palliative care.
  3. Describe the types of services that volunteers can provide for an early palliative population in the community.
  4. Understand the potential impact of the NCARE program on volunteers, clients, and community.
  5. Weigh the potential of implementing the NCARE program within their hospice society and community

Oral Presentation - Outcome Measures for a Palliative Approach

Presenters: Dr. Richard Sawatzky and Pat Porterfield

It is imperative to integrate a palliative approach earlier on and across all contexts of care for people who have life limiting chronic conditions. However, successful integration will only be achieved if relevant outcomes are routinely evaluated. As part of the Initiative for a Palliative Approach in Nursing: Evidence and Leadership (iPANEL), we have conducted research with the purpose of identifying outcomes measures that are reflective of a palliative approach.

Oral Presentation - Shift your thinking: Knowledge translation for a palliative approach in nursing practice

Presenters: Carolyn Tayler, Della Roberts

Are you concerned about getting research evidence into practice? The Initiative for a Palliative Approach in Nursing: Evidence and Leadership (iPANEL) is a province-wide nursing research-practice partnership in British Columbia that has been collaborating on research and knowledge translation since 2011. All of our projects are based on the core value that incorporating practice wisdom throughout the research process is the best way to ensure that results are meaningful and useful to practitioners, whether they are front-line providers, leaders or administrators. In this presentation, we will walk you through how we transformed our extensive research findings into user-friendly formats to facilitate understanding and uptake. Practitioner team members were central to the development of our KT products, bringing their expertise about the best tools and language to use when trying to initiate change in health care delivery. We began with the development of guiding principles and processes, including clearly stating team member roles, core evidence, key messages, target audiences, specific KT products, timeframe and distribution plan. KT products, such as infographics and an animated video, were developed through a series of drafting and refinement stages, in collaboration with a professional designer. Distribution of final products occurred via multiple methods, including social media (websites, Twitter, Facebook, YouTube), professional networks, and targeted emails.

Poster - The impact of health system changes on the delivery of care at home

Presenter:  Kelli Stajduhar

Patients’ ability to die at home is heavily dependent on the efforts of family caregivers (FCGs). Even where patients receive home care services, the likelihood of dying at home is reduced if FCGs are unable to provide care. Our team is currently conducting an intervention aimed at identifying FCG needs for support. The intervention, however, has been challenging to implement in the context of constant changes in the home care environment. We undertook a qualitative study to document the impact of health system changes on the delivery of palliative care at home. We conducted focus groups and in-depth interviews with 29 home care nurses and 9 key informants. Data were thematically analyzed to gain insight and better understanding of how these changes were impacting nursing care specifically and home care nurses abilities to care for patients and FCGs.

Findings suggest that system issues such as increasing medical and psychosocial complexity of patients and FCGs, increasing volume of home care patients, and late admission to home care and palliative care are influencing the ability to provide quality care. Organizational changes and a drive to reduce service to patients in home care, underpinned by the need for system efficiency, were also identified. Findings also suggest home care nursing practice is changing to meet these system demands in ways that are not always aligned with the core principles and philosophies of palliative care.

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