Understanding experience of care quality from hospitalised patients

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Understanding experience of care quality from hospitalised patients with palliative care needs and their carers: a prospective observational study

Oral Presentation Concurrent Sessions

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Oral Presentation - Concurrent Sessions

11:45 am

13 September 2023

Level 4 - Room 4.1

Stream 1C | Concurrent Session | Models of care

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Models of care – implications for the future

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Presentation Description

Institution: Queensland University of Technology - Queensland, Australia

Background: Australian Institute of Health and Welfare data demonstrates that people who die will have an average of 2.6 admissions in their last year of life. Globally there is a need to strengthen inpatient palliative care. Patient reported experience measures (PREM) are valuable tools for measuring quality of care and informing areas for improvement.

Aims: To determine the quality-of-care experienced by hospitalised patients with palliative care needs, and their carers.

Methods: A prospective observational study with consecutive sampling of consenting inpatients admitted to one of three wards at a tertiary metropolitan Australian hospital. The Supportive and Palliative Care Indicators Tool was used to identify patients likely to have palliative care needs. Eligible patients were invited to complete the ‘ConsideRATE survey,’ aiming for 40 responses per ward. ‘ConsideRATE’ is a PREM demonstrated to be a reliable and valid tool to measure experiences of hospital care for inpatients living with serious illness. Analysis occurred using descriptive statistics.

Results: All eligible patients approached agreed to participate. 111 patients and 9 carers completed the ConsideRATE PREM between June and November 2022. Across the three wards, the number (%) of respondents rating each domain as ‘very good’ was 57 (48%) for attention to physical problems, 38 (32%) for attention to feelings, 19 (16%) for attention to surroundings, 35 (30%) for respect to what matters, 33 (28%) for communication about care, 12 (19%) for attention to your affairs, and 17 (15%) for attention to what to expect from your illness. There were differences between wards, and patients provided useful illustrative comments that were fed back to each clinical team alongside the scores to inform local improvements.

Conclusion: PREM results provide important feedback for clinical teams about the quality of care delivered to inpatients with palliative care needs and informs intervention designs aimed at improving care quality.

Presenters

Dr Gursharan Singh

Research Fellow in Palliative Care

Queensland University of Technology - Brisbane, Australia

Authors

Doctor Gursharan K. Singh - Centre for Healthcare Transformation, Faculty of Health & Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology (QUT), Brisbane, Queensland, Australia. , Ms Robyn Matthews - Cancer Care Services, Metro North Hospital and Health Service (MNHHS), Queensland, Australia. , Professor Alison Mudge - The University of Queensland, Greater Brisbane Medical School, Herston, Queensland, Australia & Department of Internal Medicine, Royal Brisbane and Women’s Hospital, Butterfield Street, Herston, Queensland, Australia. , Distinguished Professor Patsy Yates - Centre for Healthcare Transformation, Faculty of Health & Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology (QUT), Brisbane, Queensland, Australia. , Professor Jane L. Phillips - Centre for Healthcare Transformation, Faculty of Health & Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology (QUT), Brisbane, Queensland, Australia. , Doctor Claudia Virdun - Centre for Healthcare Transformation, Faculty of Health & Cancer and Palliative Care Outcomes Centre, School of Nursing, Queensland University of Technology (QUT), Brisbane, Queensland, Australia.

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Understanding experience of care quality from hospitalised patients with palliative care needs and their carers: a prospective observational study

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Watch The Presentation

Presentation Description

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