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What does it take to deliver brilliant home-based palliative care? Using positive organisational scholarship and video reflexive ethnography to explore the complexities of palliative care at home

Citation

Collier, A and Hodgins, M and Crawford, G and Every, A and Womsley, K and Jeffs, C and Houthuysen, P and Kang, S and Thomas, E and Weller, V and Van, C and Farrow, C and Dadich, A, What does it take to deliver brilliant home-based palliative care? Using positive organisational scholarship and video reflexive ethnography to explore the complexities of palliative care at home, Palliative Medicine, 33, (1) pp. 91-101. ISSN 0269-2163 (2018) [Refereed Article]

Copyright Statement

Copyright 2018 The Authors

DOI: doi:10.1177/0269216318807835

Abstract

Background: Despite the increasing number of people requiring palliative care at home, there is limited evidence on how home-based palliative care is best practised.

Aim: The aim of this participatory qualitative study is to determine the characteristics that contribute to brilliant home-based palliative care.

Design: This study was inspired by the brilliance project an initiative to explore how positive organisational scholarship in healthcare can be used to study brilliant health service management from the viewpoint of patients, families, and clinicians. The methodology of positive organisational scholarship in healthcare was combined with video-reflexive ethnography.

Setting/participants: Home-based specialist palliative care services across two Australian states participated in the study. Clinicians were able to take part in the study at different levels. Pending their preference, this could involve video-recording of palliative care, facilitating and/or participating in reflexive sessions to analyse and critique the recordings, identifying the characteristics that contribute to brilliant home-based palliative care, and/or sharing the findings with others.

Results: Brilliance in home-based palliative care is contingent on context and is conceptualised as a variety of actions, people, and processes. Care is more likely to be framed as brilliant when it is epitomised: anticipatory aptitude and action; a weave of commitment; flexible adaptability; and/or team capacity-building.

Conclusion: This study is important because it verifies the characteristics of brilliant home-based palliative care. Furthermore, these characteristics can be adapted for use within other services.

Item Details

Item Type:Refereed Article
Keywords:community health services, palliative care, patient care team, qualitative research, quality of healthcare
Research Division:Medical and Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Palliative Care
UTAS Author:Collier, A (Dr Aileen Collier)
ID Code:133767
Year Published:2018
Deposited By:Nursing
Deposited On:2019-07-09
Last Modified:2019-08-30
Downloads:0

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