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ePoster Display

1462P - Definition and validation of a panel of quality indicators sensitive to nursing care: Study in the context of a palliative care unit

Date

16 Sep 2021

Session

ePoster Display

Topics

End-of-Life Care

Tumour Site

Presenters

Jorge Pereira

Citation

Annals of Oncology (2021) 32 (suppl_5): S1076-S1083. 10.1016/annonc/annonc679

Authors

J.M. Pereira

Author affiliations

  • Palliative Care Unit, CUF Porto Hospital, 4100-180 - Porto/PT

Resources

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Abstract 1462P

Background

Promoting and guaranteeing the quality of nursing care is an ethical and deontological imperative. Designing any program to promote and manage the quality of care while neglecting to define a panel of indicators that translate what is desired is not in line with the structuring principles of quality in health. If quality monitoring is already taking place in different world contexts, it is noticeable in the Portuguese reality that there is little evidence available.

Methods

Work guided by a perspective of qualitative research, using the scoping review approach, to identify the quality indicators of palliative care considered relevant in the available literature. In an intermediate phase, the content obtained in the previous methodological phase was validated by considering the opinions of a panel of experts (professors of Palliative Care Nursing and experienced Nurses with advanced training in the provision of care in the area of Palliative Care), as well as indicators that this group suggested were also added as being relevant. Finally, consensus was reached through voting using the nominal group strategy of a panel of quality indicators, with nurses belonging to a palliative care unit.

Results

From the global vote of the nominal group, of the 10 consensual indicators, two were classified in the domain of “structure”; six within the scope of the “process”; and two within the scope of the “results”. The consensual panel of indicators emphasized: the importance of training professionals, the existence of guides and protocols for clinical practice, the management and control of symptoms such as pain, the appreciation of the wishes expressed by the patient and the facilitation of end-of-life processes.

Conclusions

There was a great focus on the management of signs and symptoms, in particular the pain; the promotion of comfort; along with respect for the wishes expressed by clients. In this panel, the issues related to the facilitation of the grieving and loss processes also deserved to be highlighted. On the other hand, with regard to indicators inscribed in the dimension of “structure”, indicators focused on the training of professionals and the existence of guides to good practices were of particular interest.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The author.

Funding

Has not received any funding.

Disclosure

The author has declared no conflicts of interest.

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