International Association for Hospice and Palliative Care (IAHPC) List of Essential Practices in Palliative Care

• DOI: 10.3109/15360288.2012.680010
• Publication Date: 2012-07-05T15:42:41Z
• Authors: Liliana De Lima; Michael I. Bennett; Scott A. Murray; Peter Hudson; Derek Doyle; Eduardo Bruera; Clara Granda-Cameron; Florian Strasser; Julia Downing; Roberto Wenk
• Keywords: Delphi Method; Best practice; Nominal Group Technique

The objective of this study was to identify, through a consensus process, the essential practices in primary palliative care. A three-phase designed. Phase 1 methods included development working group; literature review; baseline list practices; and identification levels intervention. In 2, physicians, nurses, nurse aides (n = 425) from 63 countries were asked three Delphi rounds rate as or nonessential select appropriate intervention for each. 3, representatives 45 care organizations rank 10 most important resulting 2. Scores (1-10) assigned each, based on selected level importance. Results 140 practices. Three identified: Identification/Evaluation; Diagnosis; Treatment/Solution measures. response rates (RR) 96.5%, 73.6%, 71.8%, respectively. point (≥80% agreement) applied, 62 RR 100%. Forty-nine ranked. "Evaluation, Diagnosis Treatment Pain" scored highest (352 points). group (WG) arranged four categories: Physical needs, Psychological/Emotional/Spiritual Care Planning Coordination, Communication. IAHPC List Essential Practices Palliative may help define improve quality delivered globally. Further studies are needed evaluate their uptake impact.