Table 3 Changes planned in the implementation study in each site
Settings | Place | Changes planned and achieved✓ |
|---|---|---|
Care Home 1 | Rural | More systematic use of pain scales |
Care Home 2 | Urban | Workshops with staff on End of Life Care |
Hospital ward 1 | Urban | Protect beds from other departments |
Improve utility of electronic records ✓ | ||
Hospital ward 2 | Suburban | Writing an EOLC manual✓ |
Establish links with hospice✓ | ||
Establish rules for referral to other services (e.g. hospice) ✓ | ||
Community PC team 1 | Urban/rural | Implement validated pain assessment scales |
Standardise transfer of information about discharge to GPs✓ | ||
Hold regular Multi-disciplinary team meetings✓ | ||
Community PC team 2 | Urban/rural | Documenting conversations with patients |
Explorations of family carer experiences✓ | ||
Improve transfer of information to next setting✓ | ||
Hospice 1 | Urban/rural | Implement validated pain assessment scores |
Standardise transfer of information on discharge and assessment by home care teams✓ | ||
Develop criteria for referral of patients to other services (e.g. hospital) ✓ | ||
Hospice 2 | Urban/rural | Documenting conversations with patients |
Explorations of family carer experiences✓ | ||
Improve transfer of information on discharge to next setting✓ |