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Getting palliative medications right: a multicentre impact project translating research into practice

Francis, Sally-Anne; Ogden, Margaret; Bradley, Natasha; Yardley, Sarah; (2024) Getting palliative medications right: a multicentre impact project translating research into practice. Presented at: Hospice UK National Conference 2024, Glasgow, UK. Green open access

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Abstract

Background: Numerous practical daily hassles are experienced by patients, carers and professionals to get the right palliative medications at the right time.¹ Our research study ‘Getting prescription medications right at home, in hospital & hospice’² used Activity Theory – a ‘whole system’ method to understand experiences of everyone involved in managing palliative medications. Hidden work (unaccounted for in policies/service specifications) is widespread and burdensome for patients, carers and professionals, and particularly problematic when people move between care settings. / Aims 1. Implement a toolkit, created from our research, into practice. 2. Explore if a multicentre impact project, comprising a joint team of researchers, healthcare professionals and people with lived experience, can accelerate improvement. / Method: Local teams including service users from Marie Curie Bradford, Devon, Glasgow and West Midlands partnered with the research team. We applied the toolkit over six workshops, in a participative approach guided by the Activity System Evaluation Framework (ASEF)³ to identify ‘pain points’ and opportunities. / Results: The toolkit functioned as a sensitising, evidence-base for identifying what mattered most to improve medication management and how in each locality, leading to focus on: • Building relationships between the hospice and community pharmacies to enable timely access to medication (Bradford) • Improving relationships between Marie Curie and District Nursing teams to understand systems, expectations and experiences of responsibilities for shared care (Devon) • Managing patients own drugs following hospice admission; balancing desire to reduce waste and carer stress with associated nursing and pharmacy workload (Glasgow) • Analysing modes and content of communication to design proactive pre-discharge medication processes (West Midlands) We will present each locality’s achievements alongside our evaluation of added value from the multicentre impact model and research-practice partnerships. / Conclusion: This work has established connections with potential to grow into a collaborative improvement network. Bringing people with lived experience into each team was especially valuable to directly inform improvements. / *Participating members of the Bradford, Devon, Glasgow & West Midlands Marie Curie Teams. Bradford: Helen Ankrett, Molly Kenyon, Merton, Frances Mulley, Natalie Sanderson, Wilma Saville. Devon: Lee Stevenson, Rachel Oakley, Charlotte Bullivant, Emma Rogers, Virginia Turbett, Anna Ferguson Montague. Glasgow: Eileen McGinley, Libby Ferguson, Nancyanne Smith, Lindsay Wilkins, Jackie Gilfoyle. West Midlands: Chloe Ward, Emma-may Ward, Janet Lester, Dawn Doughty, Maxine Koker.

Type: Poster
Title: Getting palliative medications right: a multicentre impact project translating research into practice
Event: Hospice UK National Conference 2024
Location: Glasgow, UK
Dates: 26 - 28 November 2024
Open access status: An open access version is available from UCL Discovery
Publisher version: https://www.hospiceuk.org/innovation-hub/courses-c...
Language: English
Keywords: palliative, medication management, hospice
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry > Marie Curie Palliative Care
URI: https://discovery.ucl.ac.uk/id/eprint/10201511
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