The Influence of Context and Practitioner Attitudes on Implementation of Person ‐Centered Assessment and Support for Family Carers Within Palliative Care

AbstractBackgroundThe Carer Support Needs Assessment Tool (CSNAT) intervention is an evidence ‐based, person‐centered approach to carer assessment and support within palliative care. As such, it requires a change in practice from a practitioner‐ to a carer‐led assessment and support process. A paucity of research has investigated factors affecting implementation of evidence‐based i nterventions within palliative care.ObjectiveTo examine differences between high and low adopters of the CSNAT intervention in terms of practitioner attitudes to the intervention and organizational context.MethodsPhase IV study of the implementation of the CSNAT intervention at scale in 36 UK palliative care services over 6  months. Survey at baseline and 6 months of practitioners at implementation sites, informed by the Promoting Action on Research Implementation in Health Services (PARIHS) Framework. Survey tools: (a) questionnaire to assess attitudes to the CSNAT intervention; (b) Alberta Context Tool (ACT) to ass ess organizational context. Monthly data on intervention use enabled service classification as “high” or “low” adopters.ResultsSurveys returned at baseline were 157/462 and at 6  months were 69/462. Compared with low adoption services, high adopters were more likely to be hospice, at home, and day services; have a higher ratio of internal facilitators to total staff numbers; and higher scores for ACT “informal interactions” denoting more discussions about care ...
Source: Worldviews on Evidence-Based Nursing - Category: Nursing Authors: Tags: Original Article Source Type: research