Integrated Palliative Approach to Care in Acute Care (iPAC-AC)
Using participatory approaches, the project combines inquiry and action to support the integration of a palliative approach. Core components of a palliative approach involve adopting the foundational principles of palliative care, adapting palliative care knowledge to the illness trajectories of people with life-limiting conditions, and embedding adapted knowledge “upstream” into the delivery of care.
The project is being conducted at 1 acute care medical unit in Fraser Health and being facilitated on the unit by 2 clinical nurse specialists who play a central role in knowledge translation in Fraser Health, have contact with multidisciplinary team members, patients and families, and who are responsible for facilitating practice change in acute care. The project is guided by the Knowledge-As-Action Framework, which was specifically developed to facilitate a practice-oriented collaborative approach to knowledge translation (KT) at the point-of-care. The project outputs include: (1) development of evidence-informed recommendations for integrating and scaling up of a palliative approach into acute care medical units; (2) creation of relevant practice support tools and processes to facilitate transitions in the care journey; (3) development of an evaluation framework including outcome measures and benchmarks to assist with sustainability; and (4) testing the applicability of the Knowledge-As-Action framework to the acute care setting.
To improve the quality of care in acute care for people with life-limiting conditions.
Kelli Stajduhar (UVic)
Neil Hilliard (Fraser Health)