Adaptation of the Australian Palliative Care Phase concept to the German palliative care context: a mixed-methods approach using cognitive interviews and cross-sectional data
Adaptation of the Australian Palliative Care Phase concept to the German palliative care context: a mixed-methods approach using cognitive interviews and cross-sectional data (Springer).
Palliative care phases (stable, unstable, deteriorating, terminal and bereavement) are routinely used in Australia and the UK to describe the clinical situation of patients and their families and to evaluate the associated care plan. In addition, it serves as a benchmark developed by the Australian Palliative
Care Outcome Collaboration (PCOC) and is used nationwide for comparisons between services.
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The study aims to develop a German version of the palliative care phase
definitions by adapting them culturally, and to examine the inter-rater
reliability of the adjusted definitions with healthcare professionals.
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Conclusion
Overall, the adapted palliative care phases are suitable to use in the German
specialist palliative care setting. However, the concept of the phases is not
self-explanatory. To implement it nationwide for outcome
measurement/benchmarking, it requires further education, on-the-job training
and experience as well as the involvement of healthcare professionals in
implementation process. For the use of international concepts in different
healthcare systems, a deeper discussion and cultural adaptation is necessary
besides the formal translation.
Quelle: Springer, 14.08.2021
