Improving patients', carers' and primary care healthcare professionals' experiences of discharge communication from specialist palliative care to community settings: a protocol for a qualitative interview study.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088685 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-684X (Electronic) Linking ISSN: 1472684X NLM ISO Abbreviation: BMC Palliat Care Subsets: MEDLINE

Original Publication: London : BioMed Central, [2002-

Qualitative Research* ; Palliative Care*/methods ; Palliative Care*/standards ; Patient Discharge*/standards ; Caregivers*/psychology ; Communication*; Humans ; Health Personnel/psychology ; Primary Health Care/standards ; Male ; Female ; Adult ; Interviews as Topic/methods ; Patients/psychology ; Continuity of Patient Care/standards

Background: Patients who have benefited from specialist intervention during periods of acute/complex palliative care needs often transition from specialist-to-primary care once such needs have been controlled. Effective communication between services is central to co-ordination of care to avoid the potential consequences of unmet needs, fragmented care, and poor patient and family experience. Discharge communications are a key component of care transitions. However, little is known about the experiences of those primarily receiving these communications, to include patients', carers' and primary care healthcare professionals. This study aims to have a better understanding of how the discharge communications from specialist palliative care services to primary care are experienced by patients, carers, and healthcare professionals, and how these communications might be improved to support effective patient-centred care.
Methods: This is a 15-month qualitative study. We will interview 30 adult patients and carers and 15 healthcare professionals (n = 45). We will seek a range of experiences of discharge communication by using a maximum variation approach to sampling, including purposively recruiting people from a range of demographic backgrounds from 4-6 specialist palliative care services (hospitals and hospices) as well as 5-7 general practices. Interview data will be analysed using a reflexive thematic approach and will involve input from the research and advisory team. Working with clinicians, commissioners, and PPI representatives we will co-produce a list of recommendations for discharge communication from specialist palliative care.
Discussion: Data collection may be limited by the need to be sensitive to participants' wellbeing needs. Study findings will be shared through academic publications and presentations. We will draft principles for how specialist palliative care clinicians can best communicate discharge with patients, carers, and primary care clinicians. These will be shared with clinicians, policy makers, commissioners, and PPI representatives and key stakeholders and organisations (e.g. Hospice UK) and on social media. Key outputs will be recommendations for a specialist palliative care discharge proforma.
Trial Registration: Registered in ISRCTN Registry on 29.12.2023 ref: ISRCTN18098027.
(© 2024. The Author(s).)

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NIHR204938 National Institute for Health and Care Research; NIHR204938 National Institute for Health and Care Research; NIHR204938 National Institute for Health and Care Research; NIHR204938 National Institute for Health and Care Research; NIHR204938 National Institute for Health and Care Research

Keywords: Communication; Hospice care; Palliative care; Patient discharge summaries; Transitional care

Date Created: 20240620 Date Completed: 20240620 Latest Revision: 20240623

20240623

PMC11191294

10.1186/s12904-024-01451-1

38902635