Palliative Care Consult Service vs Palliative Care Unit
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/8/2018 |
| Start Date: | February 17, 2016 |
| End Date: | February 2019 |
A Prospective Evaluation of Satisfaction With Quality of Care on the Palliative Care Unit
Objectives:
Primary Objective:
To determine the change of satisfaction with quality of care after an experience on the
Palliative Care Unit (PCU) for both patients and caregivers, as determined by the global
rating survey.
Secondary Objectives:
1. To determine the change of the quality of care as determined by patients and caregivers
utilizing validated assessment tools and global rating survey assessing different
aspects of care after PCU.
2. To determine domains of care that are strongly or poorly provided by the PCU, as
reported by patient and caregiver opinions on quality of care.
3. To determine which demographic features (i.e. cancer diagnosis; time since diagnosis;
reason for transfer to the PCU; gender; caregiver ethnic group; comfort with the idea of
transfer to the PCU; Memorial Delirium Assessment Scale (MDAS), Edmonton Symptom
Assessment Scale (ESAS) and distress thermometer) may correlate with patient and
caregiver relative satisfaction with PCU care measured by global survey and with the
Family Satisfaction with End-of-Life Care.
Primary Objective:
To determine the change of satisfaction with quality of care after an experience on the
Palliative Care Unit (PCU) for both patients and caregivers, as determined by the global
rating survey.
Secondary Objectives:
1. To determine the change of the quality of care as determined by patients and caregivers
utilizing validated assessment tools and global rating survey assessing different
aspects of care after PCU.
2. To determine domains of care that are strongly or poorly provided by the PCU, as
reported by patient and caregiver opinions on quality of care.
3. To determine which demographic features (i.e. cancer diagnosis; time since diagnosis;
reason for transfer to the PCU; gender; caregiver ethnic group; comfort with the idea of
transfer to the PCU; Memorial Delirium Assessment Scale (MDAS), Edmonton Symptom
Assessment Scale (ESAS) and distress thermometer) may correlate with patient and
caregiver relative satisfaction with PCU care measured by global survey and with the
Family Satisfaction with End-of-Life Care.
Participant:
If you agree to take part in this study, you will complete 1 questionnaire about your overall
satisfaction of the care you have received in the hospital, a question about how much
distress you have had before your transfer to the PCU, and a question about your level of
comfort with being transferred to the PCU. You will be asked to answer these questions based
on your experience with the inpatient oncology service. These questionnaires should take
about 10 minutes to complete. Your caregiver will also be invited to participate in the
study.
After you complete the first set of questionnaires, you will complete the same questionnaires
about your overall satisfaction of the care you have received in the PCU, a question about
how much distress you have had in the past 2 days, and a question about your level of comfort
with being transferred to the PCU. You will be asked to answer these questions based on your
experience in the PCU. One (1) new questionnaire will ask you to compare the care you
received with the palliative care consult service with the care you received in the PCU.
These questionnaires should also take about 10 minutes to complete.
Information from your medical record (age, gender, educational level, marital status,
religion, ethnicity, cancer diagnosis, stage of cancer, time since diagnosis, and the reasons
you have been transferred to the PCU) will be collected.
Length of Study Your participation on this study will be over after you complete the second
set of questionnaires.
Caregiver:
If you agree to take part in this study, you will complete a questionnaire about your
demographic information (such as your age, ethnicity, educational level, marital status, your
relationship to the patient, and your religious preference). It should take about 5-10
minutes to complete.
You will complete 1 questionnaire about your overall satisfaction of the care your family
member or friend has received in the hospital, as well as a question about how much distress
you have had before their transfer to the PCU, and a question about the level of comfort you
have with your family member/friend being transferred to the PCU. You will be asked to answer
these questions based on your experience with the inpatient oncology service. These
questionnaires should take about 10 minutes to complete.
After you complete the first set of questionnaires, you will complete the same questionnaires
about your overall satisfaction of the care your family member or friend received in the PCU,
how much distress you have had in the past 2 days, and level of comfort you have with your
family member/friend being transferred to the PCU. You will be asked to answer these
questions based on your experience in the PCU. One (1) new questionnaire will ask you to
compare the care your family member or friend received with the palliative care consult
service to the care your family member/friend received in the PCU. These questionnaires
should take also about 10 minutes to complete.
Length of Study You participation on this study will be over after you complete the second
set of questionnaires.
If you agree to take part in this study, you will complete 1 questionnaire about your overall
satisfaction of the care you have received in the hospital, a question about how much
distress you have had before your transfer to the PCU, and a question about your level of
comfort with being transferred to the PCU. You will be asked to answer these questions based
on your experience with the inpatient oncology service. These questionnaires should take
about 10 minutes to complete. Your caregiver will also be invited to participate in the
study.
After you complete the first set of questionnaires, you will complete the same questionnaires
about your overall satisfaction of the care you have received in the PCU, a question about
how much distress you have had in the past 2 days, and a question about your level of comfort
with being transferred to the PCU. You will be asked to answer these questions based on your
experience in the PCU. One (1) new questionnaire will ask you to compare the care you
received with the palliative care consult service with the care you received in the PCU.
These questionnaires should also take about 10 minutes to complete.
Information from your medical record (age, gender, educational level, marital status,
religion, ethnicity, cancer diagnosis, stage of cancer, time since diagnosis, and the reasons
you have been transferred to the PCU) will be collected.
Length of Study Your participation on this study will be over after you complete the second
set of questionnaires.
Caregiver:
If you agree to take part in this study, you will complete a questionnaire about your
demographic information (such as your age, ethnicity, educational level, marital status, your
relationship to the patient, and your religious preference). It should take about 5-10
minutes to complete.
You will complete 1 questionnaire about your overall satisfaction of the care your family
member or friend has received in the hospital, as well as a question about how much distress
you have had before their transfer to the PCU, and a question about the level of comfort you
have with your family member/friend being transferred to the PCU. You will be asked to answer
these questions based on your experience with the inpatient oncology service. These
questionnaires should take about 10 minutes to complete.
After you complete the first set of questionnaires, you will complete the same questionnaires
about your overall satisfaction of the care your family member or friend received in the PCU,
how much distress you have had in the past 2 days, and level of comfort you have with your
family member/friend being transferred to the PCU. You will be asked to answer these
questions based on your experience in the PCU. One (1) new questionnaire will ask you to
compare the care your family member or friend received with the palliative care consult
service to the care your family member/friend received in the PCU. These questionnaires
should take also about 10 minutes to complete.
Length of Study You participation on this study will be over after you complete the second
set of questionnaires.
Inclusion Criteria:
1. Patients and/or patients' caregivers who have completed at least 2 weekdays on an
In-patient service together with the assistance of the PCCS, and who then are
transitioned to the care of the PCU team along with an Admission Order to that effect.
2. A caregiver (if participating) must have been present with the patient during 2
weekdays on the inpatient service and present for at least 2 weekdays of care on the
PCU.
3. Both patient and caregiver participation is optional but both must be 18 years of age
or older.
4. A caregiver will be defined by the patient as "the person most involved with their
care". However, if the patient lacks capacity, the caregiver will be decided via
discussion with individuals indicated in the patient's Medical Power of Attorney or
the Texas rule of law if this is not present.
5. Both patient and caregiver (if participating) must understand, read and speak English.
6. Both patient (if actively participating) and caregiver (if participating) must sign an
Informed Consent form.
Exclusion Criteria:
1. Patients or caregivers with physical limitations (visual or motor impairment) causing
inability to read, complete or sign the consent form and surveys after considering
appropriate aid and assistance.
2. Patients or caregivers who the research staff, bedside nurse, or Palliative Care
physician or mid-level provider deems unable to participate due to poor cognitive
capacity or acute physical distress.
3. Caregivers who are not able to attend the patient for at least 2 weekdays while on the
PCU.
4. Patients who are imminently dying as determined by the palliative physician (or
designated APP/fellow)
We found this trial at
1
site
1515 Holcombe Blvd
Houston, Texas 77030
Houston, Texas 77030
713-792-2121
University of Texas M.D. Anderson Cancer Center The mission of The University of Texas MD...
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