Elaboration of a Multi-dimensional Indicator of Quality in Palliative Care

Study Overview
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Brief Summary
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The purpose of this study is to elaborate a multi-dimensional indicator of the quality in palliative care for patients of end-of-life. The study will, as secondary objectives: elaborate in a standard manner one set of indicators of organization and inner working of a palliative care setting. compare according to these indicators, the qualities of 3 types of palliative care: palliative care unit in hospitals, specified identified bed for palliative care patients and non-specified bed. explore the relationship between organizational aspects and results in term of burden.

Detailed Description
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A multicentric study aims on quality of palliative care and will be conducted in three types of 7 palliative care settings: two hospices, two hospital-based palliative care units and three medical units where a mobile palliative care team intervenes.

Official Title
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Elaboration of a Multi-dimensional Indicator of Quality in Palliative Care

Conditions
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Terminal Illness, End of Life

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged ≥ 18 years. Patient with serious progressive illness and in terminal phase (life expectancy < 3 months): OMS stage is 3 or 4, regardless of etiology. Patient informed their diagnosis or not. Hospitalized at the moment of inclusion in one of the following care settings: palliative care unit, identified bed or non-identified bed in a care department of short stay. No-oppose to participate to the study, by patients, their families or trusted person. Exclusion Criteria: Patient has difficulties in reading, writing or understanding french language, also their family. Hospitalization in the palliative care setting < 48 hours.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Questionnaire for patients | A questionnaire has been elaborated beforehand by the study will be answered by patients in order to evaluate quality such as reliability, dimensionality and validity against criterion. | From date of enrollment until the date of first documented leaving from hospital or date of death, whichever came first, up to 2 years | 
| Indicator for medical files | The indicators have been defined by the study, in order to evaluate quality of medical files, such as completeness and discriminatory capacity. | At enrollment | 
| Indicator for caregivers | In order to evaluate quality such as reliability and dimensionality, a questionnaire will be answered by caregivers: - the Nursing Stress Scale (NSS). | From date of enrollment until the date of receiving questionnaire returned by caregiver, up to 2 years | 
| Questionnaire for families | A questionnaire has been elaborated, will be answered by patients' families. | From date of enrollment until the date of receiving questionnaire sent by family, up to 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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palliative care, quality, indicator, multi-dimensional