Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Implementation of national palliative care guidelines in Swedish acute care hospitals: A qualitative content analysis of stakeholders' perceptions
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Flemingsberg, Sweden.
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Flemingsberg, Sweden.
The Institute of Organisation and Worklife Ethics, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Institute for Palliative Care at Lund University and Region Skåne, Lund, Sweden.
Show others and affiliations
2017 (English)In: Health Policy, ISSN 0168-8510, E-ISSN 1872-6054, Vol. 121, no 11, 1194-1201 p.Article in journal (Refereed) Published
Abstract [en]

In high-income countries a large proportion of all deaths occur in hospitals. A common way to translate knowledge into clinical practice is developing guidelines for different levels of health care organisations. During 2012, national clinical guidelines for palliative care were published in Sweden. Later, guidance for palliative care was issued by the National Board of Health and Welfare. The aim of this study was two-fold: to investigate perceptions regarding these guidelines and identify obstacles and opportunities for implementation of them in acute care hospitals. Interviews were conducted with local politicians, chief medical officers and health professionals at acute care hospitals. The Consolidated Framework for Implementation Research was used in a directed content analysis approach. The results showed little knowledge of the two documents at all levels of the health care organisation. Palliative care was primarily described as end of life care and only few of the participants talked about the opportunity to integrate palliative care early in a disease trajectory. The environment and culture at hospitals, characterised by quick decisions and actions, were perceived as obstacles to implementation. Health professionals' expressed need for palliative care training is an opportunity for implementation of clinical guidelines. There is a need for further implementation of palliative care in hospitals. One option for further research is to evaluate implementation strategies tailored to acute care. 

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 121, no 11, 1194-1201 p.
Keyword [en]
Acute care hospital, Consolidated framework for implementation research, Guidelines, Implementation, Palliative care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
URN: urn:nbn:se:hj:diva-37669DOI: 10.1016/j.healthpol.2017.09.011ISI: 000415782400013PubMedID: 28969921Scopus ID: 2-s2.0-85030319378OAI: oai:DiVA.org:hj-37669DiVA: diva2:1150338
Available from: 2017-10-18 Created: 2017-10-18 Last updated: 2017-12-28Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMedScopus

Authority records BETA

Sandberg, Jonas

Search in DiVA

By author/editor
Sandberg, Jonas
By organisation
HHJ, Dep. of Nursing ScienceHHJ, Institute of Gerontology
In the same journal
Health Policy
Health Care Service and Management, Health Policy and Services and Health EconomyNursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 22 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf