Examining the key factors impacting on the implementation of an educational program on constipation in specialist palliative care

Sonja J McIlfatrick, Deborah Muldrew, F. Hasson, Paul F Slater, Emma Carduff, Mike Clarke, Jo Coast, Anne Finucane, Lisa Graham, Philip Larkin, John MacArtney, Noleen McCorry, Max Watson, Eileen Wright

Research output: Contribution to journalConference article

Abstract

Introduction: Constipation is one of the most common symptoms in patients in specialist palliative care (SPC) settings, and can cause considerable physical, psychological, and social suffering for the patient and their family. Due to the high variability in constipation assessment and management in SPC settings, questions exist around how to implement an educational program in practice to address this clinical gap
Aim: To develop and test the feasibility and acceptability of a novel educational intervention for HCPs to manage constipation experienced by people in SPC settings.
Method: Using the MRC framework for complex interventions, and guided by the consolidated framework for implementation research, an online resource was developed considering the content, context, and processes for implementation.
Results. Assessment, prevention, and management were identified as the core aspects. Six sessions with theoretical content, application to practice, and reflection through interacting with colleagues were developed in line with the best available evidence. Incentives including an educational bursary and alignment with revalidation, and support from senior management, champions, and the research team were identified as key elements needed successful implementation. Funding, IT infrastructure, and attitudes to the content have been flagged as potential barriers to success.
Conclusion(s). A six week, blended program covering the key concepts for assessment and management of constipation in palliative care has been created. Content, evidence from the literature and empirical data on the preferred structure and method of delivery, as well as key considerations of the contextual factors have been identified as key factors for implementation
LanguageEnglish
Pages371-372
JournalBMJ Supportive & Palliative Care
Volume8
Issue number3
Publication statusPublished - 1 Sep 2018

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Constipation
Palliative Care
Psychological Stress
Research
Motivation
Psychology

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McIlfatrick, Sonja J ; Muldrew, Deborah ; Hasson, F. ; Slater, Paul F ; Carduff, Emma ; Clarke, Mike ; Coast, Jo ; Finucane, Anne ; Graham, Lisa ; Larkin, Philip ; MacArtney, John ; McCorry, Noleen ; Watson, Max ; Wright, Eileen. / Examining the key factors impacting on the implementation of an educational program on constipation in specialist palliative care. In: BMJ Supportive & Palliative Care. 2018 ; Vol. 8, No. 3. pp. 371-372.
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abstract = "Introduction: Constipation is one of the most common symptoms in patients in specialist palliative care (SPC) settings, and can cause considerable physical, psychological, and social suffering for the patient and their family. Due to the high variability in constipation assessment and management in SPC settings, questions exist around how to implement an educational program in practice to address this clinical gapAim: To develop and test the feasibility and acceptability of a novel educational intervention for HCPs to manage constipation experienced by people in SPC settings.Method: Using the MRC framework for complex interventions, and guided by the consolidated framework for implementation research, an online resource was developed considering the content, context, and processes for implementation.Results. Assessment, prevention, and management were identified as the core aspects. Six sessions with theoretical content, application to practice, and reflection through interacting with colleagues were developed in line with the best available evidence. Incentives including an educational bursary and alignment with revalidation, and support from senior management, champions, and the research team were identified as key elements needed successful implementation. Funding, IT infrastructure, and attitudes to the content have been flagged as potential barriers to success.Conclusion(s). A six week, blended program covering the key concepts for assessment and management of constipation in palliative care has been created. Content, evidence from the literature and empirical data on the preferred structure and method of delivery, as well as key considerations of the contextual factors have been identified as key factors for implementation",
author = "McIlfatrick, {Sonja J} and Deborah Muldrew and F. Hasson and Slater, {Paul F} and Emma Carduff and Mike Clarke and Jo Coast and Anne Finucane and Lisa Graham and Philip Larkin and John MacArtney and Noleen McCorry and Max Watson and Eileen Wright",
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McIlfatrick, SJ, Muldrew, D, Hasson, F, Slater, PF, Carduff, E, Clarke, M, Coast, J, Finucane, A, Graham, L, Larkin, P, MacArtney, J, McCorry, N, Watson, M & Wright, E 2018, 'Examining the key factors impacting on the implementation of an educational program on constipation in specialist palliative care', BMJ Supportive & Palliative Care, vol. 8, no. 3, pp. 371-372.

Examining the key factors impacting on the implementation of an educational program on constipation in specialist palliative care. / McIlfatrick, Sonja J; Muldrew, Deborah; Hasson, F.; Slater, Paul F; Carduff, Emma; Clarke, Mike; Coast, Jo; Finucane, Anne; Graham, Lisa; Larkin, Philip; MacArtney, John; McCorry, Noleen; Watson, Max; Wright, Eileen.

In: BMJ Supportive & Palliative Care, Vol. 8, No. 3, 01.09.2018, p. 371-372.

Research output: Contribution to journalConference article

TY - JOUR

T1 - Examining the key factors impacting on the implementation of an educational program on constipation in specialist palliative care

AU - McIlfatrick, Sonja J

AU - Muldrew, Deborah

AU - Hasson, F.

AU - Slater, Paul F

AU - Carduff, Emma

AU - Clarke, Mike

AU - Coast, Jo

AU - Finucane, Anne

AU - Graham, Lisa

AU - Larkin, Philip

AU - MacArtney, John

AU - McCorry, Noleen

AU - Watson, Max

AU - Wright, Eileen

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Introduction: Constipation is one of the most common symptoms in patients in specialist palliative care (SPC) settings, and can cause considerable physical, psychological, and social suffering for the patient and their family. Due to the high variability in constipation assessment and management in SPC settings, questions exist around how to implement an educational program in practice to address this clinical gapAim: To develop and test the feasibility and acceptability of a novel educational intervention for HCPs to manage constipation experienced by people in SPC settings.Method: Using the MRC framework for complex interventions, and guided by the consolidated framework for implementation research, an online resource was developed considering the content, context, and processes for implementation.Results. Assessment, prevention, and management were identified as the core aspects. Six sessions with theoretical content, application to practice, and reflection through interacting with colleagues were developed in line with the best available evidence. Incentives including an educational bursary and alignment with revalidation, and support from senior management, champions, and the research team were identified as key elements needed successful implementation. Funding, IT infrastructure, and attitudes to the content have been flagged as potential barriers to success.Conclusion(s). A six week, blended program covering the key concepts for assessment and management of constipation in palliative care has been created. Content, evidence from the literature and empirical data on the preferred structure and method of delivery, as well as key considerations of the contextual factors have been identified as key factors for implementation

AB - Introduction: Constipation is one of the most common symptoms in patients in specialist palliative care (SPC) settings, and can cause considerable physical, psychological, and social suffering for the patient and their family. Due to the high variability in constipation assessment and management in SPC settings, questions exist around how to implement an educational program in practice to address this clinical gapAim: To develop and test the feasibility and acceptability of a novel educational intervention for HCPs to manage constipation experienced by people in SPC settings.Method: Using the MRC framework for complex interventions, and guided by the consolidated framework for implementation research, an online resource was developed considering the content, context, and processes for implementation.Results. Assessment, prevention, and management were identified as the core aspects. Six sessions with theoretical content, application to practice, and reflection through interacting with colleagues were developed in line with the best available evidence. Incentives including an educational bursary and alignment with revalidation, and support from senior management, champions, and the research team were identified as key elements needed successful implementation. Funding, IT infrastructure, and attitudes to the content have been flagged as potential barriers to success.Conclusion(s). A six week, blended program covering the key concepts for assessment and management of constipation in palliative care has been created. Content, evidence from the literature and empirical data on the preferred structure and method of delivery, as well as key considerations of the contextual factors have been identified as key factors for implementation

M3 - Conference article

VL - 8

SP - 371

EP - 372

JO - BMJ Supportive and Palliative Care

T2 - BMJ Supportive and Palliative Care

JF - BMJ Supportive and Palliative Care

SN - 2045-435X

IS - 3

ER -