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    Developing a nursing dependency scoring tool for children’s palliative care: the impact on hospice care

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    Publication date
    2020
    End of Embargo
    2021-08-25
    Author
    Tatterton, Michael J.
    Martin, C.
    Moore, C.
    Walker, C.
    Keyword
    Allocation
    Nursing
    Technology dependence
    Leadership
    Service design
    Management
    Hospices
    Rights
    © (2021) This document is the Accepted Manuscript version of a Published Work that appeared in final form in International Jurnal of Palliative Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/ijpn.2021.27.1.37.
    Peer-Reviewed
    Yes
    Open Access status
    N/A
    
    Metadata
    Show full item record
    Abstract
    Background: Occupancy is commonly used to measure bed management in hospices, however increasing complexity of children and young people, and technology dependence mean this is no longer effective. Aim: to develop a dependency tool that enables the hospice to safely and effectively manage the use of beds for planned short breaks (respite), preserving capacity for children requiring symptom management and end of life care. Methods: a comprehensive literature review and existing tools were used to inform the development of the Martin House Dependency Tool Framework. Training was provided to staff and the tool piloted before applying it across the hospice caseload. Findings: The Tool has been used on 431 children (=93.1% of caseload). The Tool enabled consistency of assessment and more effective management of resources, owing to a contemporaneous understanding of the clinical needs of those on the caseload. Conclusion: The tool has enabled consistent and transparent assessment of children, improving safety, effectiveness and responsiveness, and the management of the workforce and resources.
    URI
    http://hdl.handle.net/10454/18299
    Version
    Accepted manuscript
    Citation
    Tatterton MJ, Martin C, Moore C et al (2021) Developing a nursing dependency scoring tool for children’s palliative care: the impact on hospice care. International Journal of Palliative Nursing. 27(1): 37-45.
    Link to publisher’s version
    https://doi.org/10.12968/ijpn.2021.27.1.37
    Type
    Article
    Notes
    The full-text of this article will be released for public view at the end pf the publisher embargo on 25th Aug 2021.
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    Health Studies Publications

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