WorldCat Identities

Gilissen, Joni

Overview
Works: 4 works in 4 publications in 1 language and 6 library holdings
Roles: Author, Other
Classifications: RB127, 610.73
Publication Timeline
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Most widely held works by Joni Gilissen
Implementing the theory-based advance care planning ACP+ programme for nursing homes: study protocol for a cluster randomised controlled trial and process evaluation by Joni Gilissen( )

1 edition published in 2020 in English and held by 2 WorldCat member libraries worldwide

Advance care planning in dementia: recommendations for healthcare professionals by Ruth Piers( )

1 edition published in 2018 in English and held by 2 WorldCat member libraries worldwide

Palliative care service use by older people: Time trends from a mortality follow-back study between 2005 and 2014( )

in English and held by 1 WorldCat member library worldwide

Background: The need for increased use and timely initiation of palliative care for all people, not just those who die with cancer, has been advocated worldwide over the past decade. Aim: To investigate whether there has been a time trend in the use of palliative care services and the timing of their initiation for older people. Design: Mortality follow-back survey among general practitioners in a nationally representative Sentinel Network in 2005-2010, 2013 and 2014 in Belgium. Setting/participants: Of all their patients who died non-suddenly aged 65+ years, general practitioners reported sociodemographic and clinical data, use of any of the palliative care services available in Belgium and when the first of these services was initiated. Results: General practitioners identified 5344 deaths. Overall, palliative care service use increased from 39% in 2005 to 63% in 2014 (p <0.001). The use of a reference person for palliative care in a care home increased from 12% to 26% (p <0.001) and of a palliative homecare team from 14% to 17.5% (p <0.01), but hospital-based palliative care services did not increase. Controlling for sociodemographic characteristics, no differences were obtained over time in the proportion of cancer/non-cancer patients for whom they provided care. The timing of initiation of palliative care services remained unchanged at a median of 15 days before death. Conclusion: Palliative care service use has increased mostly in care homes, possibly as a result of policy changes, while hospital-based palliative care services lag behind. Contrary to recommendations, access for non-cancer patients may remain difficult and palliative care is often initiated late in the disease trajectory
Preconditions for successful advance care planning in nursing homes: A systematic review( )

1 edition published in 2017 in English and held by 1 WorldCat member library worldwide

Abstract: Objectives: There is growing evidence of the potential effectiveness of advance care planning. Yet important knowledge gaps remain regarding the preconditions for successful implementation of advance care planning in the nursing home setting. We aim to identify the preconditions related to successful advance care planning in the nursing home setting. By specifying those, we would be able to make well-founded choices for the future design and planning of advance care planning intervention programs. Design: A systematic review. Data sources: PubMed, PsycINFO, EMBASE and CINAHL. Review methods: Two authors independently screened publications. One author assessed methodological quality and extracted textual data, which was double-checked for a random sample. We extracted textual data and used thematic synthesis to identify "preconditions", defined as requirements, conditions and elements necessary to achieve the desired outcome of advance care planning, i.e. attaining concordance between residents' preferences and actual care or treatment received at the end of life. Main findings: Based on 38 publications, we identified 17 preconditions at five different levels: resident, family, health-care professional, facility and community. Most preconditions were situated on multiple levels but the majority addressed professionals and the nursing home itself. We summarized preconditions in five domains: to have sufficient knowledge and skills, to be willing and able to participate in advance care planning, to have good relationships, to have an administrative system in place, and contextual factors supporting advance care planning within the nursing home. Conclusion: There are multiple preconditions related to successfully implementing advance care planning in the complex nursing home setting that operate at micro, meso and macro level. Future interventions need to address these multiple domains and levels in a whole-system approach in order to be better implementable and more sustainable, while simultaneously target the important role of the health-care professional and the facility itself
 
Audience Level
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Audience Level
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  Kids General Special  
Audience level: 0.94 (from 0.88 for Preconditi ... to 0.97 for Implementi ...)

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