Hub and Spokes-Implementation of Basic Palliative Care into University Hospital Practice-A Pilot Study.

Abstract

<b><i>Background:</i></b> The aim is to implement knowledge of basic palliative care in selected departments by the Hub and Spokes model. <b><i>Methods:</i></b> Implementation of basic palliative care was designed as a stepwise training model by skills lectures over a time period of 2 years. In each of the six selected oncological and nononcological departments, one physician and two nurses were trained in semi-annual half-day meetings as expert representatives within their departments. <b><i>Results:</i></b> Semi-structured interviews were conducted to assess implementation outcomes with 12 nurses and 6 physicians. Overall acceptability was high for all departments and professions. Feasibility was given in all departments. Adoption and penetration of a trained expert representative differed between medical and nursing professions. Implementation was more appropriate in the stationary sector. Implementation costs were low. <b><i>Conclusion:</i></b> Expansion of the system into a second follow-up period, including more departments, is planned to ensure sustainability.