title: Evaluation of an after hours telephone support service for rural palliative care patients and their families: A pilot study.
abstract: OBJECTIVE
  To report on the introduction and evaluation of an after hours telephone support service for palliative care patients and their families at home.
  
  
  METHODS
  Descriptive evaluation using an audit of telephone logbook, text analysis of reflective journals, questionnaire and interviews.
  
  
  METHODS
  Palliative care call service in Grafton, New South Wales, Australia.
  
  
  METHODS
  The participants were health professionals using the Palliative Care Service in Grafton (48 in total) and nurses providing the palliative care service (21 in total).
  
  
  RESULTS
  Twelve calls were taken by the nurses during the pilot study. Three major themes emerged from the analysis: preparation involving publishing the after hours telephone support service (AHTSS) and nurse workshop; benefits such as support to families and health service resourcing; and nurses' experiences regarding personal impact and building support for each other.
  
  
  CONCLUSIONS
  It appears from the evaluation responses of health professionals and nurses that knowing the service was there was a great security and reduced the sense of isolation predominant in the experience of rural families caring for a palliative care patient at home. Based on the positive evaluation, the area health service provided ongoing funding for the service and is exploring avenues to extend the program into other areas. The service now requires a re-evaluation at 18 months and will form the second phase of the study that is currently being organised.
authors.affiliation: Clinical Nursing Research Unit, Wentworth Area Health Service/University of Western Sydney, Penrith New South Wales. l.wilkes@uws.edu.au
authors.forename: Lesley
authors.initials: L
authors.lastname: Wilkes
authors.forename: Shantala
authors.initials: S
authors.lastname: Mohan
authors.forename: Kate
authors.initials: K
authors.lastname: White
authors.forename: Helen
authors.initials: H
authors.lastname: Smith
mesh_terms: D039602:After-Hours Care / Q000379:methods*; D001291:Attitude of Health Personnel; D015277:Hotlines / Q000458:organization & administration*; D006801:Humans; D009517:New South Wales; D010166:Palliative Care / Q000379:methods*; D010865:Pilot Projects; D015397:Program Evaluation; D019114:Remote Consultation / Q000379:methods*; D019035:Rural Health Services / Q000458:organization & administration*