title: Supporting service change in palliative care: a framework approach.
abstract: BACKGROUND
  Palliative care services are increasingly identifying areas for improvement, then trying to create appropriate changes in response. Nurses in particular are often expected to take leading roles in quality improvement (QI) but are not necessarily trained or supported in these processes.
  
  
  METHODS
  A framework approach to change was developed to guide services through a change cycle and delivered via workshops by representatives of three Australian national projects. Participants were predominantly nurses (80%), with the majority (63.7%) over the age of 50.
  
  
  RESULTS
  The workshops and the framework were positively evaluated, with participants feeling confident in a number of QI-related activities following workshop training.
  
  
  CONCLUSIONS
  Recognising and addressing problems in clinical practice and service delivery is an important way for nurses to ensure quality care for patients; however, they need support in developing the skills and knowledge that are essential to successful QI activities.
authors: CareSearch Director and Associate Professor.
authors: Jennifer
authors: J
authors: Tieman
authors: Deb
authors: D
authors: Rawlings
authors: Janet
authors: J
authors: Taylor
authors: Amanda
authors: A
authors: Adams
authors: Shyla
authors: S
authors: Mills
authors: Helen
authors: H
authors: Vaz
authors: Maree
authors: M
authors: Banfield
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009936:Organizational Innovation; D010166:Palliative Care / Q000592:standards*; D015397:Program Evaluation; D058996:Quality Improvement
keywords: Change framework; Change implementation; Palliative care; Quality improvement