title: Development of a logic model to support a network approach in delivering 24/7 children's palliative care: part two.
abstract: BACKGROUND
  This is the second of a two-part article that discusses a research project that aimed to develop and evaluate a 24/7 symptom-management service for children with palliative care needs and a nursing logic model to enable a novel service approach to be generalised and replicated.
  
  
  RESULTS
  Findings demonstrated that the service standards were met and exceeded expectations. Families valued the role, which enabled choice in location of care and perceived the service as a 'lifeline'.
  
  
  CONCLUSIONS
  Team composition with the right level of specialist and advanced nursing skills, anticipating symptom-management planning, clinical supervision and funded on-call processes were key success criteria. The nursing logic model demonstrated relationships between context investments into the service and outcomes for children and families.
authors.affiliation: Nurse Consultant Children's Palliative Care, East Anglia's Children's Hospices, Milton, Cambridge, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Maynard
authors.affiliation: Clinical Nurse Specialist, East Anglia's Children's Hospices, Milton, Cambridge.
authors.forename: Deborah
authors.initials: D
authors.lastname: Lynn
mesh_terms: D002648:Child; D006801:Humans; D009720:Nurse Clinicians; D010166:Palliative Care / Q000458:organization & administration*; D010348:Patient Care Team; D006113:United Kingdom
keywords: 24/7; Children's palliative care; End of life; Funding palliative care; Logic model; Out of hours; Symptom management