Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol

Introduction Paediatric palliative care (PPC) is care for children with life-threatening or life-limiting conditions, and can involve complex high-tech care, which can last for months or years. In 2015, the National Individual Care Plan (ICP) for PPC was developed and has shown to be successful. The...

Full description

Bibliographic Details
Main Authors: Leontien C M Kremer, Marijke C Kars, A A Eduard Verhagen, Hester Rippen, Chantal Y Joren, Judith L Aris-Meijer
Format: Article
Language:English
Published: BMJ Publishing Group 2023-12-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/7/1/e001677.full
_version_ 1797367974461440000
author Leontien C M Kremer
Marijke C Kars
A A Eduard Verhagen
Hester Rippen
Chantal Y Joren
Judith L Aris-Meijer
author_facet Leontien C M Kremer
Marijke C Kars
A A Eduard Verhagen
Hester Rippen
Chantal Y Joren
Judith L Aris-Meijer
author_sort Leontien C M Kremer
collection DOAJ
description Introduction Paediatric palliative care (PPC) is care for children with life-threatening or life-limiting conditions, and can involve complex high-tech care, which can last for months or years. In 2015, the National Individual Care Plan (ICP) for PPC was developed and has shown to be successful. The ICP can be seen as an instrument to facilitate coordination, quality and continuity of PPC. However, in practice, an ICP is often completed too late and for too few children. We aim to improve the coordination, quality and continuity of care for every child with a life-threatening or life-limiting condition and his/her family by further developing and implementing the ICP in the Netherlands.Methods and analysis To evaluate the original ICP, ICP 1.0, interviews and questionnaires will be held among parents of children who have or have had an ICP 1.0 and healthcare professionals (HCPs) who used ICP 1.0. Based on the results, ICP 1.0 will be further developed. An implementation strategy will be written and the renewed ICP, ICP 2.0, will be nationally tested in an implementation period of approximately 7 months. During the implementation period, ICP 2.0 will be used for all children who are registered with Children’s Palliative Care teams. After the implementation period, ICP 2.0 will be evaluated using interviews and questionnaires among parents of children who received ICP 2.0 and HPCs who worked with ICP 2.0. Based on these results, ICP 2.0 will be further optimised into the final version: ICP 3.0.Ethics and dissemination This study received ethical approval. The ICP 3.0 will be disseminated through the Dutch Centre of Expertise in Children’s Palliative Care, to ensure wide availability for the general public and HCPs within PPC. Additionally, we aim to publish study results in open-access, peer-reviewed journals and to present results at national and international scientific meetings.
first_indexed 2024-03-08T17:25:50Z
format Article
id doaj.art-9540474c8bd941629e30a31e8ad07cdd
institution Directory Open Access Journal
issn 2399-9772
language English
last_indexed 2024-03-08T17:25:50Z
publishDate 2023-12-01
publisher BMJ Publishing Group
record_format Article
series BMJ Paediatrics Open
spelling doaj.art-9540474c8bd941629e30a31e8ad07cdd2024-01-02T21:00:08ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722023-12-017110.1136/bmjpo-2022-001677Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocolLeontien C M Kremer0Marijke C Kars1A A Eduard Verhagen2Hester Rippen3Chantal Y Joren4Judith L Aris-Meijer5Princess Maxima Centre for Pediatric Oncology, Utrecht, The NetherlandsCenter of Expertise in Palliative Care Utrecht, Julius Center of Health and Primary Care, UMC Utrecht, Utrecht, The NetherlandsDepartment of Pediatrics, University Medical Center Groningen, Beatrix Children’s Hospital, Groningen, The NetherlandsChild and Hospital Foundation (Stichting Kind en Ziekenhuis), Utrecht, The NetherlandsFaculty of Medical Sciences, University of Groningen, Groningen, The NetherlandsDepartment of Pediatrics, University Medical Center Groningen, Beatrix Children’s Hospital, Groningen, The NetherlandsIntroduction Paediatric palliative care (PPC) is care for children with life-threatening or life-limiting conditions, and can involve complex high-tech care, which can last for months or years. In 2015, the National Individual Care Plan (ICP) for PPC was developed and has shown to be successful. The ICP can be seen as an instrument to facilitate coordination, quality and continuity of PPC. However, in practice, an ICP is often completed too late and for too few children. We aim to improve the coordination, quality and continuity of care for every child with a life-threatening or life-limiting condition and his/her family by further developing and implementing the ICP in the Netherlands.Methods and analysis To evaluate the original ICP, ICP 1.0, interviews and questionnaires will be held among parents of children who have or have had an ICP 1.0 and healthcare professionals (HCPs) who used ICP 1.0. Based on the results, ICP 1.0 will be further developed. An implementation strategy will be written and the renewed ICP, ICP 2.0, will be nationally tested in an implementation period of approximately 7 months. During the implementation period, ICP 2.0 will be used for all children who are registered with Children’s Palliative Care teams. After the implementation period, ICP 2.0 will be evaluated using interviews and questionnaires among parents of children who received ICP 2.0 and HPCs who worked with ICP 2.0. Based on these results, ICP 2.0 will be further optimised into the final version: ICP 3.0.Ethics and dissemination This study received ethical approval. The ICP 3.0 will be disseminated through the Dutch Centre of Expertise in Children’s Palliative Care, to ensure wide availability for the general public and HCPs within PPC. Additionally, we aim to publish study results in open-access, peer-reviewed journals and to present results at national and international scientific meetings.https://bmjpaedsopen.bmj.com/content/7/1/e001677.full
spellingShingle Leontien C M Kremer
Marijke C Kars
A A Eduard Verhagen
Hester Rippen
Chantal Y Joren
Judith L Aris-Meijer
Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol
BMJ Paediatrics Open
title Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol
title_full Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol
title_fullStr Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol
title_full_unstemmed Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol
title_short Improvement and implementation of a national individual care plan in paediatric palliative care: a study protocol
title_sort improvement and implementation of a national individual care plan in paediatric palliative care a study protocol
url https://bmjpaedsopen.bmj.com/content/7/1/e001677.full
work_keys_str_mv AT leontiencmkremer improvementandimplementationofanationalindividualcareplaninpaediatricpalliativecareastudyprotocol
AT marijkeckars improvementandimplementationofanationalindividualcareplaninpaediatricpalliativecareastudyprotocol
AT aaeduardverhagen improvementandimplementationofanationalindividualcareplaninpaediatricpalliativecareastudyprotocol
AT hesterrippen improvementandimplementationofanationalindividualcareplaninpaediatricpalliativecareastudyprotocol
AT chantalyjoren improvementandimplementationofanationalindividualcareplaninpaediatricpalliativecareastudyprotocol
AT judithlarismeijer improvementandimplementationofanationalindividualcareplaninpaediatricpalliativecareastudyprotocol