Interprofessional collaboration between hospital-based palliative care teams and general healthcare workers: A realist review protocol

PLoS One. 2024 Nov 11;19(11):e0310709. doi: 10.1371/journal.pone.0310709. eCollection 2024.

Abstract

Background: Palliative care, vital for patients with advanced, life-limiting or life-threatening illnesses, faces an increasing global demand due to aging populations and rising non-communicable diseases. Specialized palliative care teams (PCTs) within hospitals significantly impact patient outcomes, which requires effective interprofessional collaboration with general healthcare workers. Therefore, We will conduct a realist review to explore the contextual factors, mechanisms and outcomes related to the interprofessional collaboration between PCTs and general healthcare workers.

Methods: Grounded in the third generation Cultural-Historical Activity Theory, this review will follow 5-step iterative process. First, a preliminary literature search will define the review scope. Second, based on the preliminary searches an initial program theory will be developed. Third, systematic searches across PubMed, Embase, CINHAL, Web of Science, and Scopus will be caried out. Fourth, data extraction of included studies will be conducted. Simultaneously, relevance and rigour of individual studies will be evaluated. Lastly, data analysis and synthesis will be conducted in which identified individual Context-Mechanism-Outcome (CMO) configurations will be combined in chains of inference through which hypotheses can be formulated. In summary, this realist review will refine an initially developed program theory, producing a framework elucidating how interprofessional collaboration works between PCTs and general healthcare workers.

Discussion: This review aims to provide crucial insights into interprofessional collaboration between PCTs and general healthcare workers, informing optimized palliative care delivery in acute care hospitals for diverse stakeholders.

MeSH terms

  • Cooperative Behavior*
  • Health Personnel*
  • Hospitals
  • Humans
  • Interprofessional Relations*
  • Palliative Care* / organization & administration
  • Patient Care Team* / organization & administration
  • Review Literature as Topic

Grants and funding

The study was financed by internal funds provided by the Department of Palliative Medicine at University Hospital Leuven in Leuven, Belgium. The funder did not and will not have a role in study design, data collection and analyses, decision to publish, or preparation of the manuscript.