Using the Delphi technique to achieve consensus on bereavement care in palliative care in Europe: An EAPC White Paper.

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Clinical Guidelines
Authored By
Keegan O, Murphy I, Benkel I, Limonero JT, Relf M, Guldin MB
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Oncology
Emergency Medicine
Speciality
Emergency Medicine
Oncology
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volume
35
ISSN
1477-030X
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ISSN
1477-030X
IS_Ebsco
true
Additional Info
["Keegan O, Murphy I, Benkel I, Limonero JT, Relf M, Guldin MB","Publisher: SAGE Publications Country of Publication: England NLM ID: 8704926 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-030X (Electronic) Linking ISSN: 02692163 NLM ISO Abbreviation: Palliat Med Subsets: MEDLINE","Journal Article","2021-12-01","Palliative medicine [Palliat Med] 2021 Dec; Vol. 35 (10), pp. 1908-1922. Date of Electronic Publication: 2021 Sep 06.","English","1477-030X","Hospice Care* , Palliative Care*, Consensus ; Delphi Technique ; Europe ; Humans","Consensus, Delphi Technique, Europe, Humans, Hospice Care, Palliative Care","Palliative medicine","35"]
Description
Background: The WHO definition of palliative care includes bereavement support as integral to palliative care, yet a previous survey of bereavement support in palliative care in Europe has shown a range of service responses to loss. A rigorous approach to agreeing and implementing a palliative care bereavement framework was required.<br />Aim: The aim of this study was to develop consensus on best-practice recommendations for bereavement care principles, structures, processes and delivery based on current practice and evidence.<br />Design: In accordance with Guidance on Conducting and Reporting Delphi Studies, a consensus-building five-round Delphi technique was performed. A scoping review of research literature informed drafting of 54 statements by the EAPC Bereavement Task Force. Evaluation of the statements was performed by an expert panel using a 5-point Likert scale. ⩾80% agreement were defined as essential items and 75%-79% agreement were defined as desirable items. Items with a consensus rating <75% were revised during the process.<br />Setting/participants: The Delphi study was carried out by an expert panel among membership organisations of the European Association for Palliative Care.<br />Results: In total, 376 email requests to complete Delphi questionnaire were distributed with a response rate of 23% ( n = 87) and a follow-up response-rate of 79% ( n = 69). Of the initial 54 statements in six dimensions, 52 statements were endorsed with 26 essential statements and 26 desirable statements.<br />Conclusions: The six dimensions and 52 statements agreed through this Delphi study clarify a coherent direction for development of bereavement services in palliative care in Europe.
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