Professor Brazil holds the appointment of Professor of Palliative Care in the School of Nursing and Midwifery, Queen’s University Belfast. His research focuses on the structure, process, and outcomes in service and system delivery of quality care for family carers and patients as they near the end-of-life. This work is designed to assist in the development, evaluation and translation of new and innovative interventions to improve access, quality and outcomes in this population. These activities have spanned the United Kingdom, European Union, North America and Southeast Asia. He has over 200 peer review journal publications related to these interests. He has been active on numerous working and advisory groups at the international and national levels and has served on several grant review boards in North America, United Kingdom and the European Union.
A goal of implementation science is to expand the use of evidence informed interventions as broadly as possible. ‘Scaling-up’ has clear meaning in implementation science where an intervention designed for one setting is expanded to other health delivery units within the same or very similar settings under which it has been developed. ‘Scaling-out’ is a deliberate effort to deliver an intervention to a new population and /or delivery setting. The present project represents an effort to adapt a proven effective COVID-19 centric advanced care planning (ACP) digital intervention for nursing homes to a community nursing setting . The primary objective of this project includes co-developing an ACP digital education resource for community nurses, patients and their family carers. Facilitators and barriers to implementing the ACP digital intervention will also be identified to develop implementation and evaluation guidelines.
This study employs a 2-phase co-design approach.
Phase 1 includes four co-design workshops to seek recommendations from nurses, patients and family carers about content and design of the ACP community digital intervention. We also conducted interviews with a subset of patients, family carers and community nurses to explore experiences of ACP and decision support needs.
Phase 2 will include the development of the ACP digital intervention, engaging with community nurses and patients/family carers to complete and evaluate the intervention and its impact.
At the time of the conference Phase 1 of the project will be complete. Strategies that represent participatory adaptation of the ACP digital intervention will be reviewed on their merit for applying ‘scale out’ evolution.
Rapid deployment of effective interventions to populations experiencing service disparity requires methodological options that is underpinned with an ecological and social perspective.