January end of life current awareness by Musgrove Park Hospital Library

Library Services Musgrove Park and Somerset Partnership

Current Awareness End of Life This monthly Current Awareness Bulletin is produced by the Library, Musgrove Park Academy to provide staff with a range of resources focussing on end of life care. It includes recently published guidelines and research articles, news and policy items.

This guide provides a selection of resources relevant to the subject area and is not intended to be a comprehensive list. All websites have been evaluated and details are correct at the time of publications. Details correct at time of going to print. Please note that resources are continuously updated. For further help or guidance, please contact a member of library staff.

This guide has been compiled by: Jess Pawley Senior Library Assistant Musgrove Park Hospital Library Service jessica.pawley@tst.nhs.uk Issue 1 January 2016

Contents Click on a section title to navigate contents Page Recent journal articles

Books

Cochrane Systematic Reviews

Guidelines

UpToDate

End of Life Care in the News

Reports, publications and resources

Topic Alerts and Updates

Twitter

Training & Networking Opportunities, Conferences, Events

Literature search service

Training and Athens

Library contact details: Library Musgrove Park Academy Musgrove Park Hospital Taunton Somerset TA1 5DA Tel: 01823 34 (2433) Fax: 01823 34 (2434) Email: library@tst.nhs.uk Blog: http://librarymph.wordpress.com @musgrovesompar

RECENT JOURNAL ARTICLES BACK TO TOP This is a list of journal articles on the topic of end of life. Some articles are available in the library or on-line via an OpenAthens password by following the full-text link. If you would like an article which is not available as full-text then please contact library staff. Please note that abstracts are not always available for all articles.

________________________________________________________________________________ Title: Negotiating the equivocality of palliative care: a grounded theory of team communicative processes in inpatient medicine. Citation: Health communication, May 2016, vol. 31, no. 5, p. 536-543 (May 2016) Author(s): Ledford, Christy J W, Canzona, Mollie Rose, Cafferty, Lauren A, Kalish, Virginia B Abstract: In the majority of U.S. hospitals, inpatient medicine teams make palliative care decisions in the absence of a formalized palliative system. Using a grounded theory approach, interviews with inpatient team members were systematically analyzed to uncover how participants conceptualize palliative care and how they regard the communicative structures that underlie its delivery. During analysis, Weick's model of organizing emerged as a framework that fit the data. The 39 participant inpatient team members discussed palliative care as primarily a communicative process. Themes describing the meaning of palliative care emerged around the concepts of receiver of care, timeline of care, and location of care. The emerging model included four stages in the communicative processes of inpatient palliative care: (a) interpret the need, (b) initiate the conversation, (c) integrate the processes, and (d) identify what works. In contrast to stable, focused palliative care teams or hospice care teams, which have prescribed patient populations and processes, the inpatient medicine team faces the equivocality of providing palliative care within a broader practice. This research offers a four-phase model to show how these inpatient teams communicate within this context. Implications for the provision of palliative care are discussed. ________________________________________________________________________________ Title: Communication that heals: mindful communication practices from palliative care leaders. Citation: Health communication, Mar 2016, vol. 31, no. 3, p. 328-335 (March 2016) Author(s): Omilion-Hodges, Leah M, Swords, Nathan M Abstract: Though research has begun to highlight the centrality of communication in palliative care, studies have yet to focus on the use of mindful communication. Mindful communication is associated with increases in patient care and decreases in physician burnout. Through in-depth, semi-structured interviews the authors sought mindful communication practices from palliative care leaders in American Hospital Association Circle of Life速 award-wining units. Four key mindful communication practices emerged: Know your audience, ask questions, discard scripts, and recognize your role. The discussion articulates how key mindful communication practices may be used as a stage model, where key practices may be used individually or in concert, by sole practitioners or within

interdisciplinary teams and by new and seasoned clinicians. Theoretical contributions and areas for future inquiry are also discussed. ________________________________________________________________________________ Title: Palliative care and dementia-A time and place? Citation: Maturitas, Feb 2016, vol. 84, p. 5-10 (February 2016) Author(s): Kydd, Angela, Sharp, Barbara Abstract: The current focus in dementia care places emphasis on the potential of people to live well with the condition. Given the historical tendency to neglect the full rights and citizenship of people with dementia, such an emphasis gives hope and optimism that there is life after diagnosis. This paper seeks to explore the potential compromise of effective preparation for the complexities of advanced illness that may be presented by this consistently up-beat message. Dementia is a life limiting condition, currently without cure. Therefore, the appropriateness of palliative care may seem obvious. Yet, until relatively recently, palliative care was seen as an adjunct to oncology in the minds of professionals and public alike. However, there is a growing recognition that specialist palliative care has much to offer people with a range of long term conditions, including people with dementia. So, whilst 'living well' is an important message-especially following diagnosis-planning for advanced dementia and dying well is equally important. The aim of this paper is to highlight policy on the living well and the palliative care approach for people with dementia. A word limited narrative literature review was conducted to explore how policies have or have not informed the literature on both messages. The findings emphasise the need for a continuum approach to dementia care, with discussion on when, where, and how can palliative care be delivered for people with dementia. Copyright ÂŠ 2015 Elsevier Ireland Ltd. All rights reserved. ________________________________________________________________________________ Title: Future Time Perspective and End-of-Life Planning in Older Adults. Citation: Research on aging, Feb 2016, vol. 38, no. 2, p. 178-201 (February 2016) Author(s): Luth, Elizabeth A Abstract: This study explores the extent to which cognitive processes, specifically perceptions of one's distance to death, are associated with informal and formal advance care planning (ACP) in a sample of older adults. Data come from the New Jersey End-of-Life (EOL) study, a survey of 305 adults aged 55-91. Binary logistic regression models evaluate the odds that someone conducted ACP. Persons who perceive remaining life span to be expansive or limited have significantly lower odds of formally planning for the EOL, relative to those in the middle category. Death anxiety and having a family confidante partially explain these associations. The association between future time perspective (FTP) and discussions is not statistically significant. Practitioners may consider individuals' FTPs when discussing preferences for EOL medical care. ÂŠ The Author(s) 2015. ________________________________________________________________________________ Title: Knowledge About Hospice: Exploring Misconceptions, Attitudes, and Preferences for Care. Citation: The American journal of hospice & palliative care, Feb 2016, vol. 33, no. 1, p. 27-33 (February 2016) Author(s): Cagle, John G, Van Dussen, Daniel J, Culler, Krystal L, Carrion, Iraida, Hong, Seokho, Guralnik, Jack, Zimmerman, Sheryl

Abstract: Poor knowledge and misperceptions about hospice are believed to be common, but there is scant evidence about the public's understanding of hospice. To examine hospice knowledge among geographically diverse adults; and describe linkages between knowledge, attitudes and beliefs about hospice care, and demographics. A small cross-sectional telephone survey of adults living in the contiguous US was conducted using randomly selected numbers (cell phone and landline) and oversampling of minorities. Measures assessed knowledge (23-item test), attitudes (8-item scale), experiences and preferences related to hospice. 123 participants completed surveys (response rate 46%). 106 (86%) had heard about hospice, 65 (54%) of whom had a personal experience with hospice. Participants had an average hospice knowledge test score of 18 (SD = 3.4) indicating moderate knowledge of hospice. A majority of respondents (62%) did not know that hospice cannot provide concurrent cure-oriented care. Misperceptions about eligibility, coverage of hospice, the provision of hospice in nursing homes or to persons who live alone were not uncommon (missed by >20%). Greater knowledge of hospice was associated with more favorable attitudes about the hospice philosophy of care (r = .22, p = .023) and a greater preference for hospice (p = .049). Respondents who were more educated, worked in the medical field, were non-Hispanic White, and had direct experience with hospice were also more likely to be more knowledgeable about hospice. Despite relatively high hospice awareness and favorability, myths and misperceptions about hospice still abound - and may drive ethnic disparities in end-of-life care. Educational interventions and future study are needed. © The Author(s) 2014. ________________________________________________________________________________ Title: Connectedness at the End of Life Among People Admitted to Inpatient Palliative Care. Citation: The American journal of hospice & palliative care, Feb 2016, vol. 33, no. 1, p. 47-54 (February 2016) Author(s): Håkanson, Cecilia, Öhlén, Joakim Abstract: The significance of connectedness for well-being is well known. At the end of life however, illness and body decline may challenge a person's ability of staying and feeling connected. The aim of this phenomenological study was to interpret meanings of connectedness, through narrative interviews with persons admitted to inpatient palliative care in Sweden. Results involving connectedness through the body, connectedness to, and uncanniness toward other patients, and connectedness to significant others and society are discussed. The study underscores the importance of connectedness until death. However, in inpatient palliative care this is complex. Patients can cocreate or challenge each other's sense of connectedness through the symbolism of illness and diseased bodies. Moreover, the capability of connectedness is influenced by illness, spatiality, atmosphere, activities, and resources in the care place. © The Author(s) 2014. ________________________________________________________________________________ Title: Children: a protected species in palliative care. Citation: British journal of community nursing, Jan 2016, vol. 21, no. 1, p. 55., 1462-4753 (January 2016) Author(s): Nyatanga, Brian Full text: Available EBSCOhost at British Journal of Community Nursing

________________________________________________________________________________

Title: Quality of death and end-of-life care. Citation: British journal of community nursing, Jan 2016, vol. 21, no. 1, p. 58., 1462-4753 (January 2016) Author(s): While, Alison Full text: Available EBSCOhost at British Journal of Community Nursing ________________________________________________________________________________ Title: Estimating the Need for Palliative Radiation Therapy: A Benchmarking Approach. Citation: International journal of radiation oncology, biology, physics, Jan 2016, vol. 94, no. 1, p. 5159 (January 1, 2016) Author(s): Mackillop, William J, Kong, Weidong Abstract: Palliative radiation therapy (PRT) benefits many patients with incurable cancer, but the overall need for PRT is unknown. Our primary objective was to estimate the appropriate rate of use of PRT in Ontario. The Ontario Cancer Registry identified patients who died of cancer in Ontario between 2006 and 2010. Comprehensive RT records were linked to the registry. Multivariate analysis identified social and health system-related factors affecting the use of PRT, enabling us to define a benchmark population of patients with unimpeded access to PRT. The proportion of cases treated at any time (PRTlifetime), the proportion of cases treated in the last 2 years of life (PRT2y), and number of courses of PRT per thousand cancer deaths were measured in the benchmark population. These benchmarks were standardized to the characteristics of the overall population, and province-wide PRT rates were then compared to benchmarks. Cases diagnosed at hospitals with no RT on-site and residents of poorer communities and those who lived farther from an RT center, were significantly less likely than others to receive PRT. However, availability of RT at the diagnosing hospital was the dominant factor. Neither socioeconomic status nor distance from home to nearest RT center had a significant effect on the use of PRT in patients diagnosed at a hospital with RT facilities. The benchmark population therefore consisted of patients diagnosed at a hospital with RT facilities. The standardized benchmark for PRTlifetime was 33.9%, and the corresponding province-wide rate was 28.5%. The standardized benchmark for PRT2y was 32.4%, and the corresponding province-wide rate was 27.0%. The standardized benchmark for the number of courses of PRT per thousand cancer deaths was 652, and the corresponding province-wide rate was 542. Approximately one-third of patients who die of cancer in Ontario need PRT, but many of them are never treated. Copyright ÂŠ 2016 Elsevier Inc. All rights reserved. ________________________________________________________________________________ Title: Achieving consensus and controversy around applicability of palliative care to dementia. Citation: International psychogeriatrics / IPA, Jan 2016, vol. 28, no. 1, p. 133-145 (January 2016) Author(s): van der Steen, Jenny T, Radbruch, Lukas, de Boer, Marike E, JĂźnger, Saskia, Hughes, Julian C, Larkin, Phil, Gove, Dianne, Francke, Anneke L, Koopmans, Raymond T C M, Firth, Pam, Volicer, Ladislav, Hertogh, Cees M P M Abstract: People with dementia may benefit from palliative care which specifically addresses the needs of patients and families affected by this life-limiting disease. On behalf of the European Association for Palliative Care (EAPC), we recently performed a Delphi study to define domains for palliative care in dementia and to provide recommendations for optimal care. An international panel of experts in palliative care, dementia care or both, achieved consensus on almost all domains and recommendations, but the domain concerning the applicability of palliative care to dementia required

revision. To examine in detail, the opinions of the international panel of 64 experts around the applicability of palliative care, we explored feedback they provided in the Delphi process. To examine which experts found it less important or less applicable, ordinal regression analyses related characteristics of the panelists to ratings of overall importance of the applicability domain, and to agreement with the domain's four recommendations. Some experts expressed concerns about bringing up end-of-life issues prematurely and about relabeling dementia care as palliative care. Multivariable analyses with the two outcomes of importance and agreement with applicability indicated that younger or less experienced experts and those whose expertise was predominantly in dementia care found palliative care in dementia less important and less applicable. Benefits of palliative care in dementia are acknowledged by experts worldwide, but there is some controversy around its early introduction. Further studies should weigh concerns expressed around care receiving a "palliative" label versus the benefits of applying palliative care early. ________________________________________________________________________________ Title: Quality of death and end-of-life care. Citation: British Journal of Community Nursing, 2016, vol./is. 21/1(58-58), 14624753 Language: English Full text: Available EBSCOhost at British Journal of Community Nursing ________________________________________________________________________________ Title: Palliative Care Nursing: A Matter of Respect. Citation: Health Progress, 2016, vol./is. 97/1(51-54), 08821577 Full text: Available ProQuest at Health Progress ________________________________________________________________________________ Title: Palliative Care Screening and Assessment in the Emergency Department: A Systematic Review. Citation: Journal of Pain & Symptom Management, 2016, vol./is. 51/1(108-119), 08853924 Abstract: Context: Emergency department (ED) providers and policy makers are increasingly interested in developing palliative care (PC) interventions for ED patients. Many patients in the ED may benefit from PC screening and referral. Multiple ED-based PC screening projects have been undertaken, but there has been no study of these projects or their effects.Objectives: To conduct a systematic review and critical analysis to evaluate the methods, tools, and outcomes of PC screening and referral projects in the ED.Methods: Three reviewers independently selected eligible studies from the PubMed database. Eligible studies evaluated a PC screening tool, assessment, or referral modality aimed at identifying patients appropriate for PC. Four reviewers independently evaluated the final articles. Two reviewers extracted data on study characteristics, methodological quality, and outcomes.Results: Seven studies met inclusion criteria. Each was reviewed for methodological quality and strength. The studies were synthesized using a narrative approach. Each study developed an independent screening or evaluation tool for PC needs. Each required additional ED personnel to perform screening and referral, and success was limited by availability of specialized personnel. All the studies were successful in increasing rates of PC referral.Conclusion: We have identified multiple studies demonstrating that screening and referral for PC consultation are feasible in the ED setting. The strengths and limitations of these studies were explored. Further evidence for the development of an effective, evidence-based PC screening, and referral process is needed. We recommend a screening framework based on a synthesis of available evidence.

________________________________________________________________________________ Title: Rhetoric and reality - matching palliative care services to meet the needs of patients of all ages, with any diagnosis. Citation: Palliative Medicine, 2016, vol./is. 30/1(3-5), 02692163 Full text: Available ProQuest at Palliative Medicine ________________________________________________________________________________ Title: End-of-life care during and after an acute hospitalization in older patients with cancer, end-stage organ failure, or frailty: A sub-analysis of a prospective cohort study. Citation: Palliative Medicine, 2016, vol./is. 30/1(75-82), 02692163 Full text: Available ProQuest at Palliative Medicine ________________________________________________________________________________ Title: A systematic review of evidence for end-of-life communication interventions: Who do they target, how are they structured and do they work? Citation: Patient Education & Counseling, 2016, vol./is. 99/1(3-16), 07383991 Abstract: Objective: To identify and synthesise evidence for interventions targeting end-of-life communication.Methods: Database, reference list and author searches were conducted to identify evaluations of end-of-life communication-focussed interventions. Data were extracted, synthesised and QUALSYST quality analyses were performed.Results: Forty-five studies met inclusion criteria. Interventions targeted patients (n=6), caregivers (n=3), healthcare professionals (HCPs n=24) and multiple stakeholders (n=12). Interventions took various forms including communication skills training, education, advance care planning and structured practice changes. Substantial heterogeneity in study designs, outcomes, settings and measures was apparent and study quality was variable.Conclusion: A substantial number of end-of-life communication interventions have been evaluated. Interventions have particularly targeted HCPs in cancer settings, though patient, caregiver and multi-focal interventions have also been evaluated. While some interventions were efficacious in well-designed RCTs, most evidence was from less robust studies. While additional interventions targeting patients and caregivers are needed, multi-focal interventions may more effectively remove barriers to end-oflife communication.Practice Implications: Despite the limitations evident in the existing literature, healthcare professionals may still derive useful insights into effective approaches to end-of-life communication if appropriate caution is exercised. However, additional RCTs, implementation studies and cost-benefit analyses are required to bolster arguments for implementing and resourcing communication interventions. ________________________________________________________________________________ Title: 'End of life' conversations, appreciation sequences, and the interaction order in cancer clinics. Citation: Patient Education & Counseling, 2016, vol./is. 99/1(92-100), 07383991 Abstract: Objective: To address the organization of conversations in oncology visits by taking an "interaction order" perspective and asking how these visits are intrinsically organized.Methods: Conversation analysis.Results: Using audio recordings of talk in oncology visits involving patients with non-small cell lung cancer, we identify and analyze an "appreciation sequence" that is designed to elicit patients' understanding and positive assessment of treatments in terms of their prolongation of

life.Conclusion: An "appreciation sequence," regularly initiated after the delivery of scan results and/or treatment recommendations, simultaneously reminds patients of their mortality while suggesting that the treatment received has prolonged their lives, and in some cases significantly beyond the median time of survival.Practice Implications: We explore the functions of the appreciation sequence for cancer care and set the stage for considering where and when physicians have choices about the order and direction the talk can take and how to allocate time for end of life and quality of life conversations.

Title: Care of adults in the last days of life: summary of NICE guidance. Citation: BMJ (Clinical research ed.), Jan 2016, vol. 351, p. h6631. (2016) Author(s): Ruegger, Joshua, Hodgkinson, Sarah, Field-Smith, Antonia, Ahmedzai, Sam H, guideline committee

_______________________________________________________________________________ Title: Comfort Care for Patients Dying in the Hospital. Citation: New England Journal of Medicine, 2015, vol./is. 373/26(2549-2561), 00284793 Abstract: The article focuses on the provision of comfort care for terminally ill patients in the hospital. It mentions the provision of comfort care or a set of the most basic palliative care interventions intended to relieve the symptoms being felt by a dying patient, the importance of communication when setting goals at the end of life, and the management of symptoms in such patients which include pain, dyspnea and excessive oral and pharyngeal secretions. Full text: Available ProQuest at Library MPH Full text: Available ProQuest at New England Journal of Medicine, The ________________________________________________________________________________

BOOKS BACK TO TOP If you are unable to find a book, or require a book that is not on this list, please ask library staff who will be able to locate the book for you using interlibrary loan. Please note that some books detailed below may not be available in your local library and would need to be ordered for you. New books available to borrow. Fundamentals of palliative care for student nurses Rosser 2014

A practical guide to end of life care Sadler 2015 From the back of the book:

From the back of the book: This book is an accessible guide for all those working in health or social care and caring for people at the end of their lives. This will include people in roles such as healthcare assistant, hospice worker, volunteer, nurse or other carers.

A thorough yet accessible introduction and overview of a key area of the nursing programme. This textbook clearly explains the palliation of symptoms and the social context of death and dying. Engaging with the latest guidelines and curriculum, it highlights the practical and communicative skills required for induction programmes and continuing professional development.

Written by experts with extensive experience in delivering high quality end of life care, this book is full of real life examples, reflection exercises and case studies. It also includes insights into what can help make a good death, and how to help support families at the end of life.The easy to read chapters emphasise treating people who are dying with dignity using a person centred approach.

Taunton and SomPar NHS staff - Have you visited the EBL eBook catalogue? Follow the links below and login via OpenAthens to read online books free for 510 minutes each day, send requests for eBook loans or purchase suggestions

The book supports the delivery of quality care by recognising physical and non-physical symptoms, and thinking about various emotional and physical needs people might have. It is also important that care givers look after themselves and advice is given on how best to do this.

Taunton & Somerset eBook catalogue

An essential purchase for anyone looking for guidance or support in this area, and suitable for those working in the community, care homes, hospices, hospitals or other settings where people are cared for.

Somerset Partnership eBook catalogue About OpenAthens

COCHRANE SYSTEMATIC REVIEWS BACK TO TOP Reviews from November 2015 Levomepromazine for nausea and vomiting in palliative Haloperidol for the treatment of nausea and vomiting in palliative care patients

GUIDELINES BACK TO TOP NICE Guidelines NG31- Care of dying adults in the last days of life

UPTODATE BACK TO TOP Whatâ&#x20AC;&#x2122;s new from our clinical decision-making tool on the topic of end of life care. UpToDate (Access for Musgrove Park Staff only) Please contact library staff for details on how to access these resources; you will need an Athens password.

END OF LIFE CARE IN THE NEWS BACK TO TOP BBC News NICE urges doctors to treat dying patients as individuals

REPORTS, PUBLICATIONS AND RESOURCES BACK TO TOP SCIE (Social Care Institute for Excellence) End of Life Care National Council for Palliative Care

European Association for Palliative Care European Association for Palliative Care th

14 World Congress of the European Association for Palliative Care- information from the 14 World Congress of the European Association for Palliative Care, held in May 2015 Royal College of Physicians Palliative and end of life care toolkit National Institute for Health Research Themed review- Better Endings: Right care, right place, right time NHS England Transforming end of life care in hospitals: the route to success â&#x20AC;&#x2DC;how toâ&#x20AC;&#x2122; guide

TOPIC ALERTS AND UPDATES BACK TO TOP ABSTRACTS AVAILABLE VIA LINKS BELOW- FOR FULL-TEXT PLEASE ASK LIBRARY STAFF The myth regarding the high cost of end-of-life care Am J Public Health. 2015 Dec;105(12):2411-5 FREE FULL TEXT

NHS Evidence Medication use during end-of-life care in a palliative care centre Int J Clin Pharm (2015) 37:767â&#x20AC;&#x201C;775 FREE FULL TEXT

Randomized double-blind trial of pregabalin versus placebo in conjunction with palliative radiotherapy for cancer-induced bone pain Journal of Clinical Oncology, Published online before print December 7, 2015 Nausea and vomiting in palliative care BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h6249 (Published 03 December 2015) FULL TEXT AVAILABLE WITH ATHENS PASSWORD

Palliative care interventions for surgical patients: a systematic review JAMA Surg. Published online November 25, 2015. Exploring the transition from curative care to palliative care : a systematic review of the literature BMJ Support Palliat Care. 2015 Dec;5(4):335-42

Euthanasia and physician-assisted suicide: a white paper from the European Association for Palliative Care Palliat Med. 2015 Nov 19. [Epub ahead of print] FREE FULL TEXT Medscape Topic Alerts Timeliness of end-of-life discussions for blood cancers: a national survey of hematologic oncologists JAMA Intern Med. Published online December 21, 2015

TRIP Database Palliative care and symptom management in older patients with cancer Clin Geriatr Med. 2016 Feb;32(1):45-62. Estimating the need for palliative radiation therapy: a benchmarking approach Int J Radiat Oncol Biol Phys. 2016 Jan 1;94(1):51-9 End-of-life care planning and fragility fractures of the hip: are we missing a valuable opportunity? Clin Orthop Relat Res. 2015 Dec 21. [Epub ahead of print] Dying well: how equal is end of life care among gynecologic oncology patients? Gynecol Oncol. 2015 Dec 17 [Epub ahead of print] Familiesâ&#x20AC;&#x2122; priorities in life-limiting illness: improving quality with online empowerment Arch Dis Child. 2015 Dec 23.[Epub ahead of print] FULL TEXT AVAILABLE WITH ATHENS PASSWORD

Medline Plus Comfort care for patients dying in the hospital N Engl J Med 2015; 373:2549-2561December 24, 2015 FREE FULL TEXT

TWITTER BACK TO TOP The latest from popular Twitter pages dedicated to end of life care: End of Life Studies @EndofLifeStudy Public Health Palliative Care @PHPalCare European Association for Palliative Care @EAPCOnlus Cicely Saunders Institute @CSI_KCL Palliative Medicine Journal @PalliativeMedJ

TRAINING & NETWORKING OPPORTUNITIES, CONFERENCES, EVENTS BACK TO TOP

Cicely Saunders Institute- Outcome measures in palliative care- 11 -12 February 2016, Kings College London Westminster Health Forum- Priorities for palliative and end of life care policy: choice, quality th and integration- 19 April 2016, London th

9 World Research Congress of the European Association for Palliative Care- 9 -11 June 2016, Dublin th

15 World Congress of the European Association for Palliative Care- 11 -13 May 2017, Madrid th

5 International Public Health and Palliative Care Conference- 2017, Canada- Link to follow

LITERATURE SEARCH SERVICE BACK TO TOP Looking for the latest evidence-based research but havenâ&#x20AC;&#x2122;t got time to trawl the databases? Do you need a literature search carried out? Do you need to find evidence to support an improvement? Do you want to know how something has been done elsewhere and whether it worked?

Library staff provide a literature search service for busy clinicians who are pressed for time.

To request a search please complete and return the appropriate form, providing as much information as possible. Alternatively if you would like an assisted search training session, where we will sit down with you and go through the steps of a literature search, then please contact the library. Musgrove staff click here to access literature search form Somerset Partnership staff click here to access literature search form

TRAINING AND ATHENS BACK TO TOP Most electronic resources are available via an Athens password. You can register for this via the Library intranet page, or from home at www.swice.nhs.uk and following the link for Athens selfregistration. Please note that registering from home will take longer as it will need to be verified that you are NHS staff/student on placement. The library offers training on how to access and use Athens resources, as well as an introductory course on critical appraisal. You can book a course through the Learning and Development intranet page, or by contacting the library directly.