Research and Impact

Pallium conducts and participates in research to evaluate the effectiveness and impact of palliative care education including determining the benefits for patients, providers, health care system and advancing palliative care in Canada. Pallium’s research is also critical to inform the continuous improvement of its palliative care courses and resources. From inquiry to data generation and data analysis, research helps to identify best practices that are evidence informed. Pallium is committed to sharing and applying these best practices and to continual improvement of its own courses and materials.

This page highlights Pallium’s direct contributions to the scientific literature on palliative care and recognizes the incredible contributions of partners and the impact that their work has had to support the palliative care approach and transform the way health care professionals care for patients with life-limiting illnesses and their families.


Pallium Canada's story

Read the four foundational publications that tell the story of Pallium Canada’s evolution, from the pedagogical theory behind LEAP™ to the success behind spreading and scaling the palliative care approach.

The Dr. Joshua Shadd — Pallium Canada Research Hub at McMaster University

Pallium and McMaster University’s Department of Family Medicine launched Canada’s first palliative care educational research hub in 2019. The Research Hub undertakes work to advance palliative care educational research and measure the impact of continuing professional development on the health care system.

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An evaluation and research framework to guide Pallium’s activities

Pallium and the Dr. Joshua Shadd — Pallium Canada Research Hub at McMaster University have developed an Evaluation and Research Framework to help with the study of Pallium’s programs and the impact of these programs. Led by a team of international experts and researchers from the Research Hub, this framework will inform how Pallium will evaluate programs and identify opportunities for exciting scholarship.

The framework describes key areas or constructs that need to be evaluated or studied to understand the impact of Pallium’s programs—such as LEAP™ and the Palliative Care ECHO Project—and their implementation. ‘Impact’ refers to the impact of the programs on participants, patients, the workplace, and the health care system. ‘Implementation’ refers to answering the questions, “What works, for whom, in what respects, to what extent, in what contexts, and how?”

Continuous evaluation is important to help with ongoing quality improvement efforts of Pallium’s work and to understand the factors that lead to success.

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Building a national palliative care Atlas

The Dr. Joshua Shadd — Pallium Canada Research Hub is leading the development of a Canadian Palliative Care Atlas to map out existing strengths, areas of excellence, and gaps across regions and provinces with respect to palliative care service availability. The Atlas will showcase a graphical representation of the status of palliative care in Canada and serve to advance a systems-thinking approach to health care by identifying several benchmarks of excellence and leadership.

The project’s initial pilot study of the Central East subregion in Ontario was completed in 2023, with support of the PSI Foundation and Esri Canada. Work is well underway on the British Columbia Atlas, with support of the Sovereign Order of St. John Jerusalem, Knights Hospitaller, and the Y.P. Heung Foundation, and the Alberta Atlas with support from the Alberta Government. The knowledge gained from these projects will contribute to expanding the Canadian Palliative Care Atlas throughout Canada.

This project is a first of its kind in Canada; no mechanism currently exists to systematically collate this data from an entire sector and to make it available in one single repository or access point.

Pallium has officially launched the Palliative Care Atlas for Ontario.
The completed pilot study mapping the current state of palliative care in the Central East subregion in Ontario provides a tangible preview of the Canadian Atlas’s transformative potential. More than an assessment, it’s a catalyst for a future where universal, quality end-of-life care becomes a reality.
The complete Palliative Care Atlas for Ontario will be released in Spring 2024.

As part of its commitment to advance palliative care in Canada through research, Pallium launched an Education Evaluation Research Grant to catalyze and develop new evidence related to palliative care educational programs and their impact on clinical practice, patient experience, and health systems performance.

To learn more about this grant, visit the Education Evaluation Research Grant page.


LEAP™ is impacting how palliative care is delivered

Pallium has used its Evaluation and Research Framework to explore if and how LEAP™ learners implement what they learn into practice, using commitment-to-change reflections. In commitment-to-change, learners are asked to commit to making changes to their practice as a result of participating in a LEAP™ course. Several months later, they are prompted to reflect on their commitments, self-report on the extent to which they implemented them, and describe the impact of the changes.

Pallium’s Scientific Officer, Dr. José Pereira, alongside Dr. Lynn Meadows, Dragan Kljujic, and Tina Strudsholm, published an article that analyzes LEAP™ learner’s 4-months post-course commitment reflections and finds that 72.5% of commitments were implemented into practice. This large study provides evidence, through commitment-to-change statements and reflections, that LEAP™ courses directly benefit patients, health care professionals and primary care services.

Read Do learners implement what they learn? Commitment-to-change following an interprofessional palliative care course in Palliative Medicine now.

Partnering to achieve impact

Over the course of its history, Pallium Canada has undertaken a wide range of initiatives with diverse partners across Canada—we believe in a collaborative approach to building palliative care capacity to benefit all Canadians. It is through this spirit of collaboration where we can find innovative and flexible solutions that work for the unique needs of our partners as they work to build capacity and improve palliative care for patients and their families.

Read a few examples of how Pallium Canada has helped partners build palliative care capacity and achieve impact.

Looking for more? Read a summary of some additional initiatives that Pallium Canada has undertaken with provinces, territories, and health care organizations as they work to improve palliative care for patients and their families.

Contributing to thought leadership in palliative care

Pallium’s Scientific Officer and other members of the Pallium community author and co-author numerous articles contributing to the advancement of palliative care in Canada. Take a look at some of the most recent publications:

A complete list of Pallium’s publications and reports can be found in the Research Archive Library below.

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Research Archive Library

Pallium Publications
Other Reports & Publications
Pallium Reports
Pallium Conference Posters