Skip to main content

Our research

Pallium’s conducts and participates in research to help shape the future of palliative care education, transforming the way health care professionals care for patients with life-limiting illnesses and their families.

Transforming palliative care education through research

Pallium Canada’s research and evaluation work is shaping the future of palliative care education in Canada.

Since its inception, Pallium has captured data and conducted research to better understand the effectiveness and impact of palliative care education including determining the benefits for patients, providers, health care system and advancing palliative care in Canada. 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 evidence-based practices and to continual improvement of its own courses and materials.

A complete list of Pallium’s direct contributions to the scientific literature on palliative care, publications and reports can be found in the Research Archive Library below.

Our work

Building a national palliative care Atlas

Pallium Canada 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 British Columbia, Ontario and Alberta editions are now available.

Folded map with location pin icon.

The Pallium Palliative Care Conversations Framework

Developed by Pallium Canada, the Pallium Palliative Care Conversations Framework is a Canadian-developed, evidence-informed approach to supporting essential conversations with patients and families throughout the palliative care journey.

Drawing on research, established communication principles and clinical expertise, the framework brings together five interconnected components that help health care professionals navigate conversations with greater clarity, compassion and flexibility. Rather than prescribing a rigid sequence or script, it recognizes that conversations are dynamic and require ongoing listening, reflection and professional judgement.

The five components

The framework consists of five interconnected components that guide communication throughout an essential conversation:

  1. Orient and Connect: Establish a connection and create a foundation for meaningful dialogue.
  2. Explore to Understand: Listen to and explore the patient’s and family’s experiences, concerns, values and perspectives.
  3. Pause and Analyze: Reflect on what has been shared, recognize important cues and consider how best to respond.
  4. Share and Support: Exchange information, respond to emotions and support understanding and decision-making.
  5. Close and Carry Forward: Bring the conversation to a meaningful close, clarify next steps and support ongoing communication.

These components are designed to work together rather than follow a fixed sequence. Health care professionals may move between them as conversations evolve, adapting to new information, changing emotions and the needs of patients and families.

It is currently integrated into LEAP Core Communications, where learners can practise applying the framework through realistic, AI-powered conversations and receive personalized feedback on their communication approaches.

An evaluation and research framework to guide Pallium’s activities

Pallium’s Evaluation and Research framework was developed by a team of international experts to help with the study of Pallium’s programs and the impact of these programs. The Framework includes rich quantitative and qualitative data elements and research and evaluation priorities and questions to assess education, project implementation, and patient, care provider and health system impacts.

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?”

In 2026, our team of researchers published “How should we evaluate the impact and implementation of palliative care education programs? The Pallium Canada experience” in the Palliative Care and Social Practice journal. Drawing on Pallium’s experience, the article explores how the framework was developed and offers practical insights for other organizations looking to evaluate the impact and implementation of their palliative care education programs.

Read the evaluation and research framework

Icon of a document with a magnifying glass hovering over it, representing analysis or research, enclosed in a circular border

Evaluation of LEAP courses for health care providers in the Grey Bruce Region

In June 2023, Pallium Canada partnered with Brightshores Health System’s Research & System team to fund a research project led by Dr. Kelly Fenn, Physician Lead for Community Palliative Care in Grey Bruce, Ontario. This project will evaluate the effectiveness of Pallium’s Learning Essential Approaches to Palliative Care (LEAP) courses for health care providers in the Grey Bruce Region and address their impact on improving skills, knowledge, and competency levels among health care professionals in rural communities.

Icon of a centralized network structure with nodes connected to a central point
The absence of a singular reporting source or comprehensive data repository has left a significant gap in our understanding of palliative care in Canada. Pallium Canada and Cardus’ initiative to develop the Palliative Care Atlas for Ontario is a critical step towards mapping access to palliative care services across different care settings and patient populations. This work is not only necessary but pivotal for enhancing the delivery of palliative care across the province.
Leonie Herx MD PhD CHE CCFP(PC) FCFP
Leonie Herx MD PhD CHE CCFP(PC) FCFP
Palliative Medicine Consultant, Physician
Accurate data is the cornerstone of effective decision-making. This tool will inform the Ontario government and enable them to ensure they meet their commitments, ensuring that every Ontarian who needs palliative care has better access to high quality services.
Ray Pennings
Ray Pennings
Executive Vice President, Cardus

Research Library

  • Filter by Category

  • Reset

Pallium’s LEAP courses provide the foundation needed to make the most of these palliative care resources. We also offer programs and resources to support community care.

                                       View Document
                                       View Document
                                       View Document

About Pallium Canada

Pallium Canada is dedicated to improving palliative care for all Canadians through education and research. For over two decades, Pallium has focused on capturing data and conducting research to understand the impact of our palliative care education courses and collaborative efforts with partners. Supported by foundational research and partnerships with academic institutions, Pallium’s work continues to drive practice change in health care.

Learn more about the story of Pallium’s evolution, including the pedagogical theory behind LEAP to the success behind spreading and scaling the palliative care approach.

Close Menu