Patient and professional experiences of palliative care referral discussions from cancer services: A qualitative interview study.
Eur J Cancer Care (Engl)
; 30(1): e13340, 2021 Jan.
Article
em En
| MEDLINE
| ID: mdl-33051957
ABSTRACT
OBJECTIVES:
The aim of this paper was to identify current barriers, facilitators and experiences of raising and discussing palliative care with people with advanced cancer.METHODS:
Semi-structured interviews were conducted with patients with advanced cancer and healthcare professionals (HCPs). Patients were included who had and had not been referred to palliative care. Transcripts were analysed using framework analysis.RESULTS:
Twenty-four patients and eight HCPs participated. Two overarching themes and five sub-themes emerged Theme one-referral process timing and triggers, responsibility. Theme two-engagement perception of treatment, prognosis and palliative care, psychological and emotional preparedness for discussion, and understanding how palliative care could benefit present and future care.CONCLUSION:
There is a need to identify suitable patients earlier in their cancer trajectory, address misconceptions about palliative care, treatment and prognosis, and better prepare patients and HCPs to have meaningful conversations about palliative care. Patients and HCPs need to establish and communicate the relevance of palliative care to the patient's current and future care, and be clear about the referral process.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Enfermagem de Cuidados Paliativos na Terminalidade da Vida
/
Neoplasias
Tipo de estudo:
Qualitative_research
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article