0 avis
Healthcare providers' views on the transition between hospital and primary care in patients in the palliative phase : a qualitative description study
Article indépendant
CONTEXT: Inadequate handovers between hospital and home can lead to adverse health outcomes. A group particularly at risk are patients at the end of life because of complex health problems, frequent care transitions and involvement of many professionals.
OBJECTIVES: To investigate healthcare providers' views and experiences with regard to the transition from hospital to primary care in palliative care.
METHODS: This was a descriptive qualitative study. Three focus group discussions were held with 28 nurses and two focus groups with nine physicians. Participants were recruited from primary and hospital care. The focus groups were audio-recorded, transcribed verbatim and analysed thematically.
RESULTS: The following themes emerged from the data: (1) lack of identification of and communication about the last phase of life; (2) incomplete and insufficient handover; and (3) uncertainty about responsibilities. Professionals emphasize the importance of proper handovers and transitional processes in these vulnerable patients. The transition between hospital to primary care is hindered by a lack of identification of the palliative phase and uncertainties about patient awareness. Direct communication between professionals is needed but lacking. The handover itself is currently primarily focussed on physical aspects where psychosocial aspects were also found necessary. Furthermore, uncertainties with regard to physicians' responsibility for the patient seem to further hinder professionals in the transitional process.
CONCLUSION: Efforts should be made to enhance knowledge and skills around identification of palliative needs and communication with patients about the end of life, especially in the hospital setting.
http://dx.doi.org/10.1016/j.jpainsymman.2020.02.018
Voir la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT»
Autres numéros de la revue «JOURNAL OF PAIN AND SYMPTOM MANAGEMENT»
Consulter en ligne
Suggestions
Du même auteur
De la même série