The systemic challenges of non-palliative care professionals caring for end-of-life patients : A lived experience study
OBJECTIVES: The aims of this study are to identify the challenges faced by non-palliative care professionals (NPCPs) in caring for end-of-life patients; determine how these challenges interact with and influence each other systemically; and advance the theories and practices for supporting NPCPs in the provision of quality end-of-life care beyond the boundaries of palliative medicine.
METHODS: A constructivist phenomenological research design with an Interpretive-Systemic Framework of inquiry was adopted. Thirty-five physicians, 35 nurses, and 35 Medical Social Workers who play critical roles in caring for end-of-life patients and belonging to the 9 major medical disciplines of Cardiology, Geriatric, Intensive Care Medicine, Internal Medicine, Nephrology, Neurology, Oncology, Respiratory Medicine, and Surgery were recruited through purposive snowball sampling from 3 major public hospitals.
RESULTS: Framework analysis revealed 5 themes and 17 subthemes that illuminate the individual, relational, cultural, institutional, and structural challenges that NPCPs faced in rendering end-of-life care. These challenges influence each other within the health-care ecosystem, serving to perpetuate or heighten care obstacles.
SIGNIFICANCE OF RESULTS: This is the first known study exploring the systemic challenges of NPCPs spanning 9 major medical disciplines and encompassing 3 professional stakeholders responsible for the care for end-of-life patients, thus ensuring perspective inclusivity across the health-care system. Recommendations that consider the complexity of the interactions between these systemic challenges are presented in detail.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2023 |
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| Enthalten in: |
Palliative & supportive care - (2023) vom: 18. Apr., Seite 1-7 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ho, Andy H Y [VerfasserIn] |
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| Links: |
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| Themen: |
End-of-life care |
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| Anmerkungen: |
Date Revised 18.04.2023 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1017/S1478951523000330 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM355743388 |
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| 500 | |a Date Revised 18.04.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a OBJECTIVES: The aims of this study are to identify the challenges faced by non-palliative care professionals (NPCPs) in caring for end-of-life patients; determine how these challenges interact with and influence each other systemically; and advance the theories and practices for supporting NPCPs in the provision of quality end-of-life care beyond the boundaries of palliative medicine | ||
| 520 | |a METHODS: A constructivist phenomenological research design with an Interpretive-Systemic Framework of inquiry was adopted. Thirty-five physicians, 35 nurses, and 35 Medical Social Workers who play critical roles in caring for end-of-life patients and belonging to the 9 major medical disciplines of Cardiology, Geriatric, Intensive Care Medicine, Internal Medicine, Nephrology, Neurology, Oncology, Respiratory Medicine, and Surgery were recruited through purposive snowball sampling from 3 major public hospitals | ||
| 520 | |a RESULTS: Framework analysis revealed 5 themes and 17 subthemes that illuminate the individual, relational, cultural, institutional, and structural challenges that NPCPs faced in rendering end-of-life care. These challenges influence each other within the health-care ecosystem, serving to perpetuate or heighten care obstacles | ||
| 520 | |a SIGNIFICANCE OF RESULTS: This is the first known study exploring the systemic challenges of NPCPs spanning 9 major medical disciplines and encompassing 3 professional stakeholders responsible for the care for end-of-life patients, thus ensuring perspective inclusivity across the health-care system. Recommendations that consider the complexity of the interactions between these systemic challenges are presented in detail | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Non-palliative care professionals | |
| 650 | 4 | |a end-of-life care | |
| 650 | 4 | |a lived experience | |
| 650 | 4 | |a palliative medicine | |
| 650 | 4 | |a qualitative research | |
| 700 | 1 | |a Tan-Ho, Geraldine |e verfasserin |4 aut | |
| 700 | 1 | |a Low, Casuarine |e verfasserin |4 aut | |
| 700 | 1 | |a Chan, Ee Yuee |e verfasserin |4 aut | |
| 700 | 1 | |a Chan, Noreen |e verfasserin |4 aut | |
| 700 | 1 | |a Hum, Allyn |e verfasserin |4 aut | |
| 700 | 1 | |a Khemlani, Mansha Hari |e verfasserin |4 aut | |
| 700 | 1 | |a Low, James Alvin Yiew Hock |e verfasserin |4 aut | |
| 700 | 1 | |a Tan, Woan Shin |e verfasserin |4 aut | |
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