Barriers and Facilitators to Effective Inpatient Palliative Care Consultations: A Qualitative Analysis of Interviews With Palliative Care and Nonpalliative Care Providers

McDarby, Meghan; Carpenter, Brian

doi:10.1177/1049909118793635

Cited by 31 publications

(50 citation statements)

References 29 publications

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“…PC team strategic visibility in patient floors and hospital-wide events and PC team unintentional visibility like being present around the hospital [64].…”

Section: Collaboration and Communication Between Health Care Professimentioning

confidence: 99%

“…Provision of clear, convincing, scientific support, concerning palliative care, for recommendations from the PC team [64].…”

Section: Theme 4: Attitudes and Beliefs Towards Palliative Carementioning

confidence: 99%

“…how and when initiate palliative care, and lack of familiarity with the basic principles of palliative care, including pain management, among medical students), or lack of one or more areas pertaining to it, such as existential issues [23] represent a serious obstacle to palliative care utilization. Some studies also reported a lack of understanding of palliative care services [22,25,43,54], their scope [29,64], or their applicability [51,64]. Others showed a lack of knowledge of locally available palliative care services among HPs [22,62].…”

Section: Awareness Of Palliative Carementioning

confidence: 99%

“…Others showed a lack of knowledge of locally available palliative care services among HPs [22,62]. Often physicians (e.g., oncologists), nurses, and other HPs specifically reported a lack of education in palliative care [21,22,40,45,51,64]. Other studies reported a lack of practical training [22,27,34,64] or working experience [23,34] in palliative care.…”

Section: Awareness Of Palliative Carementioning

confidence: 99%

“…Potential facilitators to palliative care use were identified; some studies showed that the provision of education on palliative care, including education on the initiation phase, improved utilization [38,39,46,52,58,64]. One study focused on family physicians and highlighted that the use of specific tools for palliative care needs assessment was useful to address those needs in a timely manner [23].…”

Section: Awareness Of Palliative Carementioning

confidence: 99%

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Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families

et al. 2020

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Background: Despite the high potential to improve the quality of life of patients and families, palliative care services face significant obstacles to their use. In countries with high-resource health systems, the nonfinancial and nonstructural obstacles to palliative care services are particularly prominent. These are the cognitive barriers-knowledge and communication barriers-to the use of palliative care. To date no systematic review has given the deserved attention to the cognitive barriers and facilitators to palliative care services utilization. This study aims to synthesize knowledge on cognitive barriers and facilitators to palliative care use in oncology and hemato-oncology from the experiences of health professionals, patients, and their families. Methods: A systematic review was conducted. PubMed, PsycINFO, International Association for Hospice and Palliative Care/Cumulative Index of Nursing and Allied Health Literature (IAHPC/CINAHL), and Communication & Mass Media Complete (CMMC) were systematically searched for the main core concepts: palliative care, barriers, facilitators, perspectives, points of view, and related terms and synonyms. After screening of titles, abstracts, and full-texts, 52 studies were included in the qualitative thematic analysis.

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“…PC team strategic visibility in patient floors and hospital-wide events and PC team unintentional visibility like being present around the hospital [64].…”

Section: Collaboration and Communication Between Health Care Professimentioning

confidence: 99%

“…Provision of clear, convincing, scientific support, concerning palliative care, for recommendations from the PC team [64].…”

Section: Theme 4: Attitudes and Beliefs Towards Palliative Carementioning

confidence: 99%

Section: Awareness Of Palliative Carementioning

confidence: 99%

Section: Awareness Of Palliative Carementioning

confidence: 99%

Section: Awareness Of Palliative Carementioning

confidence: 99%

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Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families

et al. 2020

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Timing of palliative care: When to call for a palliative care consult

Schlick

Bentrem

2019

Journal of Surgical Oncology

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Palliative care, unlike hospice, can be utilized concurrently with disease-modifying or curative therapies. Some of the benefits of palliative care include improved quality of life, less end-of-life treatment, and decreased medical costs. Furthermore, palliative care can help guide treatment decisions to be in line with patients' physical, psychological, and spiritual needs. On the basis of these benefits, we advocate for palliative care involvement early in the course of advanced malignancy and other terminal diagnoses.

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Palliative care for patients with hematologic malignancies in Germany: a nationwide survey on everyday practice and influencing factors from the perspective of treating physicians

Gebel,

Kruschel,

Bodinger

et al. 2024

Ann Hematol

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Integrating palliative care into the treatment of patients with advanced hematological malignancies (HM) remains challenging. To explore treating physicians’ perspectives on current palliative care practice and to evaluate factors influencing integration, we conducted a nationwide online survey. Based on literature and expert review, the survey addressed the importance of palliative care, communication about life-threatening conditions, challenges in establishing goals of care, and factors influencing the integration of palliative care. 207 physicians treating patients with HM in Germany participated. We used standard descriptive statistics to analyze quantitative data and a content structuring approach. Most physicians considered palliative care in HM to be very important (60.6%) and discussed life-threatening conditions with more than half of their patients (52%), especially when goals of care were changed (87.0%) or when patients raised the topic (84.0%). Disease-related factors, different professional perspectives on prognosis, and patient hopes were the main barriers to changing goals of care, but collaboration with colleagues and multidisciplinary teams provided important support. Time constraints were identified as the main barrier to integrating palliative care. The majority worked well with palliative care teams. Referral processes and conditions were perceived as minor barriers. The study highlights the need to address barriers to integrating palliative care into the management of patients with advanced HM. Future research should aim at optimizing palliative care for patients with HM.

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Barriers and Facilitators to Effective Inpatient Palliative Care Consultations: A Qualitative Analysis of Interviews With Palliative Care and Nonpalliative Care Providers

Abstract: In order to engage in more effective collaboration with other specialty providers, the PCCT may consider strategies including structured educational interventions, increased visibility in the hospital, and active marketing of the utility of palliative care across disciplines.

Cited by 31 publications

References 29 publications

Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families

Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families

Timing of palliative care: When to call for a palliative care consult

Palliative care for patients with hematologic malignancies in Germany: a nationwide survey on everyday practice and influencing factors from the perspective of treating physicians

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