Healthcare professionals’ perspectives on delivering end-of-life care within acute hospital trusts: a qualitative study

Reid, Colette; Gibbins, Jane; Bloor, Sophia; Burcombe, Melanie; McCoubrie, Rachel; Forbes, Karen

doi:10.1136/bmjspcare-2013-000468

Cited by 31 publications

(47 citation statements)

References 14 publications

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“…One centre's audit found that for 87% of dying patients, recognition occurred less than 72 hours prior to death, and EOLCA found that for half of all cases, recognition occurred less than 34 hours prior to death . Qualitative research has also identified a culture barrier to accepting death as an acceptable outcome . It is important that recognition occurs as early as possible, to deliver good care and improve FYs’ experience of this important part of their job.…”

Section: Discussionmentioning

confidence: 99%

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Care of the dying: a qualitative exploration of Foundation Year doctors’ experiences

et al. 2017

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Section: Discussionmentioning

confidence: 99%

“…5 Qualitative research has also identified a culture barrier to accepting death as an acceptable outcome. 27 It is important that recognition occurs as early as possible, to deliver good care 3 and improve FYs' experience of this important part of their job.…”

Section: Discussionmentioning

confidence: 99%

Care of the dying: a qualitative exploration of Foundation Year doctors’ experiences

et al. 2017

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“…This inappropriate outlook is manifested by attitudes of reflection, avoidance, and insecurity, among others, and by having to face one's own fears of death (Maza Cabrera, Zavala Gutiérrez, & Merino Escobar, ). In contrast, other authors have reported that professionals who are in contact with death experience a greater personal growth and acceptance of their own death (Bloomer, Cross, Endacott, O'Connor, & Moss, ; Lester & Abdel‐Khalek, ; Reid et al, ).…”

Section: Discussionmentioning

confidence: 84%

“…Indeed, the duality of communication and information in terminally ill patients is one of the crucial issues that should be covered in the academic curriculum of these students. This type of communication is complex and might have a strong emotional impact (Reid et al, ). However, it is necessary to implement this in the degree program training before having to face the reality, so that students can feel more prepared and experience less anxiety and fear.…”

Section: Discussionmentioning

confidence: 99%

Comparative study among Spanish students of health sciences degrees: Facing death

Cruz

Luengo

2018

Nursing & Health Sciences

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The purpose of this study was to explore the perceptions and attitudes of students of health sciences faculties (medicine, nursing, and physiotherapy) regarding specific issues related to death and end of life in both professional and personal realms. A descriptive, cross-sectional, and multi-center approach was used. The modified Bugen Scale for facing death was used. The study population (411 students) encompassed three distinct groups: students from the degrees of medicine, nursing, and physiotherapy. In total, 12 items showed significant differences between the three groups. The sample presented a moderate level of perceived competency in the ability to face death. We found significant differences in the scores obtained by the three groups regarding their ability to face the death of people who are emotionally close. Furthermore, the sample demonstrated a good level of self-efficacy when facing death, with nursing students displaying the greatest emotional involvement when compared to their colleagues studying medicine and physiotherapy. It is therefore recommended that study curricula of future health professionals contain specific training in end-of-life care.

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“…The acute care hospital has been described as an inadequate place for the care of patients with palliative care needs. The culture in acute care hospitals raises expectations on healthcare professionals to focus on active treatment to cure the patient (69,70). Several studies have indicated difficulties in identifying patients in need of palliative care in acute care hospitals, leading to decisions concerning end-of-life care being made late in the disease trajectory (71)(72)(73).…”

Section: Palliative Care In Acute Care Hospitalsmentioning

confidence: 99%

Implementation of the integrated palliative care outcome scale in acute care settings – a feasibility study

et al. 2018

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A strategy, including information, training, and facilitation to support the use of IPOS, was developed and carried out at three acute care units. For an even broader understanding of the strategy, it was also tested at a palliative care unit. A process evaluation was conducted including collecting quantitative data and performing interviews with healthcare professionals. Result Factors related to the design and performance of the strategy and the context contributed to the results. The prevalence of completed IPOS in the patient's records varied from 6% to 44% in the acute care settings. At the palliative care unit, the prevalence in the inpatient unit was 53% and the specialized home care team 35%. The qualitative results showed opposing perspectives concerning the training provided: Related to everyday work at the acute care units and Nothing in it for us at the palliative care unit. In the acute care settings, A need for an improved culture regarding palliative care was identified. A context characterized by A constantly increasing workload, a feeling of Constantly on-going changes, and a feeling of Change fatigue were found at all units. Furthermore, the internal facilitators and the nurse managers' involvement in the implementation differed between the units. Significance of the results The feasibility of the strategy in our study is considered to be questionable and the components need to be further explored to enhance the impact of the strategy and thereby improve the use of IPOS.

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Healthcare professionals’ perspectives on delivering end-of-life care within acute hospital trusts: a qualitative study

Abstract: The culture of avoiding death and dying in acute hospitals remains a significant barrier to providing EOL care, even when EOL tools are available and accepted by staff.

Cited by 31 publications

References 14 publications

Care of the dying: a qualitative exploration of Foundation Year doctors’ experiences

Care of the dying: a qualitative exploration of Foundation Year doctors’ experiences

Comparative study among Spanish students of health sciences degrees: Facing death

Implementation of the integrated palliative care outcome scale in acute care settings – a feasibility study

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