The systemic challenges of non-palliative care professionals caring for end-of-life patients: A lived experience study
| Autor: | Andy H.Y. Ho, Geraldine Tan-Ho, Casuarine Low, Ee Yuee Chan, Noreen Chan, Allyn Hum, Mansha Hari Khemlani, James Alvin Yiew Hock Low, Woan Shin Tan |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Palliative and Supportive Care. :1-7 |
| ISSN: | 1478-9523 1478-9515 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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