Experiences and challenges of home care nurses and general practitioners in home-based palliative care - a qualitative study

BMC Palliative Care
Britt Viola DanielsenOddvar Førland

Abstract

Norway has one of the lowest home death rates in Europe. However, it is the health authorities´ ambition to increase this by facilitating palliative care at home. The aim of this study was to achieve more insight, through home care nurses and general practitioners, of conditions that facilitate or hamper more time at home and more home deaths for patients with terminal disease and short life expectancy. We used a qualitative research design with four focus groups with a total of 19 participants, of either home care nurses or general practitioners, using semi-structured question guides. The data were processed by systematic text condensation and encompassed thematic analysis of meaning and content of data across cases, which included four steps of analysis. Three main themes were identified: 1) The importance of a good start for the patient and family with five sub-themes, 2) 'Passing the baton' - the importance of collaboration across the health system with four sub-themes, and 3) Avoiding new hospitalization by establishing collaboration and competence within primary health care with four sub-themes. This study demonstrates that optimum palliative care at home depends on close collaboration and dialogue between the patient, fa...Continue Reading

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Citations

Sep 20, 2019·Journal of Clinical Nursing·Anette AlvarizaIda Goliath
Jun 28, 2020·Journal of Primary Care & Community Health·Francesc X Marin-GomezJacobo Mendioroz Peña
May 1, 2021·Journal of the American Medical Directors Association·Güneş Koru
Oct 15, 2021·Wiener medizinische Wochenschrift·Rosemarie Plötzeneder, Bernhard Iglseder
Dec 16, 2021·Nursing Open·Parisa SabetsarvestaniZhila Fereidouni
Dec 18, 2021·BMJ Supportive & Palliative Care·Wei-Shu LaiPeng-Chan Lin

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