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Palliative care consultation team on acute wards-an intervention study with pre-post comparisons
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Center of Palliative Care.ORCID iD: 0000-0002-9606-3238
Region Östergötland, Local Health Care Services in East Östergötland, Center of Palliative Care.
Region Östergötland, Local Health Care Services in East Östergötland, Center of Palliative Care.
Linköping University, Department of Physics, Chemistry and Biology, Biology. Linköping University, Faculty of Science & Engineering.ORCID iD: 0000-0001-6128-1051
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2017 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 25, no 2, p. 371-380Article in journal (Refereed) Published
Abstract [en]

There is little evidence regarding primary healthcare team members perceptions concerning palliative care consultation team (PCCT) and palliative care (PC) issues on their own wards. This study aimed to study whether a PCCT can influence and change primary healthcare team members perceptions regarding the palliative care at the end of life they are providing to patients in their own acute wards. The intervention was a PCCT visiting surgical and internal medicine wards in 1 year. We used a quasi-experimental design with pre-post-testing, measuring at baseline, and after 1 years intervention. A questionnaire was answered by all primary healthcare team members in three acute wards. A total of 252 team members (pre-post-intervention n = 132/n = 120) participated in the study. Overall, 11 of the 12 statements scored significantly higher after the intervention than before. Responses varied significantly between different professions and depending on the number of dying patients cared for during the last month. The five with the highest Wald values were as follows: the presence of a break point dialogue with a patient, where the changed aim and focus of care was discussed; early detection of impending death; adequate symptom relief and psychological and existential issues. It is possible to change perceptions about end-of-life care in primary healthcare team members on acute wards. Palliative care consultation teams should be a natural part wherever dying patients are cared for.

Place, publisher, year, edition, pages
SPRINGER , 2017. Vol. 25, no 2, p. 371-380
Keywords [en]
Palliative care consultation team; Death and dying; End-of-life care; Acute wards; Hospital
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-134476DOI: 10.1007/s00520-016-3406-9ISI: 000391615500007PubMedID: 27637479OAI: oai:DiVA.org:liu-134476DiVA, id: diva2:1074436
Available from: 2017-02-15 Created: 2017-02-15 Last updated: 2018-05-07

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Friedrichsen, MariaMilberg, PerMilberg, Anna
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