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Palliative care consultation team on acute wards-an intervention study with pre-post comparisons
Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, Avdelningen för omvårdnad. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i östra Östergötland, Palliativt kompetenscentrum.ORCID-id: 0000-0002-9606-3238
Region Östergötland, Närsjukvården i östra Östergötland, Palliativt kompetenscentrum.
Region Östergötland, Närsjukvården i östra Östergötland, Palliativt kompetenscentrum.
Linköpings universitet, Institutionen för fysik, kemi och biologi, Biologi. Linköpings universitet, Tekniska fakulteten.ORCID-id: 0000-0001-6128-1051
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2017 (engelsk)Inngår i: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 25, nr 2, s. 371-380Artikkel i tidsskrift (Fagfellevurdert) 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.

sted, utgiver, år, opplag, sider
SPRINGER , 2017. Vol. 25, nr 2, s. 371-380
Emneord [en]
Palliative care consultation team; Death and dying; End-of-life care; Acute wards; Hospital
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-134476DOI: 10.1007/s00520-016-3406-9ISI: 000391615500007PubMedID: 27637479OAI: oai:DiVA.org:liu-134476DiVA, id: diva2:1074436
Tilgjengelig fra: 2017-02-15 Laget: 2017-02-15 Sist oppdatert: 2018-05-07

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