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May 15, 2019

16th World Congress of the European Association for Palliative Care

Health Care Professionals' Perceptions of Palliative Care Quality in a Combined Acute Oncology-palliative Care Unit - Improvements Are Needed Regarding Information, Participation, Continuity and Existential Needs

palliative care quality

health care professionals

combined acute oncology-palliative care unit

area of improvements

person centered care

Abstract

Abstract

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Keywords

palliative care quality

health care professionals

combined acute oncology-palliative care unit

area of improvements

person centered care

Abstract

Health care professionals’ perceptions of palliative care quality in a combined acute oncology-palliative care unit -improvements are needed regarding information, participation, continuity and existential needs Cecilia Olsson1, Eva Eriksson2, Mikaela Rognsvåg2, Maria Larsson1 Background: The number of persons with life-threatening illnesses who need palliative care (PC) is expected to increase as people are living longer, due to advances in medical treatment and technology. There are major shortcomings in PC and regional differences in accessibility, quality, symptom relief, involvement and support for close relatives. Evaluation of quality of care (QoC) is important to guide improvements and the use of healthcare professionals’ (HCP) perspective means that fragile patients and their close relatives are not burdened. Aim: To investigate how HCPs in PC perceive QoC regarding perceived reality (PI) (given care) and subjective importance (SI) (how care should be). Method: Cross-sectional study, descriptive and analytical design. Data collection, February 2018 with the four dimensional questionnaire Quality from the Patient’s Perspective Palliative Care (QPP-PC) among HCP in a combined oncology-palliative care unit (total survey) in Sweden. Response rate of 53 % (n=41). Results: HCP scored statistically significant higher regarding SI compared to PR (p≤ .00) in all four dimension; medical-technical competence, physical-technical conditions, identity-oriented approach and sociocultural atmosphere. Information (PR mean 2.78 SD .57; SI mean 3.66 SD .34; p≤ .00), participation (PR mean 2.84 SD .70; SI mean 3.52 SD .54; p≤ .00), continuity (PR mean 2.61 SD .74; SI mean 3,34 SD .59; p≤ .00), and spiritual/existential needs (PR mean 2.73, SD .64; SI mean 3,34, SD .87; p≤ .00) were factors respondents scored lowest values in PR compared to SI. Cronbach´s α-values, moderate to high. Conclusion: These findings highlight palliative QoC problems in units with mixed care focus, i.e. acute, supportive and end of life care. Strategies to ensure PC when needed has to be developed and implemented in acute care settings to avoid futile interventions.

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© Copyright 2019 Morressier GmbH.
All rights reserved.