Conditioning factors for the transition to palliative care: Clinical nurse specialist’ perception

Authors

Pedro Tavares Unidade de Cuidados Continuados e Paliativos, Hospital da Luz Lisboa, Lisboa https://orcid.org/0000-0002-6593-7991
Rita Santos Silva Unidade de Cuidados Continuados e Paliativos, Hospital da Luz Lisboa, Lisboa https://orcid.org/0000-0003-2651-2373
Bruno Magalhães Escola Superior de Saúde de Santa Maria, Departamento Cirurgia Oncológica, Instituto Português de Oncologia do Porto (Portugal), CINTESIS – Center for Health Technology and Services Research (NursID: Innovation and Development in Nursing), Porto https://orcid.org/0000-0001-6049-8646

Keywords:

Palliative care, nursing, transitional care

Abstract

Background: Nurses’ focus should include vulnerability factors to understand the intensity range of their interventions, in order to facilitate the transition process to palliative care.

Objective: mTo determine the conditioning factors for the transition to Palliative Care from the Clinical Nurse Specialist’ perception.

Methodology: Qualitative study, with a phenomenological – descriptive approach, using Bardin's method of content analysis. Semi-structured interviews with 9 experts from a Palliative Care Unit. Data were interpreted in the light of Afaf Meleis' Theory of Transitions and organized with the ATLAS.ti®.

Results: Facilitating factors were identified, such as positive attitudes and meanings about palliative care, spirituality and religiosity, and others identified as inhibiting conditions, such as insufficient family support, unrealistic expectations and lack of knowledge about palliative care.

Conclusion: Nurses must become the facilitators of the patient’s transition process to the palliative care identifying and stepping in the obstacles to their development according to the individual, their family and the caregivers’ needs.

Downloads

Download data is not yet available.

References

Meleis AI, Sawyer LM, Im EO, Messias DKH, Schumacher K. Experiencing transitions: an emerging middle-range theory. Advances in nursing science. Advances in nursing science. 2000;23(1):12–28. Fringer A, Hechinger M, Schnepp W. Transitions as experienced by persons in palliative care circumstances and their families – a qualitative meta-synthesis. BMC Palliat Care. 2018 Dec 5;17(1):22.

Chick N, Meleis AI. Transitions: A nursing concern. In: Aspen Publication, editor. Nursing research methodology . CO; 1986. p. 237–57.

International Association for Hospice & Palliative Care. Palliative Care Definition. https://hospicecare.com/what-we-do/projects/consensus- based-definition-of-palliative-care/definition/ . 2019.

Aprovação do Regulamento do Exercício Profissional dos Enfermeiros Decreto-Lei n.o 161/1996. Diário da República n.o 205/1996, Série I-A de 1996-09-04 p. 2959–62.

Schumacher K, Meleis A. Transitions: a central concept in nursing. In: Springer Publishing Company., editor. Transitions Theory: middle-range and situation-specific theories in nursing research and practice. New York; 2010. p. 38–51.

Ordem dos Enfermeiros – Conselho de Enfermagem. Padrões de Qualidade dos Cuidados de Enfermagem. Lisboa, Portugal; 2001.

Nickolich MS, El-Jawahri A, Temel JS, LeBlanc TW. Discussing the Evidence for Upstream Palliative Care in Improving Outcomes in Advanced Cancer. American Society of Clinical Oncology Educational Book. 2016 May;(36):e534–8.

Knaul FM. Integrating palliative care into health systems is essential to achieve Universal Health Coverage. Lancet Oncol. 2018 Nov;19(11):e566–7.

Zhi WI, Smith TJ. Early integration of palliative care into oncology: evidence, challenges and barriers. Ann Palliat Med. 2015 Jul;4(3):122–31.

Coleby T. Defining what matters most to patients. British Journal of Nursing. 2017 Sep 5;26(Sup16a):S15–20.

Machado S. Morrer num Serviço De Medicina Interna: As Últimas Horas de Vida. Med Interna (Bucur). 2018 Dec 19;25(4).

Chow K, Dahlin C. Integration of Palliative Care and Oncology Nursing. Semin Oncol Nurs. 2018 Aug;34(3):192–201.

Richards N, Ingleton C, Gardiner C, Gott M. Awareness contexts revisited: indeterminacy in initiating discussions at the end-of-life. J Adv Nurs. 2013 Dec;69(12):2654–64.

Stajduhar KI, Tayler C. Helene Hudson Lecture: Taking an “upstream” approach in the care of dying cancer patients: The case for a palliative approach. Canadian Oncology Nursing Journal. 2014 Aug 5;24(3):144–8.

Benner P. De Iniciado a Perito. Quarteto Editora, editor. Coimbra, Portugal; 2005.

European Association of Palliative Care. Competências Centrais em Cuidados Paliativos: Um Guia Orientador da EAPC sobre Educação em cuidados paliativos – parte 1. . https://www.eapcnet.eu/publications/eapc-publications/ArtMID/843/ArticleID/380/portuguese-competências-centrais-em-cuidados-paliativos-um-guia-orientador-da-eapc-sobre-educação-em-cuidados-paliativos . 2013.

Downloads

PDF (Português (Portugal))

Published

2022-11-09

How to Cite

Tavares P, Santos Silva R, Magalhães B. Conditioning factors for the transition to palliative care: Clinical nurse specialist’ perception. Onco.News [Internet]. 2022 Nov. 9 [cited 2024 Nov. 21];(45):e058. Available from: https://onco.news/index.php/journal/article/view/58