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Palliative care team visits. Qualitative study through participant observation
Maria Del Mar Alfaya Góngora1, Maria José Bueno Pernias1, César Hueso Montoro2
1Facultad de Enfermería de Melilla, Universidad de Granada, Granada, España.
Colombia Medica (Cali, Colombia)
|May 27, 2016
Summary
Palliative care teams focus on symptom control and information sharing during patient encounters. Favorable encounters involve kindness, while unfavorable ones are marked by patient deterioration and resource limitations.
Area of Science:
- Palliative Care Medicine
- Qualitative Health Research
Background:
- Palliative care aims to improve patient and family well-being.
- Understanding clinical encounters is crucial for optimizing palliative care delivery.
Purpose of the Study:
- To describe palliative care clinical encounters.
- To identify factors influencing encounter favorability based on participant expectations.
Main Methods:
- Qualitative case study utilizing participant observation.
- 12 observations of palliative care team meetings with patients/families in diverse settings.
- Content analysis of observational data.
Main Results:
- Palliative care activities include symptom control, information sharing, and therapeutic advice.
- Environmental factors and patient-dying status influence patient expression and relationships.
- Kindness and gratitude characterized favorable encounters; deterioration and unmet family goals marked unfavorable ones.
Conclusions:
- Home visits by palliative care teams are vital for patient and family well-being.
- Symptom management is a primary focus, influenced by resource availability.
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