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Early Palliative Care Team's Perception of Relational Work for Advanced Cancer Patients: A Qualitative Study
C Bouleuc1,2, L Thery1,3, E Gilbert4
1Supportive and Palliative Care Department, Institut Curie, Paris, France.
Psycho-Oncology
|September 19, 2025
Summary
Palliative care (PC) teams in day hospitals build trust through patient engagement and open communication. They facilitate serious illness conversations and end-of-life care planning for advanced cancer patients.
Area of Science:
- Oncology
- Palliative Care
- Qualitative Research
Background:
- Palliative care (PC) delivery in day hospitals involves multidisciplinary assessment and extensive patient/family discussions.
- The specific nature of relational work by PC teams remains underexplored.
Purpose of the Study:
- To explore the relational work undertaken by palliative care teams in a day hospital setting.
- To understand this work from the perspective of the PC team members.
Main Methods:
- Qualitative research employing semi-structured, open-ended interviews.
- Grounded theory methodology for data analysis.
- Interviews conducted with 12 physicians and 12 nurses over 5 months.
Main Results:
- Patient engagement is crucial for building trust and increasing relational work.
- Interactive tactics raise awareness of decline and approaching death, aligning with oncologists on treatment changes.
- Managing the final cancer trajectory involves negotiating home care and considering family dynamics.
Conclusions:
- Palliative care day hospitals foster interprofessional collaboration, including oncologists.
- This setting supports serious illness conversations, advance care planning, and end-of-life care for advanced cancer patients.
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