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Emmanuel Bagaragaza1, Benoite Umubyeyi1, Danièle Leboul1

  • 1Département Recherche Enseignement Formation, Établissements Jeanne Garnier, Paris, France.

Sante Publique (Vandoeuvre-Les-Nancy, France)
|May 21, 2026
PubMed
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Nursing home professionals often associate palliative care with end-of-life stages, hindering its early adoption. Improving perceptions and fostering a supportive culture are crucial for integrating palliative care effectively for dependent older adults.

Area of Science:

  • Gerontology
  • Palliative Care Research
  • Healthcare Management

Background:

  • Dependent older adults require integrated palliative care approaches.
  • Early integration of palliative care is a significant public health concern.
  • Understanding professional perceptions is key to successful adoption.

Purpose of the Study:

  • To explore nursing home professionals' perceptions of palliative care.
  • To determine how these perceptions influence the adoption of palliative care for residents.
  • To identify barriers and facilitators for palliative care integration in long-term care settings.

Main Methods:

  • Qualitative multiple case study approach.
  • Semi-structured interviews and focus group discussions with 67 professionals across 21 nursing homes.
Keywords:
nursing homeolder adultspalliative careperceptionsprofessionalsqualitative research

Related Experiment Videos

  • Thematic content analysis of collected data.

    • Main Results:

    • Shared perceptions of palliative care were identified across different professional roles and settings.
    • Professionals conceptualize palliative care as 'accompagnement,' involving diverse goals and practices.
    • A majority associate palliative care with terminal illness and specialized teams, delaying its broader application.

    Conclusions:

    • Current perceptions of palliative care as end-of-life focused impede its timely integration.
    • Strategies are needed to enhance individual, clinical, and organizational attitudes towards palliative care.
    • Fostering an organizational culture that values early and continuous palliative care is essential for meeting residents' needs.