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The family caregiver experience in palliative care pathways: a multidimensional framework
Marzia Cettina Severino1, Costanza Galli2, Sabina De Rosis3,4
1Interdisciplinary Center in Health Science, Sant'Anna School of Advanced Studies, Pisa, Italy. marziacettina.severino@santannapisa.it.
BMC Health Services Research
|June 17, 2026
Summary
This study developed a framework to understand the family caregiver experience in palliative care. It highlights key dimensions like needs, information clarity, and communication, crucial for improving patient and caregiver support.
Area of Science:
- Palliative Care Research
- Healthcare Services Evaluation
- Family Caregiver Support
Background:
- Family caregivers are vital in end-of-life care, supporting terminal patients.
- Understanding caregiver experiences is essential for person-centered, high-quality healthcare.
- This study focused on developing a framework for family caregiver experiences in palliative care.
Purpose of the Study:
- To collaboratively develop and validate a multidimensional framework.
- To explore the global experience of family caregivers throughout palliative care pathways.
- To involve both professionals and caregivers in framework development.
Main Methods:
- A mixed-methods design combining literature exploration and a Delphi-derived consensus process.
- A purposive sample of Italian professionals and caregivers participated in the Delphi study.
- Frameworks were refined through workshops with palliative care experts.
Main Results:
- A six-dimension framework was developed: 'Needs', 'Responses', 'Clarity and adequacy of information', 'Availability in case of need', 'Responses in the Home Context', and 'Communication and involvement'.
- All dimensions received high ratings; emotional needs, information clarity, and communication were prioritized.
- Caregivers emphasized training and involvement, while professionals focused on communication adequacy; challenges included emotional burden and communication gaps.
Conclusions:
- A collaborative, multidimensional framework for the family caregiver experience in palliative care was established.
- The framework offers a structure for assessing caregiver experiences and evaluating services.
- Findings provide insights for refining palliative care practices to better meet caregiver and professional priorities.
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