Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase
Introduction. Globally, hospitals are an important place in end-of-life care and most frequent place of death in Germany (47%), but at the same time, the least preferred one—both for patients and their informal caregivers. As hospital care in the dying phase on non-palliative care wards has rarely b...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | International Journal of Clinical Practice |
| Online Access: | http://dx.doi.org/10.1155/2024/1012971 |
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| author | Sukhvir Kaur Kathleen Boström Anneke Ullrich Nikolas Oubaid Karin Oechsle Holger Schulz Raymond Voltz Kerstin Kremeike |
| author_facet | Sukhvir Kaur Kathleen Boström Anneke Ullrich Nikolas Oubaid Karin Oechsle Holger Schulz Raymond Voltz Kerstin Kremeike |
| author_sort | Sukhvir Kaur |
| collection | DOAJ |
| description | Introduction. Globally, hospitals are an important place in end-of-life care and most frequent place of death in Germany (47%), but at the same time, the least preferred one—both for patients and their informal caregivers. As hospital care in the dying phase on non-palliative care wards has rarely been studied systematically, we assessed the current state of care in the dying phase in hospitals as a first step. Methods. In an online survey, N = 165 national health experts were invited to answer eight open questions on care aspects, facilitators, barriers, and needs for improvement as well as COVID-19 pandemic specifics regarding hospital care in the dying phase. Sociodemographic data were analysed descriptively, and responses were analysed using qualitative thematic analysis. Results. Of n = 65 experts, 52% work as nursing staff and 30% as physicians. We identified facilitators, barriers, and needs for improvement regarding 11 topics on the following three levels: institutional level (general institutional conditions, hospital culture, and integration of specialist palliative care), team level (attitude towards and dealing with death and dying, competencies, communication, and teamwork) and care level (dying phase, symptom control, patient centredness, and involvement of informal caregivers). Conclusion. Improving care in the dying phase has to overcome barriers on various levels. We assume that rather “small” measures will find their way into clinical routine and contribute to the improvement of hospital care in the dying phase. |
| format | Article |
| id | doaj-art-23d46309e8e14d16bf2eabf80f04a233 |
| institution | Kabale University |
| issn | 1742-1241 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Clinical Practice |
| spelling | doaj-art-23d46309e8e14d16bf2eabf80f04a2332025-02-03T11:44:19ZengWileyInternational Journal of Clinical Practice1742-12412024-01-01202410.1155/2024/1012971Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying PhaseSukhvir Kaur0Kathleen Boström1Anneke Ullrich2Nikolas Oubaid3Karin Oechsle4Holger Schulz5Raymond Voltz6Kerstin Kremeike7University of CologneUniversity of ColognePalliative Care UnitPalliative Care UnitPalliative Care UnitDepartment of Medical PsychologyUniversity of CologneUniversity of CologneIntroduction. Globally, hospitals are an important place in end-of-life care and most frequent place of death in Germany (47%), but at the same time, the least preferred one—both for patients and their informal caregivers. As hospital care in the dying phase on non-palliative care wards has rarely been studied systematically, we assessed the current state of care in the dying phase in hospitals as a first step. Methods. In an online survey, N = 165 national health experts were invited to answer eight open questions on care aspects, facilitators, barriers, and needs for improvement as well as COVID-19 pandemic specifics regarding hospital care in the dying phase. Sociodemographic data were analysed descriptively, and responses were analysed using qualitative thematic analysis. Results. Of n = 65 experts, 52% work as nursing staff and 30% as physicians. We identified facilitators, barriers, and needs for improvement regarding 11 topics on the following three levels: institutional level (general institutional conditions, hospital culture, and integration of specialist palliative care), team level (attitude towards and dealing with death and dying, competencies, communication, and teamwork) and care level (dying phase, symptom control, patient centredness, and involvement of informal caregivers). Conclusion. Improving care in the dying phase has to overcome barriers on various levels. We assume that rather “small” measures will find their way into clinical routine and contribute to the improvement of hospital care in the dying phase.http://dx.doi.org/10.1155/2024/1012971 |
| spellingShingle | Sukhvir Kaur Kathleen Boström Anneke Ullrich Nikolas Oubaid Karin Oechsle Holger Schulz Raymond Voltz Kerstin Kremeike Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase International Journal of Clinical Practice |
| title | Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase |
| title_full | Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase |
| title_fullStr | Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase |
| title_full_unstemmed | Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase |
| title_short | Health Experts’ Perspectives on Barriers, Facilitators, and Needs for Improvement of Hospital Care in the Dying Phase |
| title_sort | health experts perspectives on barriers facilitators and needs for improvement of hospital care in the dying phase |
| url | http://dx.doi.org/10.1155/2024/1012971 |
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