Literature DB >> 18197982

Palliative care for cancer patients in a primary health care setting: Bereaved relatives' experience, a qualitative group interview study.

Mette Asbjoern Neergaard1, Frede Olesen, Anders Bonde Jensen, Jens Sondergaard.   

Abstract

BACKGROUND: Knowledge about the quality and organisation of care to terminally ill cancer patients with a relatives' view in a primary health care setting is limited.The aim of the study is to analyse experiences and preferences of bereaved relatives to terminally ill cancer patients in a primary care setting to explore barriers and facilitators for delivery of good palliative home care.
METHODS: Three focus group interviews with fourteen bereaved relatives in Aarhus County, Denmark.
RESULTS: Three main categories of experience were identified: 1) The health professionals' management, where a need to optimize was found. 2) Shared care, which was lacking. 3) The relatives' role, which needs an extra focus.
CONCLUSION: Relatives experience insufficient palliative care mainly due to organizational and cultural problems among professionals. Palliative care in primary care in general needs improvement and attention should be drawn to the "professionalization" of the relatives and the need to strike a balance between their needs, wishes and resources in end-of-life care and bereavement.

Entities:  

Year:  2008        PMID: 18197982      PMCID: PMC2254378          DOI: 10.1186/1472-684X-7-1

Source DB:  PubMed          Journal:  BMC Palliat Care        ISSN: 1472-684X            Impact factor:   3.234


  23 in total

Review 1.  Qualitative research in health care. Analysing qualitative data.

Authors:  C Pope; S Ziebland; N Mays
Journal:  BMJ       Date:  2000-01-08

2.  Palliative care provided by GPs: the carer's viewpoint.

Authors:  B Hanratty
Journal:  Br J Gen Pract       Date:  2000-08       Impact factor: 5.386

Review 3.  Enhancing rigor in qualitative description: a case study.

Authors:  Jill Milne; Kathleen Oberle
Journal:  J Wound Ostomy Continence Nurs       Date:  2005 Nov-Dec       Impact factor: 1.741

4.  General practitioners (GPs) and palliative care: perceived tasks and barriers in daily practice.

Authors:  Marieke M Groot; Myrra J F J Vernooij-Dassen; Ben J P Crul; Richard P T M Grol
Journal:  Palliat Med       Date:  2005-03       Impact factor: 4.762

Review 5.  Cancer pain relief and palliative care. Report of a WHO Expert Committee.

Authors: 
Journal:  World Health Organ Tech Rep Ser       Date:  1990

6.  Patients' views on interpersonal continuity in primary care: a sense of security based on four core foundations.

Authors:  Inger von Bültzingslöwen; Gösta Eliasson; Anneli Sarvimäki; Bengt Mattsson; Per Hjortdahl
Journal:  Fam Pract       Date:  2005-12-16       Impact factor: 2.267

7.  The quality of medical care.

Authors:  A Donabedian
Journal:  Science       Date:  1978-05-26       Impact factor: 47.728

8.  Factors considered important at the end of life by patients, family, physicians, and other care providers.

Authors:  K E Steinhauser; N A Christakis; E C Clipp; M McNeilly; L McIntyre; J A Tulsky
Journal:  JAMA       Date:  2000-11-15       Impact factor: 56.272

9.  Randomised controlled trial of a shared care programme for newly referred cancer patients: bridging the gap between general practice and hospital.

Authors:  J D Nielsen; T Palshof; J Mainz; A B Jensen; F Olesen
Journal:  Qual Saf Health Care       Date:  2003-08

10.  Vulnerability of family caregivers in terminal palliative care at home; balancing between burden and capacity.

Authors:  Ireen M Proot; Huda Huijer Abu-Saad; Harry F J M Crebolder; Minke Goldsteen; Karen A Luker; Guy A M Widdershoven
Journal:  Scand J Caring Sci       Date:  2003-06
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  17 in total

1.  Who is the key worker in palliative home care?

Authors:  Trine Brogaard; Anders Bonde Jensen; Ineta Sokolowski; Frede Olesen; Mette Asbjørn Neergaard
Journal:  Scand J Prim Health Care       Date:  2011-08-23       Impact factor: 2.581

2.  Associations between successful palliative trajectories, place of death and GP involvement.

Authors:  Mette Asbjoern Neergaard; Peter Vedsted; Frede Olesen; Ineta Sokolowski; Anders Bonde Jensen; Jens Sondergaard
Journal:  Scand J Prim Health Care       Date:  2010-09       Impact factor: 2.581

3.  Associations between home death and GP involvement in palliative cancer care.

Authors:  Mette A Neergaard; Peter Vedsted; Frede Olesen; Ineta Sokolowski; Anders B Jensen; Jens Søndergaard
Journal:  Br J Gen Pract       Date:  2009-09       Impact factor: 5.386

4.  What about N? A methodological study of sample-size reporting in focus group studies.

Authors:  Benedicte Carlsen; Claire Glenton
Journal:  BMC Med Res Methodol       Date:  2011-03-11       Impact factor: 4.615

Review 5.  The preferences and perspectives of family caregivers towards place of care for their relatives at the end-of-life. A systematic review and thematic synthesis of the qualitative evidence.

Authors:  Caroline Woodman; Jessica Baillie; Stephanie Sivell
Journal:  BMJ Support Palliat Care       Date:  2015-05-19       Impact factor: 3.568

6.  Danish general practitioners' self-reported competences in end-of-life care.

Authors:  Anna Winthereik; Mette Neergaard; Peter Vedsted; Anders Jensen
Journal:  Scand J Prim Health Care       Date:  2016-11-08       Impact factor: 2.581

7.  Qualitative description - the poor cousin of health research?

Authors:  Mette Asbjoern Neergaard; Frede Olesen; Rikke Sand Andersen; Jens Sondergaard
Journal:  BMC Med Res Methodol       Date:  2009-07-16       Impact factor: 4.615

8.  Associations between successful palliative cancer pathways and community nurse involvement.

Authors:  Mette Asbjoern Neergaard; Peter Vedsted; Frede Olesen; Ineta Sokolowski; Anders Bonde Jensen; Jens Sondergaard
Journal:  BMC Palliat Care       Date:  2009-12-14       Impact factor: 3.234

9.  Caregivers' active role in palliative home care - to encourage or to dissuade? A qualitative descriptive study.

Authors:  Anna Weibull; Frede Olesen; Mette Asbjoern Neergaard
Journal:  BMC Palliat Care       Date:  2008-09-16       Impact factor: 3.234

10.  Are Cancer Patients' Socioeconomic and Cultural Factors Associated with Contact to General Practitioners in the Last Phase of Life?

Authors:  M A Neergaard; F Olesen; J Sondergaard; P Vedsted; A B Jensen
Journal:  Int J Family Med       Date:  2015-08-27
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