Psycho-oncology · 2025
Early Palliative Care Team's Perception of Relational Work for Advanced Cancer Patients: A Qualitative Study.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bouleuc C, Thery L, Gilbert E, Burnod A, Laouisset C, Marchal T, Legrand E, Mino J C
Аннотация
BACKGROUND: In a day hospital stay, the palliative care (PC) delivery includes multi-disciplinary assessment of palliative care (PC) needs, with treating oncologist and supportive care professionals with a long time allocated for discussions with the patients and family. But little is known about the specificity of the relational work delivered by the PC team.
AIMS: The aim of this study was to explore the nature of the relational work carried out at the PC day hospital from the perspective of the PC team.
METHODS: This qualitative research used semi-structured open-ended interviews, conducted and analysed according to grounded theory. Twelve physicians and twelve nurses from PC team were interviewed over a period of 5 months to collect clinical cases.
RESULTS: The analysis resulted in three main categories that explain the processes of relational work during PC Day Hospital sessions: (1) Patient engagement is necessary to increase relational work and gain patients' confidence. This involves initiating medical exchanges from the patient's point of view to obtain their participation; (2) Raising awareness of irreversible decline and approaching death using interactive relational work tactics, in line with oncologists when making decisions and announcing the discontinuation of cancer treatment; (3) Managing the final phase of the cancer trajectory requires negotiating home care terms and being aware of the family's influence.
CONCLUSIONS: PC day hospital in cancer centres allows a pluri-professional relational work including the oncologists which facilitates serious illness conversation, advance care planning and end-of-life care management for advanced cancer patients.
AIMS: The aim of this study was to explore the nature of the relational work carried out at the PC day hospital from the perspective of the PC team.
METHODS: This qualitative research used semi-structured open-ended interviews, conducted and analysed according to grounded theory. Twelve physicians and twelve nurses from PC team were interviewed over a period of 5 months to collect clinical cases.
RESULTS: The analysis resulted in three main categories that explain the processes of relational work during PC Day Hospital sessions: (1) Patient engagement is necessary to increase relational work and gain patients' confidence. This involves initiating medical exchanges from the patient's point of view to obtain their participation; (2) Raising awareness of irreversible decline and approaching death using interactive relational work tactics, in line with oncologists when making decisions and announcing the discontinuation of cancer treatment; (3) Managing the final phase of the cancer trajectory requires negotiating home care terms and being aware of the family's influence.
CONCLUSIONS: PC day hospital in cancer centres allows a pluri-professional relational work including the oncologists which facilitates serious illness conversation, advance care planning and end-of-life care management for advanced cancer patients.