Barriers to ideal palliative care in multiple care settings: the nurses' point of view

Madeleen J Uitdehaag; Rebecca K Stellato; Peter Lugtig; Thirza Olden; Saskia Teunissen

doi:10.12968/ijpn.2019.25.6.294

Barriers to ideal palliative care in multiple care settings: the nurses' point of view

Madeleen J Uitdehaag, Rebecca K Stellato, Peter Lugtig, Thirza Olden, Saskia Teunissen

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Nurses and certified nursing assistants (CNA) have a crucial role in 24/7 continuity of palliative care for many vulnerable patients and families, however, their perspective has been largely omitted in reported barriers to palliative care.

AIM: To describe barriers to ideal palliative care that are specific to nurses and CNAs working in all care settings.

METHODS: A cross-sectional, online survey was distributed to members of the Dutch Nurses' Association.

FINDINGS: Almost 50% of the participating 2377 nurses and CNAs experienced more than five barriers to ideal palliative care in their work situation; nurses and CNAs employed in regional hospitals, mental healthcare and nursing home settings encountered more barriers than those working in other settings.

CONCLUSION: The three most common barriers were: lack of proactive care planning, lack of internal consultation possibilities and lack of assessment of care recipients' preferences and needs for a seamless transition to another setting.

Original language	English
Pages (from-to)	294-305
Number of pages	12
Journal	International journal of palliative nursing
Volume	25
Issue number	6
DOIs	https://doi.org/10.12968/ijpn.2019.25.6.294
Publication status	Published - 2 Jun 2019

Keywords

Multidisciplinary team
Nurse practitioners
Palliative care

Access to Document

10.12968/ijpn.2019.25.6.294

Cite this

@article{8cbc228a0e0d4285a01f4b27ac7b32de,

title = "Barriers to ideal palliative care in multiple care settings: the nurses' point of view",

abstract = "BACKGROUND: Nurses and certified nursing assistants (CNA) have a crucial role in 24/7 continuity of palliative care for many vulnerable patients and families, however, their perspective has been largely omitted in reported barriers to palliative care.AIM: To describe barriers to ideal palliative care that are specific to nurses and CNAs working in all care settings.METHODS: A cross-sectional, online survey was distributed to members of the Dutch Nurses' Association.FINDINGS: Almost 50% of the participating 2377 nurses and CNAs experienced more than five barriers to ideal palliative care in their work situation; nurses and CNAs employed in regional hospitals, mental healthcare and nursing home settings encountered more barriers than those working in other settings.CONCLUSION: The three most common barriers were: lack of proactive care planning, lack of internal consultation possibilities and lack of assessment of care recipients' preferences and needs for a seamless transition to another setting.",

keywords = "Multidisciplinary team, Nurse practitioners, Palliative care",

author = "Uitdehaag, {Madeleen J} and Stellato, {Rebecca K} and Peter Lugtig and Thirza Olden and Saskia Teunissen",

note = "Publisher Copyright: {\textcopyright} 2019 MA Healthcare Ltd.",

year = "2019",

month = jun,

day = "2",

doi = "10.12968/ijpn.2019.25.6.294",

language = "English",

volume = "25",

pages = "294--305",

journal = "International journal of palliative nursing",

issn = "1357-6321",

publisher = "MA Healthcare Ltd",

number = "6",

}

TY - JOUR

T1 - Barriers to ideal palliative care in multiple care settings

T2 - the nurses' point of view

AU - Uitdehaag, Madeleen J

AU - Stellato, Rebecca K

AU - Lugtig, Peter

AU - Olden, Thirza

AU - Teunissen, Saskia

PY - 2019/6/2

Y1 - 2019/6/2

N2 - BACKGROUND: Nurses and certified nursing assistants (CNA) have a crucial role in 24/7 continuity of palliative care for many vulnerable patients and families, however, their perspective has been largely omitted in reported barriers to palliative care.AIM: To describe barriers to ideal palliative care that are specific to nurses and CNAs working in all care settings.METHODS: A cross-sectional, online survey was distributed to members of the Dutch Nurses' Association.FINDINGS: Almost 50% of the participating 2377 nurses and CNAs experienced more than five barriers to ideal palliative care in their work situation; nurses and CNAs employed in regional hospitals, mental healthcare and nursing home settings encountered more barriers than those working in other settings.CONCLUSION: The three most common barriers were: lack of proactive care planning, lack of internal consultation possibilities and lack of assessment of care recipients' preferences and needs for a seamless transition to another setting.

AB - BACKGROUND: Nurses and certified nursing assistants (CNA) have a crucial role in 24/7 continuity of palliative care for many vulnerable patients and families, however, their perspective has been largely omitted in reported barriers to palliative care.AIM: To describe barriers to ideal palliative care that are specific to nurses and CNAs working in all care settings.METHODS: A cross-sectional, online survey was distributed to members of the Dutch Nurses' Association.FINDINGS: Almost 50% of the participating 2377 nurses and CNAs experienced more than five barriers to ideal palliative care in their work situation; nurses and CNAs employed in regional hospitals, mental healthcare and nursing home settings encountered more barriers than those working in other settings.CONCLUSION: The three most common barriers were: lack of proactive care planning, lack of internal consultation possibilities and lack of assessment of care recipients' preferences and needs for a seamless transition to another setting.

KW - Multidisciplinary team

KW - Nurse practitioners

KW - Palliative care

UR - http://www.scopus.com/inward/record.url?scp=85068678713&partnerID=8YFLogxK

U2 - 10.12968/ijpn.2019.25.6.294

DO - 10.12968/ijpn.2019.25.6.294

M3 - Article

C2 - 31242097

SN - 1357-6321

VL - 25

SP - 294

EP - 305

JO - International journal of palliative nursing

JF - International journal of palliative nursing

IS - 6

ER -

Barriers to ideal palliative care in multiple care settings: the nurses' point of view

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this