scholarly journals Early palliative home care: Evaluation of an interprofessional educational intervention for district nurses and general practitioners about nutritional care

2017 ◽  
Vol 5 ◽  
pp. 205031211772646 ◽  
Author(s):  
Erika Berggren ◽  
Ann Ödlund Olin ◽  
Ylva Orrevall ◽  
Peter Strang ◽  
Sven-Erik Johansson ◽  
...  
Keyword(s):  
Home Care ◽  
General Practitioners ◽  
Educational Intervention ◽  
Palliative Home Care ◽  
Nutritional Care ◽  
District Nurses ◽  
Care Evaluation

Cooperating with a palliative home-care team: expectations and evaluations of GPs and district nurses

2005 ◽  
Vol 19 (3) ◽  
pp. 241-250 ◽  
Author(s):  
Dorthe Goldschmidt ◽  
Mogens Groenvold ◽  
Anna Thit Johnsen ◽  
Annette S Strömgren ◽  
Allan Krasnik ◽  
...  
Keyword(s):  
Home Care ◽  
Care Team ◽  
Palliative Home Care ◽  
District Nurses

District nurses' experiences of providing palliative care in the home: An interview study

2019 ◽  
Vol 40 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Elina Mikaelsson Midlöv ◽  
Terese Lindberg
Keyword(s):  
Palliative Care ◽  
Content Analysis ◽  
Home Care ◽  
Qualitative Content Analysis ◽  
Care Team ◽  
Organizational Changes ◽  
Structured Interviews ◽  
Palliative Home Care ◽  
District Nurses ◽  
At Home

The trend shows that more people are choosing to die at home. Since at home palliative care is often provided by district nurses, their work will be affected, and the burden will increase. The aim of this study was to illuminate district nurses' experiences of providing palliative care in the home. Qualitative semi-structured interviews were conducted with 12 district nurses. The interviews were analyzed according to the qualitative content analysis methods that Graneheim and Lundman describe. Findings consist of three main categories with nine subcategories. The conclusion is that collaboration with others is essential. Providing palliative care in the home is both emotionally rewarding and demanding, and the work is additionally time and expertise consuming. District nurses want more resources and organizational changes, such as access to doctors and a palliative home care team who only work with these patients. This would be an advantage both for district nurses and the patients.

scholarly journals ‘Prevent undernutrition and prescribe oral nutritional supplements correctly’: an educational intervention for district nurses

2019 ◽  
Vol 20 ◽  
Author(s):  
L. Samuelsson ◽  
M. Södergren ◽  
E. Berggren ◽  
L. Törnkvist
Keyword(s):  
Health Care ◽  
Educational Intervention ◽  
Nutritional Supplements ◽  
Nutritional Care ◽  
New Information ◽  
Oral Nutritional Supplements ◽  
District Nurses ◽  
Before And After ◽  
Level Of Knowledge ◽  
Educational Course

Abstract Aim: The aim of this study was to evaluate district nurses’ (DN) perceived nutritional care and actual level of knowledge about nutritional care before and after a continuing educational intervention. Background: Nutritional treatment is an important part of nursing care, and health professionals responsible for nutritional care for older adults must therefore have sufficient understanding of nutritional problems to provide appropriate support. Previous research has shown that nutritional problems frequently go unrecognized and that health care personnel often lacks knowledge about nutritional care and relevant methods of assessing nutritional status. However, little is known about DNs’ knowledge about nutritional care. Methods: An evaluative study with a study-specific questionnaire administered before and after a 2.5-day continuing educational course for DNs in primary health care in Stockholm County, Sweden. The course was given over a period of two to three months. The questionnaire measured DNs’ perceived nutritional care and actual level of knowledge about nutritional care. Findings: A total of 456 DNs completed the questionnaire both before and after the intervention. Participants’ mean age was 50 years. They had worked a mean of 26 years in health care and 10 years as DNs. Before the intervention, many DNs reported that they did not work with nutritional care in an optimal way. After the intervention, significant improvements were found in perceived nutritional care and actual level of knowledge about the topic. However, not all DNs achieved the learning objectives of the course, so work remains to be done to ensure that DNs have sufficient knowledge of nutritional care to provide appropriate support and correctly prescribe oral nutritional supplements. Conclusions: The study provides new information on DNs’ perceived nutritional care and actual level of knowledge. The result of the intervention helps lay the foundation for good nutritional care for older patients in primary care.

General Practitioners’ Perspectives on General and Specialized Palliative Home Care in North Rhine, Germany: An Explorative Focus Group Study

2020 ◽  
Vol 38 (1) ◽  
pp. 32-38
Author(s):  
Sophie Peter ◽  
Anna Maria Volkert ◽  
Holger Pfaff ◽  
Lukas Radbruch ◽  
Roman Rolke ◽  
...  
Keyword(s):  
Focus Group ◽  
Home Care ◽  
General Practitioners ◽  
Small Field ◽  
Focus Group Study ◽  
Palliative Home Care ◽  
Positive Attitudes ◽  
Multidisciplinary Cooperation ◽  
High Motivation

Background: General practitioners (GPs) are important providers and coordinators of palliative home care (PHC). Through this double role, their perspectives and their treatment decisions influence PHC fundamentally. This study aims to gain deeper insights into GPs’ perspectives regarding PHC in North Rhine, Germany. Methods: An explorative, semistructured focus group was conducted with 7 doctors. The researchers performed content analysis. Main topics were GPs’ role definition in PHC and GPs’ medical activities in PHC. Results: Participating GPs describe their role in PHC, based on high motivation and positive attitudes toward PHC as a hybrid role: coordinator, provider (mostly in general PHC), and referrer (gateway to palliative care [PC] specialists). According to GPs’ medical activity, participants describe moderate expertise, demanding tasks, and elaborate PHC provision for GPs. Participants stressed the importance of PC in GPs’ work. But also PC is a small field in general practice. GPs’ PHC benefits from the deep trust resulting from the often close and long-term GP–patient relationship. Complexity and bureaucracy of PHC structures as well as the lack of resources and multidisciplinary cooperation are named as barriers for providing PHC. The highest level of care is reached in specialized PHC, which only very few, severely impaired patients need. Conclusions: Participating GPs see themselves as important PHC providers as well as referrers and coordinators. Complexity and discontinuity in PC arrangements create challenges for their provision. Therefore, they long for reduced bureaucratic burdens.

scholarly journals District nurses and general practitioners’ negotiation of responsibility for nutritional care for patients in palliative phases cared for at home

2020 ◽  
Vol 21 ◽  
Author(s):  
Erika Berggren ◽  
Lena Törnkvist ◽  
Ann Ödlund Olin ◽  
Ylva Orrevall ◽  
Peter Strang ◽  
...  
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Theoretical Model ◽  
General Practitioners ◽  
Main Concern ◽  
Learning Context ◽  
Interprofessional Learning ◽  
Nutritional Care ◽  
District Nurses ◽  
At Home

Abstract Aim: To explore district nurses and general practitioners (GPs) interaction in a case seminar when discussing nutritional care for patients in palliative phases cared for at home and to construct a theoretical model illuminating the professionals’ main concern. Background: Nutritional care for people who are frail and older requires collaboration between nurses and physicians in primary health care. However, both collaboration and knowledge need to be improved, and there is a lack of continuing interprofessional education to meet these needs. We therefore developed an interprofessional educational intervention about nutritional care for patients in palliative phases of disease that was adapted to primary home health care and ended with a case seminar. The case seminar discussions gave us the opportunity to study micro-level interactions between district nurses and GPs in a learning context. Methods: Grounded theory method was used to construct a theoretical model of the interactions between district nurses and GPs as they discussed an authentic case. Findings: A substantive grounded theory that illuminates how district nurses and GPs interacted, negotiating responsibility for nutritional care for patients in palliative phases cared for at home. The theory is described in a tentative theoretical model that delineates factors that facilitate interprofessional dialogue and lead to interprofessional learning, or block such dialogue and learning. The theoretical model illuminates the importance of a distinction between uniprofessional and interprofessional dialogue in interprofessional educational interventions. It suggests that interprofessional learning was generated directly from the interaction between district nurses and GPs in the case seminar discussions. The model can be used to promote better teamwork and collaboration in caring; for example, as a basis for reflection in collaborative and interprofessional learning interventions and as a tool for facilitators and teachers.

Tinjauan sistematis: Efektifitas Palliative Home Care untuk Pasien dengan HIV/AIDS

1970 ◽  
Vol 5 (1) ◽  
Author(s):  
Linlin Lindayani ◽  
Nenden Nur Asriyani Maryam
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Palliative Medicine ◽  
Cochrane Library ◽  
Palliative Home Care ◽  
Hiv Aids

Asuhan palitif untuk pasien dengan HIV/AIDS merupakan elemen inti dari asuhan pasien dengan HIV/AIDS. Asuhan paliatif yang berbasis home care saat ini menjadi elemen penting yang digunakan di berbagainegara. Akan tetapi, tidak ada studi atau tinjauan sebelumnya yang menganalisis efektifitas dari asuhanpaliatif yang berbasis home care pada pasien dengan HIV/AIDS. Tujuan dari tinjauan sistematik ini adalahuntuk mengevaluasi efektivitas Palliative Home Care untuk pasien dengan HIV/AIDS terhadap nyeri,pengendalian gejala, meningkatkan kualitas hidup, meningkatkan kepuasan asuhan, dan efektivitas biaya.Pencarian awal terbatas dilakukan di MEDLINE dan CINAHL. Kedua database tersebut dipilih denganpertimbangan bahwa keduanya merupakan database terbesar di bidang kesehatan dan kedokteran. Kemudiastrategi pencarian lainnya dilakukan pada database lain meliputi: Cochrane Library, UpToDate, Ovid, AIDSCare, Journal of Palliative Care, dan Journal of Palliative Medicine. Studi yang diterbitkan dalam Bahasa Inggrisdan tahun 2000-2016 dipertimbangkan untuk dimasukkan dalam tinjauan ini. Data diekstrak oleh penulis dandiringkas menggunakan alat ekstraksi data dari JBI (Joanna Briggs Institute). Kami menemukan 4 studi yangmasuk kedalam kriteria tinjauan kami, satu studi randomizes control trial dan tiga studi prospectively control.Hasil dari tinjauan ini menunjukkan bahwa Palliative Home Care terbukti efektif dalam mengontol nyeridan gejala-gelaja lain, mempertahankan dan meningkatkan kualitas hidup pasien, tingginya kepuasan daripasien dan kelurga terhadap asuhan Palliative Home Care berkisar 93% - 96% dan lebih cost-effectivenessdibandingkan dengan Hospital-Based Palliative Care. Dengan demikian, penting untuk mengembangkanPalliative Home Care untuk pasien dengan HIV/AIDS terutama untuk negara dengan sumber daya yang terbatas.

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