How to Manage Hospital-Based Palliative Care Teams Without Full-Time Palliative Care Physicians in Designated Cancer Care Hospitals: A Qualitative Study

Am J Hosp Palliat Care. 2016 Jul;33(6):520-6. doi: 10.1177/1049909115569879. Epub 2015 Jan 29.

Abstract

Objective: To clarify how highly active hospital palliative care teams can provide efficient and effective care regardless of the lack of full-time palliative care physicians.

Methods: Semistructured focus group interviews were conducted, and content analysis was performed.

Results: A total of 7 physicians and 6 nurses participated. We extracted 209 codes from the transcripts and organized them into 3 themes and 21 categories, which were classified as follows: (1) tips for managing palliative care teams efficiently and effectively (7 categories); (2) ways of acquiring specialist palliative care expertise (9 categories); and (3) ways of treating symptoms that are difficult to alleviate (5 categories).

Conclusions: The findings of this study can be used as a nautical chart of hospital-based palliative care team (HPCT) without full-time PC physician. Full-time nurses who have high management and coordination abilities play a central role in resource-limited HPCTs.

Keywords: consultation; education; management; palliative care; palliative care teams; qualitative research.

MeSH terms

  • Adult
  • Cancer Care Facilities / organization & administration*
  • Efficiency, Organizational
  • Female
  • Group Processes
  • Health Personnel / organization & administration*
  • Humans
  • Inservice Training
  • Male
  • Middle Aged
  • Palliative Care / organization & administration*
  • Patient Care Team / organization & administration*
  • Patient Comfort
  • Personnel Staffing and Scheduling
  • Physicians / organization & administration*
  • Primary Health Care / organization & administration
  • Qualitative Research
  • Referral and Consultation / organization & administration