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Associations between successful palliative cancer pathways and community nurse involvement
BACKGROUND: Most terminally ill cancer patients and their relatives wish that the patient dies at home. Community nurses (CNs) are often frontline workers in the patients' homes and CN involvement may be important in attaining successful palliative pathways at home. The aim of the present study...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799387/ https://www.ncbi.nlm.nih.gov/pubmed/20003403 http://dx.doi.org/10.1186/1472-684X-8-18 |
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author | Neergaard, Mette Asbjoern Vedsted, Peter Olesen, Frede Sokolowski, Ineta Jensen, Anders Bonde Sondergaard, Jens |
author_facet | Neergaard, Mette Asbjoern Vedsted, Peter Olesen, Frede Sokolowski, Ineta Jensen, Anders Bonde Sondergaard, Jens |
author_sort | Neergaard, Mette Asbjoern |
collection | PubMed |
description | BACKGROUND: Most terminally ill cancer patients and their relatives wish that the patient dies at home. Community nurses (CNs) are often frontline workers in the patients' homes and CN involvement may be important in attaining successful palliative pathways at home. The aim of the present study was to examine associations between bereaved relatives' evaluation of palliative treatment at home and 1) place of death and 2) CN involvement. METHODS: The study is a population-based, cross-sectional combined register and questionnaire study performed in Aarhus County, Denmark. CN questionnaires were used to obtain data on CNs' efforts, GP-questionnaires were used to obtain data on pathway characteristics and relatives answered questionnaires to evaluate the palliative pathway at home. Questionnaires addressed the palliative pathway of a total of 599 deceased cancer patients. Associations between bereaved relatives' evaluation of palliative pathways at home and place of death and CN involvement were analysed. RESULTS: 'A successful palliative pathway at home' was positively associated with home-death and death at a nursing home compared with death at an institution. No significant associations were identified between the evaluations of the palliative pathway at home and the involvement of CNs. CONCLUSIONS: Our study indicates that dying at home is positively associated with a higher likelihood that the bereaved relative will evaluate the palliative pathway at home as successful. The absence of any significance of involvement of CNs may be ascribed to the variables for involvement chosen in the study. More research is needed on CNs' impact on palliative pathways. |
format | Text |
id | pubmed-2799387 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-27993872009-12-30 Associations between successful palliative cancer pathways and community nurse involvement Neergaard, Mette Asbjoern Vedsted, Peter Olesen, Frede Sokolowski, Ineta Jensen, Anders Bonde Sondergaard, Jens BMC Palliat Care Research Article BACKGROUND: Most terminally ill cancer patients and their relatives wish that the patient dies at home. Community nurses (CNs) are often frontline workers in the patients' homes and CN involvement may be important in attaining successful palliative pathways at home. The aim of the present study was to examine associations between bereaved relatives' evaluation of palliative treatment at home and 1) place of death and 2) CN involvement. METHODS: The study is a population-based, cross-sectional combined register and questionnaire study performed in Aarhus County, Denmark. CN questionnaires were used to obtain data on CNs' efforts, GP-questionnaires were used to obtain data on pathway characteristics and relatives answered questionnaires to evaluate the palliative pathway at home. Questionnaires addressed the palliative pathway of a total of 599 deceased cancer patients. Associations between bereaved relatives' evaluation of palliative pathways at home and place of death and CN involvement were analysed. RESULTS: 'A successful palliative pathway at home' was positively associated with home-death and death at a nursing home compared with death at an institution. No significant associations were identified between the evaluations of the palliative pathway at home and the involvement of CNs. CONCLUSIONS: Our study indicates that dying at home is positively associated with a higher likelihood that the bereaved relative will evaluate the palliative pathway at home as successful. The absence of any significance of involvement of CNs may be ascribed to the variables for involvement chosen in the study. More research is needed on CNs' impact on palliative pathways. BioMed Central 2009-12-14 /pmc/articles/PMC2799387/ /pubmed/20003403 http://dx.doi.org/10.1186/1472-684X-8-18 Text en Copyright ©2009 Neergaard et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Neergaard, Mette Asbjoern Vedsted, Peter Olesen, Frede Sokolowski, Ineta Jensen, Anders Bonde Sondergaard, Jens Associations between successful palliative cancer pathways and community nurse involvement |
title | Associations between successful palliative cancer pathways and community nurse involvement |
title_full | Associations between successful palliative cancer pathways and community nurse involvement |
title_fullStr | Associations between successful palliative cancer pathways and community nurse involvement |
title_full_unstemmed | Associations between successful palliative cancer pathways and community nurse involvement |
title_short | Associations between successful palliative cancer pathways and community nurse involvement |
title_sort | associations between successful palliative cancer pathways and community nurse involvement |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799387/ https://www.ncbi.nlm.nih.gov/pubmed/20003403 http://dx.doi.org/10.1186/1472-684X-8-18 |
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