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A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France

BACKGROUND: Despite a broad consensus and recommendations, numerous international reports or studies have shown the difficulties of implementing palliative care within healthcare services. The objective of this study was to understand the palliative approach of registered nurses in hospital medical...

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Autores principales: Engberink, Agnès Oude, Mailly, Maryse, Marco, Valerie, Bourrie, Daniele, Benezech, Jean-Pierre, Chevallier, Josyane, Vanderhoeven, Sandrine, Crosnier, Remy, Bourrel, Gérard, Lognos, Béatrice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085140/
https://www.ncbi.nlm.nih.gov/pubmed/32197609
http://dx.doi.org/10.1186/s12904-020-0536-0
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author Engberink, Agnès Oude
Mailly, Maryse
Marco, Valerie
Bourrie, Daniele
Benezech, Jean-Pierre
Chevallier, Josyane
Vanderhoeven, Sandrine
Crosnier, Remy
Bourrel, Gérard
Lognos, Béatrice
author_facet Engberink, Agnès Oude
Mailly, Maryse
Marco, Valerie
Bourrie, Daniele
Benezech, Jean-Pierre
Chevallier, Josyane
Vanderhoeven, Sandrine
Crosnier, Remy
Bourrel, Gérard
Lognos, Béatrice
author_sort Engberink, Agnès Oude
collection PubMed
description BACKGROUND: Despite a broad consensus and recommendations, numerous international reports or studies have shown the difficulties of implementing palliative care within healthcare services. The objective of this study was to understand the palliative approach of registered nurses in hospital medical and surgical care units and their use of mobile palliative care teams. METHODS: Qualitative study using individual in depth semi-structured interviews and focus group of registered nurses. Data were analyzed using a semiopragmatic phenomenological analysis. Expert nurses of mobile palliative care team carried out this study. 20 registered nurses from three different hospitals in France agreed to participate. RESULTS: Nurses recognize their role as being witnesses to the patient’s experience through their constant presence. This is in line with their professional values and gives them an “alert role” that can anticipate a patient-centered palliative approach. The physician’s positioning on palliative care plays a key role in its implementation. The lack of recognition of the individual role of the nurse leads to a questioning of her/his professional values, causing inappropriate behavior and distress. According to nurses, “rethinking care within a team environment” allows for the anticipation of a patient-centered palliative approach. Mobile Palliative Care Team highlights the major role of physicians-nurses “balance” while providing personal and professional support. CONCLUSIONS: The Physician’s positioning and attitude toward palliative approach sets the tone for its early implementation and determines the behavior of different staff members within healthcare service. “Recognition at work”, specifically “recognition of the individual role of nurse” is an essential concept for understanding what causes the delay in the implementation of a palliative approach. Interprofessional training (physicians and nurses) could optimize sharing expertise. Registered nurses consider MPCT as a “facilitating intermediary” within the healthcare service improving communication. Restoring a balance in sharing care and decision between physicians and other caregivers lead care teams to an anticipated and patient-centered palliative approach according to guidelines.
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spelling pubmed-70851402020-03-23 A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France Engberink, Agnès Oude Mailly, Maryse Marco, Valerie Bourrie, Daniele Benezech, Jean-Pierre Chevallier, Josyane Vanderhoeven, Sandrine Crosnier, Remy Bourrel, Gérard Lognos, Béatrice BMC Palliat Care Research Article BACKGROUND: Despite a broad consensus and recommendations, numerous international reports or studies have shown the difficulties of implementing palliative care within healthcare services. The objective of this study was to understand the palliative approach of registered nurses in hospital medical and surgical care units and their use of mobile palliative care teams. METHODS: Qualitative study using individual in depth semi-structured interviews and focus group of registered nurses. Data were analyzed using a semiopragmatic phenomenological analysis. Expert nurses of mobile palliative care team carried out this study. 20 registered nurses from three different hospitals in France agreed to participate. RESULTS: Nurses recognize their role as being witnesses to the patient’s experience through their constant presence. This is in line with their professional values and gives them an “alert role” that can anticipate a patient-centered palliative approach. The physician’s positioning on palliative care plays a key role in its implementation. The lack of recognition of the individual role of the nurse leads to a questioning of her/his professional values, causing inappropriate behavior and distress. According to nurses, “rethinking care within a team environment” allows for the anticipation of a patient-centered palliative approach. Mobile Palliative Care Team highlights the major role of physicians-nurses “balance” while providing personal and professional support. CONCLUSIONS: The Physician’s positioning and attitude toward palliative approach sets the tone for its early implementation and determines the behavior of different staff members within healthcare service. “Recognition at work”, specifically “recognition of the individual role of nurse” is an essential concept for understanding what causes the delay in the implementation of a palliative approach. Interprofessional training (physicians and nurses) could optimize sharing expertise. Registered nurses consider MPCT as a “facilitating intermediary” within the healthcare service improving communication. Restoring a balance in sharing care and decision between physicians and other caregivers lead care teams to an anticipated and patient-centered palliative approach according to guidelines. BioMed Central 2020-03-20 /pmc/articles/PMC7085140/ /pubmed/32197609 http://dx.doi.org/10.1186/s12904-020-0536-0 Text en © The Author(s). 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Engberink, Agnès Oude
Mailly, Maryse
Marco, Valerie
Bourrie, Daniele
Benezech, Jean-Pierre
Chevallier, Josyane
Vanderhoeven, Sandrine
Crosnier, Remy
Bourrel, Gérard
Lognos, Béatrice
A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France
title A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France
title_full A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France
title_fullStr A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France
title_full_unstemmed A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France
title_short A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France
title_sort phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in france
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085140/
https://www.ncbi.nlm.nih.gov/pubmed/32197609
http://dx.doi.org/10.1186/s12904-020-0536-0
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