Hannah J. Fairlamb
Health professionals’ perceptions of palliative care for end-stage cardiac and respiratory conditions: a qualitative interview study
Fairlamb, Hannah J.; Murtagh, Fliss E.M.
Professor Fliss Murtagh F.Murtagh@hull.ac.uk
Professor of Palliative Care
Background: End-stage cardiac and respiratory diseases are common in the UK. People with these end-stage conditions experience similar, or even worse, symptomatic suffering to cancer patients but are less likely to receive specialist palliative care services. The objective of this study is to explore health professional perceptions and current practices in relation to specialist palliative care for patients with end-stage cardiac and respiratory disease. Methods: Qualitative study using in-depth interviews with health professionals, audio recorded and transcribed verbatim for thematic analysis. The study was conducted with doctors and nurses from cardiology, respiratory, and palliative care specialities in the UK. The participants had to be involved clinically in providing care to people with end-stage cardiac or respiratory diseases. Results: A total of 16 health professionals participated (5 cardiology, 5 respiratory, and 6 palliative care). Participants reported variable disease trajectories in these diseases making deciding on timing of palliative care involvement difficult. This was complicated by lack of advance care planning discussions, attributed to poor communication, and lack of health professional time and confidence. Participants reported poor interdepartmental education and limited specialist palliative care involvement in multidisciplinary teams. Conclusions: Palliative care for end-stage cardiac and respiratory diseases needs more attention in research and practice. Better integration of advance care planning discussions and early patient education/professional awareness are needed to enable timely referral to palliative care. Moreover, increased interdepartmental working for health professionals via joint educational and clinical meetings is perceived as likely to support earlier and increased referral to specialist palliative care services.
Fairlamb, H. J., & Murtagh, F. E. (2021). Health professionals’ perceptions of palliative care for end-stage cardiac and respiratory conditions: a qualitative interview study. BMC Palliative Care, 20(1), Article 103. https://doi.org/10.1186/s12904-021-00805-3
|Journal Article Type||Article|
|Acceptance Date||Jun 11, 2021|
|Online Publication Date||Jul 7, 2021|
|Publication Date||Dec 1, 2021|
|Deposit Date||Aug 31, 2021|
|Publicly Available Date||Sep 1, 2021|
|Journal||BMC Palliative Care|
|Peer Reviewed||Peer Reviewed|
|Keywords||Palliative care; Hospice and palliative care nursing; Advance care planning; Cardiology; Respiratory tract diseases|
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