Team Approach in Palliative Care – A Literature Review

Authors

  • Anita Bandelj
  • Boris Miha Kaučič
  • Bojana Filej

Keywords:

interprofessional collaboration, palliative care, team approach

Abstract

Team approach in palliative care is of the utmost importance. The needs for a team treatment are specific, therefore healthcare workers need to be extremely experienced and empowered with professional knowledge in this field. The purpose of this article is to present scientific evidence from the field of team approach and education needs, and to point out the most common obstacles to the successful treatment of patients in palliative care. A review of scientific literature was based on the descriptive method. The selection of articles was made according to the following criteria: date of publication, full text accessibility, typology, contextual relevance, and topicality. The content analysis gave us fundamental starting points for understanding the meaning and needs for team approach in palliative care with an emphasis on the necessary education. We also determined the obstacles that impact the effectiveness of palliative patient care. In the implementation of palliative care, healthcare workers need to collaborate in an interprofessional manner, using the palliative approach when treating terminally ill and dying patients. Since they encounter numerous obstacles in their work, they are unable to satisfy all the needs of the terminally ill.

References

Bandelj, A. (2013). Strokovno organizacijski model paliativne oskrbe v socialno varstvenem avodu (Diplomsko delo). Slovenj Gradec: Visoka šola za zdravstvene vede Slovenj Gradec.

Best, M., Aldridge, L., Butow, P., Olver, I., Price, M. and Webster, F. (2015). Treatment of holistic suffering in cancer: a systematic literature review. Palliative Medicine, 29, No. 10, pp. 885–898.

Davies, N., Maio, L., Vedavanam, K., Manthorpe, J., Vernooij - Dassen, M. and Iliffe, S. (2014). Barriers to the provision of high-quality palliative care for people with dementia in England: a qualitative study of professionals’ experiences. Health and Social Care in the Community, 22, 386–394. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://doi.org/10.1111/hsc.12094.

Fink, T. (2016). Timski pristop kot način sodelovanja v hospicu. Kultura umiranja. Vzgoja, 71, str. 8–10.

Gibbins, J., McCoubrie, R. and Forbes, K. (2011). Why are newly qualified doctors unprepared to care for patients at the end of life? Medical Education, 45, 389–399. Pridobljeno 21. 3. 2018 s svetovnega spleta: https://doi.org/10.1111/j.1365-2923.2010.03873.x.

Goršak Lovšin, V. (2012). Paliativna oskrba starih ljudi. V: Železnik, D., Kaučič, B. M., Železnik, U. idr. (ur.). Zbornik predavanj z recenzijo 2. znanstvene konference z mednarodno udeležbo s področja zdravstvenih ved. Laško. Slovenj Gradec: Visoka šola za zdravstvene vede Slovenj Gradec, str. 360.

Green, B. and Johnson, D. (2015). Interprofessional collaboration in research, education, and clinical practice: working together for a better future. The journal of Chiropractic Education, 29, No. 1, pp. 1–10.

Hudarin Kovačič, D. (2017). Vloga medicinske sestre v patronažni dejavnosti v paliativni obravnavi. V: Majcen Dvoršak, S. idr. (ur.). Medicinske sestre in babice - ključne za zdravstveni sistem, Zbornik predavanj z recenzijo. 11. kongres zdravstvene in babiške nege Slovenije. Brdo pri Kranju. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije- Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, Nacionalni center za strokovni, karierni in osebnostni razvoj medicinskih sester in babic, str. 273–279.

Johansen, M. L. and Ervik, B. (2018). Teamwork in primary palliative care: general practitioners’ and specialised oncology nurses’complementary competencies. Health Services Research, 18, No. 159, pp. 2–8.

Keane, B., Bellamy, G. and Gott, M. (2017). General practice and specialist palliative care teams: an exploration of their working relationship from the perspective of clinical staff working in New Zealand. Health and Social Care in the Community, 25, 215–223. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://www.ncbi.nlm.nih.gov/pubmed/26499879.

Kennedy Sheldon, L., Dahlin, C., Maingi, S. and Sanchez, J. A. (2017). A Multiorganization Approach to Improving Palliative Care in Honduras. Oncology nursing forum, 44, 11–14. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://onf.ons.org/onf/44/1.

Kobentar, R. (2014). Celostni pristop k ugotavljanju in obravnavi bolečine pri obolelih za demenco: na dokazih podprta priporočila za dobro prakso. Obzornik zdravstvene nege, 48, 227–237. Pridobljeno dne 23. 3. 2018 s svetovnega spleta: http://dx.doi.org/10.14528/snr.2014.48.3.29.

Lamahewa, K., Mathew, R., Iliffe, S., Wilcock, J., Manthorpe, J., Sampson, E. L. and Davies, N. (2017). A qualitative study exploring the difficulties influencing decision making at the end of life for people with dementia. Health Expect, 21, 118–127. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://dx.doi.org/10.1111%2Fhex.12593.

Lopuh, M. (2014). Kaj je paliativna oskrba bolnika? V: Zelko, E. idr. (ur.). Hišni obisk, urgenca in paliativna oskrba bolnika v ambulanti družinske medicine. Ljubljana: Združenje zdravnikov družinske medicine SZD, Zavod za razvoj družinske medicine, str. 43–44.

Ministrstvo za zdravje Republike Slovenije (2010). Državni program paliativne oskrbe. Pridobljeno dne 23. 3. 2018 s svetovnega spleta: https://www.google.si/?gws_rd=cr,ssl&ei=xq1JWLOZI4XgaN6YgYgL#q=dr%C5%BEavni+program+paliativne+oskrbe.

Namara, B., Same, A., Rosenwax, L. and Kelly, B. (2018). Palliative care for people with schizophrenia: a qualitative study of an under-serviced group in need. BMC Palliative Care, 17, 1–11. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://doi.org/10.1186/s12904-018-0309-1.

Patru, S. (2017). Paliativna oskrba v domovih za starejše v Sloveniji (Magistrsko delo). Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede.

Peterka Novak, J. (2016). Gradnja strokovnih zmogljivosti zaposlenih v zdravstveni negi. Obzornik zdravstvene nege, 50, št. 1, str. 65–75.

Plas, A., Hagens, M., Pasman, R., Schweitzer, B., Duijsters, M. and Onwuteaka - Philipsen, B. (2014). PaTz groups for primary palliative care: reinventing cooperation between general practitioners and district nurses in palliative care: an evaluation study combining data from focus groups and a questionnaire. Bio medical center Familiy Practice, 15, No. 14, pp. 1–13.

Potisek, M., Poljančič, L., Jagodic, S., Čugura, T. in Pintarić, K. (2011). Zdravnik in medpoklicno sodelovanje. Medpoklicno sodelovanje. Ljubljana: Univerza v Ljubljani, Medicinska fakulteta, Katedra za javno zdravje, str. 6–9.

Provinciali, L., Carlini, G., Tarquini, D., Defanti, C. A., Veronese, S. A. and Pucci, E. (2016). Need for palliative care for neurological diseases. Neurological Science, 37, 1581–1587. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://www.ncbi.nlm.nih.gov/pubmed/27299428#.

Pype, P., Symons, L., Wens, L., Eynden, B., Stess, A., Cherr, G. and Deveugele, M. (2013). Healthcare professionals' perceptions toward interprofessional collaboration in palliative home care: A view from Belgium. Journal of Interprofessional Care, 27, 313–319. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: https://doi.org/10.3109/13561820.2012.745488.

Špiler, R. (2012). Terapevtska komunikacija medicinske sestre v paliativni negi (Diplomsko delo). Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede.

Wittenberg - Lyles, E., Goldsmith, J. in Ragan, S. (2011). The Shift to Early Palliative Care: A Typology of Illness Journeys and the Role of Nursing. Clinical Journal of Oncology Nursing, 15, No. 3, pp. 304–310.

World Health Organization (2017). 10 facts on palliative care. Pridobljeno dne 22. 3. 2018 s svetovnega spleta: http://www.who.int/features/factfiles/palliative-care/en/.

Zakon o spremembah in dopolnitvah Zakona o pacientovih pravicah (ZpacP-A). (2017). Uradni list RS, št. 55. Pridobljeno dne 23. 3. 2018 s svetovnega spleta: https://www.uradni-list.si/glasilouradni-list-rs/vsebina/2017-01-2526/zakon-o-spremembah-in-dopolnitvah-zakona-o-pacientovihpravicah-zpacp-a?h=pacientovih%20pravicah.

Zavratnik, B. in Trontelj, M. (2011). Komunikacija ob koncu življenja. V: Matković, M. in Petrijevčanin, B. (ur.). Komunikacija in njene vrzeli pri delu z onkološkim pacientom. Maribor: Sekcija medicinskih sester in zdravstvenih tehnikov v onkologiji pri Zbornici zdravstvene in babiške nege, Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, str. 78.

Zheng, L., Finucane, A. M., Oxenham, D., Loughlin, P., Hazel Cutcheon, H. and Murray, S. (2013). How good is primary care at identifying patients who need palliative care? A mixed methods study. European Journal of Palliat Care, 20, No. 5, pp. 216–222.

Published

2022-04-14

How to Cite

Bandelj, A., Kaučič, B. M., & Filej, B. (2022). Team Approach in Palliative Care – A Literature Review. Revija Za Zdravstvene Vede, 5(1), 61–73. Retrieved from https://www.jhs.si/index.php/JHS/article/view/68

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