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01-12-2020 | Care | Research article

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

Authors: Agnès Oude Engberink, Maryse Mailly, Valerie Marco, Daniele Bourrie, Jean-Pierre Benezech, Josyane Chevallier, Sandrine Vanderhoeven, Remy Crosnier, Gérard Bourrel, Béatrice Lognos

Published in: BMC Palliative Care | Issue 1/2020

Abstract

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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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
Authors: Agnès Oude Engberink
Maryse Mailly
Valerie Marco
Daniele Bourrie
Jean-Pierre Benezech
Josyane Chevallier
Sandrine Vanderhoeven
Remy Crosnier
Gérard Bourrel
Béatrice Lognos
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: Care
Published in: BMC Palliative Care / Issue 1/2020
Electronic ISSN: 1472-684X
DOI: https://doi.org/10.1186/s12904-020-0536-0

At a glance: The STEP trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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