Enhancing the Adult and Paediatric Palliative Care System: Spanish Professionals' and Family Caregivers' Suggestions for Comprehensive Improvement

This research critically explores deficiencies in the palliative care system, focusing on evaluation and treatment aspects for both adult and paediatric patients. Using a qualitative methodology, the study engages healthcare professionals and family caregivers to uncover perspectives on the existing...

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Bibliographic Details
Published in:Healthcare (Basel) 2023-12, Vol.12 (1), p.65
Main Authors: Llop-Medina, Laura, García-Muñoz, Paula, Ródenas-Rigla, Francisco, Garcés-Ferrer, Jorge
Format: Article
Language:English
Subjects:
Adults
adults palliative care
Caregivers
Collaboration
Data analysis
Demographic aspects
Design
evaluator indicators
family caregivers
Field study
Focus groups
Hospitals
Medical care
Medical personnel
Medical policy
Medical research
Medicine, Experimental
Methods
paediatric palliative care
Palliative care
palliative care system
Palliative treatment
Patients
Pediatric nursing
Pediatrics
Professional ethics
Professionals
Qualitative research
quality improvement
Quality management
Research methodology
Social workers
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Summary:This research critically explores deficiencies in the palliative care system, focusing on evaluation and treatment aspects for both adult and paediatric patients. Using a qualitative methodology, the study engages healthcare professionals and family caregivers to uncover perspectives on the existing state of palliative care. Conducted through three focus groups and a semi-structured in-depth interview with participants recruited from Virgen de la Arrixaca University Clinical Hospital, this research illustrates critical issues, highlighting the insufficient healthcare workforce and resources to meet the comprehensive needs of patients and their families. Recommendations include holistic care addressing social, emotional, psychological, socio-familiar, and economic dimensions, supported by embedded support groups and the enforcement of relationships with palliative associations. This study also advocates for improved health institutional coordination, social worker support, and ongoing health professional satisfaction monitoring. In paediatric care, specific demands involve specialised units, medical team continuity, 24 h paediatrician care, and a more professional paediatric approach. Beyond problem identification, this study offers valuable insights for shaping health policies and tools, incorporating new indicators and introducing grief bereavement support in clinical reports, contributing to the advancement of patient evaluation in palliative care.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare12010065