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dc.contributor.authorDanielsen, Britt V.
dc.contributor.authorSand, Anne M.
dc.contributor.authorRosland, Jan H.
dc.contributor.authorFørland, Oddvar
dc.date.accessioned2021-01-11T11:47:02Z
dc.date.available2021-01-11T11:47:02Z
dc.date.issued2018
dc.identifier.citationDanielsen, Britt Viola, Sand, Anne Marit, Rosland, Jan Henrik, & Førland, Oddvar. (2018). Experiences and challenges of home care nurses and general practitioners in home-based palliative care – a qualitative study. BMC Palliative Care, 17 (1), 95.en_US
dc.identifier.urihttps://hdl.handle.net/11250/2722353
dc.description.abstractBackground Norway has one of the lowest home death rates in Europe. However, it is the health authorities´ ambition to increase this by facilitating palliative care at home. The aim of this study was to achieve more insight, through home care nurses and general practitioners, of conditions that facilitate or hamper more time at home and more home deaths for patients with terminal disease and short life expectancy. Methods We used a qualitative research design with four focus groups with a total of 19 participants, of either home care nurses or general practitioners, using semi-structured question guides. The data were processed by systematic text condensation and encompassed thematic analysis of meaning and content of data across cases, which included four steps of analysis. Results Three main themes were identified: 1) The importance of a good start for the patient and family with five sub-themes, 2) ‘Passing the baton’ – the importance of collaboration across the health system with four sub-themes, and 3) Avoiding new hospitalization by establishing collaboration and competence within primary health care with four sub-themes. Conclusions This study demonstrates that optimum palliative care at home depends on close collaboration and dialogue between the patient, family, home care nurses and general practitioner. It suggests the need for safer discharge routines and planning when hospitals transfer patients with terminal disease to their homes. A good start for the patient and family, where the initial interdisciplinary collaboration meeting takes place in the patient’s home, is crucial for a good result. The general practitioners’ perception of their ‘disconnection’ during hospitalization and prior to discharge has the potential to reduce patient safety. The family seems to be fundamental in gaining more time at home for the patient and supporting the patient to eventually die at home. Home-based palliative care demands experience and competence as well as regular supportive mentoring.en_US
dc.publisherBMC Palliative Careen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectpalliative home careen_US
dc.subjecthome care nurseen_US
dc.subjectgeneral practitioneren_US
dc.subjecthome deathsen_US
dc.subjectqualitative studyen_US
dc.subjecttjenestetilbuden_US
dc.subjectkvaliteten_US
dc.subjectvariasjonen_US
dc.titleExperiences and challenges of home care nurses and general practitioners in home-based palliative care – a qualitative studyen_US
dc.typeJournal articleen_US
dc.source.volume17en_US
dc.source.journalBMC Palliative Careen_US
dc.identifier.doihttps://doi.org/10.1186/s12904-018-0350-0
dc.source.articlenumber95en_US


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