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PRATIQUE MEDICALE

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Allied health clinicians' understanding of palliative care as it relates to patients, caregivers, and health clinicians - a cross-sectional survey

MORGAN, Deidre ; RAWLINGS, Deb ; BUTTON, Elizabeth ; TIEMAN, Jennifer
Journal of allied health, 2019, vol.48, n°2, p. 127-133

Thème : Soins.

AUSTRALIE ; PRATIQUE MEDICALE ; PRATIQUE PROFESSIONNELLE ; FORMATION ; BESOIN FORMATION ; ENQUETE

PURPOSE: The scope of hospice or palliative care has expanded since its inception, which has significant ramifications for the AH workforce. This study sought to elicit allied health (AH) clinicians' understanding and views about palliative care and its relevance to their clinical practice and to identify their educational needs. Results from analysis of free text survey responses to a single open-ended question from a larger survey are presented.
METHODS: An online survey was distributed to AH clinicians via email lists for the CareSearch Allied Health Hub, Allied Health Professions Australia, and other groups. Descriptive statistics and content analysis of free text responses were used to analyse the data.
RESULTS: A total of 217 AH clinicians responded to an email survey and 187 useable responses were analysed. Four themes were identified: 1) palliative care employs a client-centred model of care, 2) acknowledgement of living whilst dying, 3) interdisciplinary palliative care interventions provide active care in a range of domains, and 4) characteristics of palliative care teams and settings.
CONCLUSION: AH clinicians plan an active role in physical, social, and psycho-spiritual care of palliative care patients and caregivers. Burgeoning numbers of palliative care patients in nonspecialist palliative care settings require AH clinicians to develop skills and competencies to work with people who have advanced disease.

Origine : PubMed

A survey of hospice professionals regarding medical cannabis practices

COSTANTINO, Ryan C. ; FELTEN, Natalee ; TODD, Marisa ; MAXWELL, Terri ; McPHERSON, Mary Lynn
JOURNAL OF PALLIATIVE MEDICINE, 16/05/2019, p. 1-5

Thème : Médicaments - Pharmacie. Cote : e00.07JOU

TOXICOLOGIE ; PRATIQUE MEDICALE ; UNITE SOINS PALLIATIFS

Introduction: With medical cannabis (MC) remaining illegal at the federal level, hospice programs are unsure how to handle requests for MC, particularly since hospice is largely funded with federal dollars. The purpose of this survey was to determine respondents' comfort level with MC use in hospice, what processes and logistics hospice programs are employing when dealing with MC, and to determine what, if any, education hospice programs are providing to their staff.
Methods: An anonymous online survey assessed a variety of factors surrounding hospice staff practice, experience, and opinions regarding MC. The survey was disseminated to employees of clients of a large hospice benefit manager as well as through a national hospice and palliative medicine professional organization.
Results: Three hundred ten hospice professionals responded to the survey. More than half of the respondents were nurses followed by administrators and physicians. Regardless of legal status, hospice staff members were overwhelmingly in agreement that MC is appropriate for hospice patients to have access to and use. Several barriers to use were identified including discordant legal status between state and federal governments, concerns about clinical efficacy and safety, and a myriad of other societal factors. Wide variations in MC documentation and education practices between hospices were noted.
Discussion: The data suggest overwhelming support for MC use in the hospice setting. Our findings highlight important opportunities to support hospice providers and their patients through education and the development of policies around MC.

Origine : PubMed