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From cure to palliation: Staff communication, documentation, and transfer of patient

Lofmark, R; Nilstun, Tore LU and Bolmsjö, Ingrid LU (2005) In Journal of Palliative Medicine 8(6). p.1105-1109
Abstract
In the transition from curative treatment to palliative care of a general end-of-life patient population, the internal communication of the acute care staff seems to be less than optimal. The communication had reference to the dialogue within the staff both before and after the decision to concentrate on palliative care, and possible transfer of the patient. This survey of Swedish nurses and physicians showed that most of 780 respondents wanted more internal communication, and a more individualized procedure of decision-making. All staff should be informed about the decision made but full agreement was not seen as realistic. The largest difference of opinion between nurses and physicians concerned the involvement of nurses in the... (More)
In the transition from curative treatment to palliative care of a general end-of-life patient population, the internal communication of the acute care staff seems to be less than optimal. The communication had reference to the dialogue within the staff both before and after the decision to concentrate on palliative care, and possible transfer of the patient. This survey of Swedish nurses and physicians showed that most of 780 respondents wanted more internal communication, and a more individualized procedure of decision-making. All staff should be informed about the decision made but full agreement was not seen as realistic. The largest difference of opinion between nurses and physicians concerned the involvement of nurses in the decision-making about the transition. A uniform documentation of the decision to transfer care focus was the ideal. Approximately every fourth patient in acute care is transferred to receive palliative care. Only approximately half of the respondents had any training in palliative care and the majority wanted more training. There seems to be a need for more palliative care training, perhaps somewhat different for each speciality. Furthermore, a common language to enable nurses and physicians to communicate more easily may improve the transition process. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Palliative Medicine
volume
8
issue
6
pages
1105 - 1109
publisher
Mary Ann Liebert, Inc.
external identifiers
  • pmid:16351522
  • wos:000237776600008
  • scopus:29444455017
ISSN
1096-6218
DOI
10.1089/jpm.2005.8.1105
language
English
LU publication?
yes
id
88ee5402-6010-4b36-9fc5-7850150bef78 (old id 208409)
date added to LUP
2007-08-13 13:37:27
date last changed
2017-07-30 04:44:58
@article{88ee5402-6010-4b36-9fc5-7850150bef78,
  abstract     = {In the transition from curative treatment to palliative care of a general end-of-life patient population, the internal communication of the acute care staff seems to be less than optimal. The communication had reference to the dialogue within the staff both before and after the decision to concentrate on palliative care, and possible transfer of the patient. This survey of Swedish nurses and physicians showed that most of 780 respondents wanted more internal communication, and a more individualized procedure of decision-making. All staff should be informed about the decision made but full agreement was not seen as realistic. The largest difference of opinion between nurses and physicians concerned the involvement of nurses in the decision-making about the transition. A uniform documentation of the decision to transfer care focus was the ideal. Approximately every fourth patient in acute care is transferred to receive palliative care. Only approximately half of the respondents had any training in palliative care and the majority wanted more training. There seems to be a need for more palliative care training, perhaps somewhat different for each speciality. Furthermore, a common language to enable nurses and physicians to communicate more easily may improve the transition process.},
  author       = {Lofmark, R and Nilstun, Tore and Bolmsjö, Ingrid},
  issn         = {1096-6218},
  language     = {eng},
  number       = {6},
  pages        = {1105--1109},
  publisher    = {Mary Ann Liebert, Inc.},
  series       = {Journal of Palliative Medicine},
  title        = {From cure to palliation: Staff communication, documentation, and transfer of patient},
  url          = {http://dx.doi.org/10.1089/jpm.2005.8.1105},
  volume       = {8},
  year         = {2005},
}