Cooperating with a palliative home-care team: expectations and evaluations of GPs and district nurses

Palliat Med. 2005 Apr;19(3):241-50. doi: 10.1191/0269216305pm1007oa.

Abstract

Background: Palliative home-care teams often cooperate with general practitioners (GPs) and district nurses. Our aim was to evaluate a palliative home-care team from the viewpoint of GPs and district nurses.

Methods: GPs and district nurses received questionnaires at the start of home-care and one month later. Questions focussed on benefits to patients, training issues for professionals and cooperation between the home-care team and the GP/ district nurse. A combination of closed- and open-ended questions was used.

Results: Response rate was 84% (467/553). Benefits to patients were experienced by 91 %, mainly due to improvement in symptom management, 'security', and accessibility of specialists in palliative care. After one month, 57% of the participants reported to have learnt aspects of palliative care, primarily symptom control, and 89% of them found cooperation satisfactory. Dissatisfaction was caused mainly by lack of information from the home-care team to primary-care professionals.

Conclusion: GPs and district nurses welcomed the palliative home-care team and most experienced benefits to patients. Strengthened communication, initiated by the home-care team would enhance cooperation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Community Health Nursing / organization & administration*
  • Community Health Nursing / standards
  • Denmark
  • Family Practice / organization & administration*
  • Family Practice / standards
  • Home Care Services / organization & administration*
  • Home Care Services / standards
  • Humans
  • Interprofessional Relations*
  • Palliative Care / organization & administration*
  • Palliative Care / standards
  • Program Evaluation
  • Prospective Studies
  • Quality of Health Care
  • Surveys and Questionnaires