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Specialized palliative home care teams: Complementary perspectives of team functions and influences on patients and families
Sophiahemmet Högskola.ORCID-id: 0000-0001-7935-3260
2016 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

Persons with life-threatening illness are increasingly being cared for and dying at home. Palliative care strives to cater to multiple dimensions such as physical, psychosocial and spiritual or existential, and meeting these needs in patients and families requires multiple competencies. Palliative care organizations propose organization and delivery of care in teamwork models; however, teamwork is complex and can be approached from various perspectives. Previous research has identified gaps in palliative care regarding which components of teamwork are most effective. The overall aim of this thesis was to explore perspectives of team function in specialized palliative care teams, among health care professionals, families and patients. Study I entailed translation and cultural adaptation of a research questionnaire. Study II entailed qualitative interviews with health care professionals (n=15) working in specialized palliative home care and Study III interviews with patients (n=6) and family members (n=7). In Study IV, an exploratory design was used. Initially team leaders (n=77) in palliative care reported team function. Next, health care professionals (n=61) reported team development in the group development questionnaire, patients (n=43) reported symptoms in the Edmonton Symptom Assessment System and family members (n=45) reported satisfaction with care in the translated and culturally adapted FAMCARE-2 questionnaire. Results of the studies are: (I) a translated culturally adapted and initially tested Swedish language version of the FAMCARE-2 scale, (II) health care professionals report that competence, communication and organization are crucial components of teamwork in specialized palliative homecare, (III) patients and families report that they experience security and continuity of care due to 24/7 care, sensitivity to changing needs and demonstrating caring, and (IV) specialized palliative home care teams have a core of registered nurses, physicians and social workers. Positive associations were found between team maturity and team effectiveness.

sted, utgiver, år, opplag, sider
Stockholm: Karolinska Institutet , 2016. , 86 s.
Emneord [en]
Palliative home care, Teamwork, Patient, Family, Health care professional
HSV kategori
Identifikatorer
URN: urn:nbn:se:esh:diva-5745ISBN: 978-91-7549-653-5 OAI: oai:DiVA.org:esh-5745DiVA: diva2:1075846
Disputas
2016-06-21, Erforssalen, Sophiahemmet högskola, Valhallavägen 91, 09:30
Opponent
Veileder
Tilgjengelig fra: 2016-06-17 Laget: 2017-02-21

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