A qualitative analysis of educational,professional and socio-cultural issues affecting interprofessional collaboration in oncology palliative care |
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| Institution: | 1. University of Lucerne, Department of Health Sciences and Medicine, Frohburgstrasse 3, 6002 Lucerne, Switzerland;2. Swiss Paraplegic Research, Person-centered Healthcare and Health Communication Group, Guido A. Zäch Strasse 4, 6207 Nottwil, Switzerland;3. Clinica Luganese Moncucco, Via Moncucco 10, 6903 Lugano, Switzerland;4. Oncology Institute of Southern Switzerland, Palliative Care, Ospedale San Giovanni, 6500 Bellinzona, Switzerland;5. Oncology Institute of Southern Switzerland, Hematology, Ospedale San Giovanni, 6500 Bellinzona, Switzerland;6. Palliative TI – Associazione Cure Palliative Ticino, Via San Leonardo, 6599 Cadenazzo, Switzerland;1. University of Lorraine, APEMAC, F-54 000 Nancy, France;2. CHRU de Nancy, Department of Methodology, Promotion, Investigation, Data Management, Methodology and Statistics Unit, F-54500 Vandoeuvre-lès-Nancy, France;1. Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, United States;2. Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, United States;3. University of Texas Southwest, Dallas TX United States;4. Livongo, Mountain View, CA, United States;5. Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC, United States;1. Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l′Éducation, Brussels, Belgium;2. Institut Jules Bordet, Clinique de Psycho-Oncologie, Université Libre de Bruxelles, Brussels, Belgium;3. Université de Liège, Faculté des Sciences Psychologiques et de l′Éducation, Liège, Belgium;4. Centre de Psycho-Oncologie, Brussels, Belgium;5. Université Catholique de Louvain, Faculté de Médecine, Brussels, Belgium;1. Department of Communication, Michigan State University, 404 Wilson Rd., Room 456, East Lansing, MI 48823, USA;2. Department of Communication, Seoul National University, Seoul, Republic of Korea |
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| Abstract: | ObjectivesOncology palliative care (PC) services seek to improve quality of life in patients with cancer. PC providers face significant systemic obstacles, stemming from insufficient collaboration between healthcare providers. This study explores these obstacles and strategies to help facilitate successful collaboration amongst healthcare providers at a systemic level.MethodsA multicenter qualitative study was conducted via interviews and focus groups. Fifty employees in Italian-speaking Switzerland were interviewed, along with ten relatives of oncology patients. Framework analysis was used to identify and categorize the most prominent themes.ResultsThree main themes were identified: knowledge of and connection to other healthcare approaches; beliefs, attitudes and behavior regarding collaboration; and values, attitudes and beliefs towards life, end-of-life and optimal care approaches for oncology patients.ConclusionsStrategies that promote interprofessional collaboration and oncology PC services should foster a cultural shift towards perceiving these services as a medical specialty, thereby contributing to quality patient care.ImplicationsAn overview of potential limitations is provided, in addition to a timeline of interprofessional collaboration which would help to optimize oncology PC services. |
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