Provider perspectives on palliative care needs at a major teaching hospital

Llamas, K.; Llamas, M.; Pickhaver, A.; Piller, N.
November 2001
Palliative Medicine;Nov2001, Vol. 15 Issue 6, p461
Academic Journal
Jericho Metropolitan Hospital (JMH) is a major Australian teaching hospital which lacked a designated palliative care service at the time this study was conducted. A questionnaire addressing palliative care service needs, and educational and support needs of staff, was sent to 267 multi-disciplinary oncology staff at JMH. A response rate of 83% was achieved. Staff identified a number of palliative care needs that were being particularly poorly addressed by existing services. These included: spiritual support, cultural needs, grief and bereavement support, pleasant surroundings, adequate privacy and facilities for families. The majority of respondents identified the following issues as critical problems in palliative care provision: lack of a designated palliative care service, lack of palliative care education of staff, unmanageable caseloads and inadequate physical facilities for the provision of care. Only 24% of respondents reported having had any palliative care education, and 92% of respondents expressed a need for further education. The majority of respondents (79%) expressed a need for improved staff support. There was a significant association between perceived need for improved support and professional discipline (χ[sup 2] = 31.33, P < 0.002), with medical staff being significantly less likely than other staff groups to report a need for improved support. Overall, the health providers surveyed identified major deficiencies in the provision of palliative care to cancer patients at JMH and in the palliative care education and support for staff caring for terminally ill cancer patients. The findings support the need for a designated palliative care service at JMH to improve the standard of care of dying cancer patients, and the need for improved palliative care education and support for staff.


Related Articles

  • Medical Residents' Perceptions of End-of-Life Care Training in a Large Urban Teaching Hospital. Schwartz, Charles E.; Goulet, Joseph L.; Gorski, Victoria; Selwyn, Peter A. // Journal of Palliative Medicine;Feb2003, Vol. 6 Issue 1, p37 

    Background: Contemporary medicine has begun to reemphasize the importance of palliative and end-of-life-care. This shift requires a commensurate change in physician education to provide adequate palliative care training. The present research assessed medical residents' perceptions of their...

  • A Program of Hospice and Palliative Care in a Private, Nonprofit U.S. Teaching Hospital. Von Gunten, Charles F.; Martinez, Jeanne // Journal of Palliative Medicine;Fall1998, Vol. 1 Issue 3, p265 

    Describes the development and operation of a program of hospice and palliative care at Northwestern Memorial Hospital (NMH), Chicago, Illinois. Information on NMH; Components of the program; Sources of reimbursement for patients on the inpatient unit; Personnel that are supported by clinical...

  • Impact of Writing “Comfort Measures Only” Orders in a Community Teaching Hospital. Walker, Kathryn A.; Peltier, Honesty; Mayo, Renè L.; Kearney, Christopher D. // Journal of Palliative Medicine;Mar2010, Vol. 13 Issue 3, p241 

    Objectives: We compared end-of-life care for patients with and without orders for “comfort measures only” (CMO) and evaluated whether standards for palliative medicine were met. Design: We retrospectively reviewed the charts of 40 patients, 20 with and 20 without a CMO order, who...

  • Patients with advanced cancer and their usage of complementary and alternative medicine. Paul, Magda; Davey, B.; Senf, B.; Stoll, C.; Münstedt, K.; Mücke, R.; Micke, Oliver; Prott, F.; Buentzel, J.; Hübner, Jutta // Journal of Cancer Research & Clinical Oncology;Sep2013, Vol. 139 Issue 9, p1515 

    Purpose: A total of 40 % of cancer patients use complementary and alternative medicine (CAM), and patients with advanced cancer use CAM more often than others. The aim of our study was to gather data on CAM use and reasons to use CAM of patients with advanced cancer being admitted for...

  • DYING FOR ATTENTION: PALLIATIVE CARE IN THE ACUTE SETTING. Parish, Karen; Glaetzer, Karen; Grbich, Carol; Hammond, Lynette; Hegarty, Meg; McHugh, Annie // Australian Journal of Advanced Nursing;Dec2006/Feb2007, Vol. 24 Issue 2, p21 

    Background: Palliative care has emerged as a specialist discipline in the past 25 years. However in relation to acute hospitals, a sense exists that patients who are receiving end of life care may not experience support which fully reflects appropriate palliative care management. Objective: This...

  • A Primer on Training Slots for Graduate Medical Education. Billings, J. Andrew // Journal of Palliative Medicine;Feb2007, Vol. 10 Issue 1, p12 

    The author presents a background paper on training slots for clinical education provided by academic hospitals known as Graduate Medical Education (GME) and the related calculations for hospital payments. According to the author, accreditation of Palliative Medicine as a specialty shortly will...

  • Misunderstood specialty. BELL, HOWARD // Minnesota Medicine;Jan/Feb2016, Vol. 99 Issue 1, p10 

    The article focuses on the concept of palliative care. Topics discussed include the statement from Cory Ingram, a geriatrician at the Mayo Clinic, regarding palliative care which refers to helping seriously ill people, the concept of palliative medicine which emerged in teaching hospitals, and...

  • Identifying patients suitable for palliative care - a descriptive analysis of enquiries using a Case Management Process Model approach. Kuhn, Ulrike; Düsterdiek, Anne; Galushko, Maren; Dose, Christina; Montag, Thomas; Ostgathe, Christoph; Voltz, Raymond // BMC Research Notes;2012, Vol. 5 Issue 1, p611 

    Background: In Germany, case management in a palliative care unit was first implemented in 2005 at the Department of Palliative Medicine at the University Hospital Cologne. One of the purposes of this case management is to deal with enquiries from patients and their relatives as well as medical...

  • OUTCOMES IN EMERGENCY ADMISSIONS WITH LUNG CANCER: A 1-YEAR PERSPECTIVE FROM A TEACHING HOSPITAL. Morgan, H. K.; Hodgson, L.; Baldock, E.; Doffman, S. R. // Thorax;Dec2011 Supplement, pA146 

    Introduction Nationally it is known that 23% of all cancers present as emergencies. Baseline data for all cancer-related admissions for 2008/ 2009 in the Trust demonstrated that patients with lung cancer had both the highest rate of unscheduled admissions and the greatest number of inpatient bed...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics