Operation of a hospital palliative care service: a fourth-generation evaluation

• Autor(a) principal: Almeida,Carla Simone Leite de
• Data de Publicação: 2019
• Outros Autores: Marcon,Sonia Silva, Matsuda,Laura Misue, Kantorski,Luciane Prado, Paiva,Bianca Sakamoto Ribeiro, Sales,Catarina Aparecida
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200383
• topic: Health Services Research; Oncology Service Hospital; Health Services Evaluation; Palliative Care; Hospice Care

ABSTRACT Objective: Qualitatively evaluate the operation of a palliative care service in oncology. Methodology: Qualitative study conducted in a service in southern Brazil based on a fourth generation evaluation. Between September 2014 and June 2015, 460 hours of operation were observed, and 45 semi-structured interviews and five negotiation meetings were conducted; data were analyzed using the constant comparative method. Results: Potential services are: provision of outpatient palliative care, home and inpatient care provided by a multidisciplinary and support team, meeting the patient’s biological, psychological, social and spiritual needs. Study limitations: ineffective communication between clinical and surgical oncology and palliative care sectors, lack of specialized training for professionals and in interpersonal relationship issues among team members. Final Consideration: For palliative care progress in the service, some arrangements are required to enhance integrality of care.