Turner, N., Wahid, A., Oliver, P. et al. (8 more authors) (2023) Role and response of primary healthcare services in community end-of-life care during COVID-19: qualitative study and recommendations for primary palliative care delivery. Palliative Medicine, 37 (2). pp. 235-243. ISSN 0269-2163
Abstract
Background: The need for end-of-life care in the community increased significantly during the COVID-19 pandemic. Primary care services, including general practitioners and community nurses, had a critical role in providing such care, rapidly changing their working practices to meet demand. Little is known about primary care responses to a major change in place of care towards the end of life, or the implications for future end-of-life care services.
Aim: To gather general practitioner and community nurse perspectives on factors that facilitated community end-of-life care during the COVID-19 pandemic, and to use this to develop recommendations to improve future delivery of end-of-life care.
Design: Qualitative interview study with thematic analysis, followed by refinement of themes and recommendations in consultation with an expert advisory group.
Participants: General practitioners (n = 8) and community nurses (n = 17) working in primary care in the UK.
Results: General practitioner and community nurse perspectives on factors critical to sustaining community end-of-life care were identified under three themes: (1) partnership working is key, (2) care planning for end-of-life needs improvement, and (3) importance of the physical presence of primary care professionals. Drawing on participants’ experiences and behaviour change theory, recommendations are proposed to improve end-of-life care in primary care.
Conclusions: To sustain and embed positive change, an increased policy focus on primary care in end-of-life care is required. Targeted interventions developed during COVID-19, including online team meetings and education, new prescribing systems and unified guidance, could increase capacity and capability of the primary care workforce to deliver community end-of-life care.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2022. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | Palliative care; terminal care; COVID-19; primary health care; general practice; primary care nursing; qualitative research |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Sheffield Teaching Hospitals |
Funding Information: | Funder Grant number ROYAL COLLEGE OF GENERAL PRACTITIONERS SFB Annual Grant ¿ SFB 2020-11 |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 01 Dec 2022 12:08 |
Last Modified: | 06 Feb 2023 16:47 |
Status: | Published |
Publisher: | SAGE Publications |
Refereed: | Yes |
Identification Number: | 10.1177/02692163221140435 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:193942 |