Information provision as evaluated by people with cancer and bereaved relatives: A cross-sectional survey of 34 specialist palliative care teams. Issue 4 (April 2019)

• Record Type: Journal Article
• Authors: Verkissen, Mariëtte N.; Leemans, Kathleen; Van den Block, Lieve; Deliens, Luc; Cohen, Joachim
• Is Part Of: Patient education and counseling. Volume 102:Issue 4(2019)
• Page Start: 768
• Page End: 775
• Publication Date: 2019-04
• Subjects: Cancer -- Oncology -- End of life -- Palliative care -- Information provision -- Shared decision-making -- Tailored care -- Relatives; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2018.11.012
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: Patients and relatives in palliative care experience good information provision. Overall they were satisfied about participating in decision-making about their care. Moreover, they were positive about the extent to which their wishes were respected. Nevertheless, we found some differences between types of specialist palliative care. Information provided by hospital palliative care units was most satisfactory. Abstract: Objective: To explore how individuals with cancer and bereaved relatives evaluate information provision by specialist palliative care services (PCSs). Methods: A cross-sectional survey was conducted within four multidisciplinary palliative homecare teams (HCTs), 17 hospital-based palliative care units (PCUs) and 13 hospital-based mobile palliative support teams (PSTs) in Belgium. During four measurement periods, structured questionnaires were administered to people being guided by PCSs and relatives of patients who had died while under the care of PCSs. Results: In total, 628 patients (80%) and 980 relatives (55%) responded; 73–82% and 75–77% respectively reported having received the right amount of information. Compared with those receiving care within a PCU, those being supported by a PST were more likely to report suboptimal information provision and decision-making. Relatives of those who had died while under the guidance of a PST were also more likely to report suboptimal information provision than their PCU counterparts. Conclusion: Although information provision to cancer patients and relatives being supported by PCSs is generally evaluated positively, evaluations depend on the type of service. Practice implications: Information provided within PCUs offering highly personalised, continuous care appears to both groups more satisfactory than that provided by palliative care teams mainly supporting care staff.