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- Title
Intersectoral collaboration in home-based end-of-life pediatric cancer care: A qualitative multiple-case study integrating families' and professionals' experiences.
- Authors
Hammer, Nanna Maria; Hansson, Helena; Pedersen, Line Hjøllund; Abitz, Maja; Sjøgren, Per; Schmiegelow, Kjeld; Bidstrup, Pernille Envold; Larsen, Hanne Bækgaard; Olsen, Marianne
- Abstract
Background: Many children and adolescents with incurable cancer and their families prefer to receive end-of-life care and to die at home. This implies a transition of care from hospital to home and presupposes the establishment of a well-functioning collaboration between the family and professionals across health care sectors. Aim: To identify and explore key elements of home-based end-of-life care collaboration for children with cancer, as experienced by their parents and grandparents and the hospital- and community-based professionals involved. Design: Descriptive qualitative multiple-case study. Data were collected by semi-structured interviews and written responses to open-ended questions, and analyzed inductively across cases using qualitative content analysis. Setting/participants: Cases comprised a criterion sample of five children (aged <18 years), who died of cancer at home. Cases were represented by the children's bereaved parents (n = 8) and grandparents (n = 7), and community-based professionals (n = 16). Also, hospital-based professionals (n = 10) were interviewed about the children's end-of-life care through group interviews. Results: We identified five main themes, describing key elements of the end-of-life collaboration: Establishing the collaboration, Bolstering family life, Elucidating organization and integration, Managing challenges, and Closing the collaboration. These themes all came under the overarching theme: A mutual trust-based collaboration. On this basis, we developed the "Home-Based Pediatric End-of-Life Care Model for Children with Cancer." Conclusions: By highlighting key elements in the family-centered, intersectoral and interprofessional end-of-life care collaboration, our "Home-Based Pediatric End-of-Life Care Model for Children with Cancer" offers a framework for further optimization of home-based end-of-life care services for children with cancer and their families.
- Subjects
DENMARK; HOME care services; RESEARCH methodology; PEDIATRICS; INTERVIEWING; CANCER patients; QUALITATIVE research; INTERPROFESSIONAL relations; CASE studies; DESCRIPTIVE statistics; CONTENT analysis; DATA analysis software; CANCER patient medical care; PALLIATIVE treatment; CHILDREN
- Publication
Palliative Medicine, 2023, Vol 37, Issue 1, p149
- ISSN
0269-2163
- Publication type
Article
- DOI
10.1177/02692163221135350