The knowledge and use of qualitative description as a research approach in health services is limited. aim this article to discuss the potential benefits descriptive approach, identify its strengths weaknesses provide examples use. Qualitative useful method much medical if you keep limitations mind. It especially relevant mixed research, questionnaire development projects aiming gain firsthand patients', relatives' or professionals' experiences with particular topic. Another great advantage...

Most individuals adjust to the loss of a close person, but some experience adverse grief that challenges everyday life. No previous study has examined development symptoms in trajectories over time. We aimed investigate bereaved partners and non-partners severely ill patients starting before death until three years after patient. conducted prospective population-based cohort including 1138 597 terminally patients. Participants completed Prolonged Grief-13 scale pre-loss, six months...

Knowledge about the quality and organisation of care to terminally ill cancer patients with a relatives' view in primary health setting is limited. The aim study analyse experiences preferences bereaved relatives explore barriers facilitators for delivery good palliative home care. Three focus group interviews fourteen Aarhus County, Denmark. main categories experience were identified: 1) professionals' management, where need optimize was found. 2) Shared care, which lacking. 3) role, needs...

Background: Beneficial effects of early palliative care have been found in advanced cancer, but the evidence is not unequivocal. Aim: To investigate effect specialist among cancer patients identified oncology departments. Setting/participants: The Danish Palliative Care Trial (DanPaCT) (ClinicalTrials.gov NCT01348048) a multicentre randomised clinical trial comparing referral to team plus standard versus alone. planned sample size was 300. At five departments, consecutive with were screened...

Background: Meeting patient’s preferences is an important outcome in palliative care. No Scandinavian study has reported systematically collected from patients regarding place of care (POC) and death (POD). The extent possible incongruence between patients’ reality remains unknown. Aim: aim this was to describe preferred POC POD changes over time evaluate congruence reality. Furthermore, the search for predictive factors wishes fulfilment these. Method: This a prospective interview...

Abstract Objective Severe grief symptoms in family caregivers during end‐of‐life cancer trajectories are associated with complicated and depression after the loss. Nevertheless, severe caregiving to patients have been scarcely studied. We aimed explore associations between preloss modifiable factors such as depressive symptoms, caregiver burden, preparedness for death, communication. Methods conducted a population‐based prospective study of 9512 registered drug reimbursement due terminal...

Scand J Caring Sci; 2011; 25; 627–636 Preference for place‐of‐death among terminally ill cancer patients in Denmark Achieving home death is often seen as an important endpoint palliative care, but no studies of the preferred have yet been conducted Scandinavia. Furthermore, we do not know if professionals’ report on deceased patients’ preference a valid information. The aim this study was to describe where Danish prefer die and determine their changed during period, reported retrospectively...

The dual aim of this study is, first, to describe preferred place care (PPOC) and death (PPOD) in terminally ill patients with lung heart diseases compared cancer second, differences level anxiety among these diagnoses.Previous research on end-of-life preferences focuses patients, most whom identify home as their PPOC PPOD. These may, however, not mirror those suffering from nonmalignant fatal diseases.The was designed a cross-sectional study.Eligible the recruiting departments filled...

ABSTRACT Knowledge is needed about end‐of‐life care among patients with pre‐existing severe mental disorders: Schizophrenia, bipolar disorder, and depression. This study aimed to explore the experiences for disorders, their relatives, specialised palliative nurses physicians, general practitioners. Twenty semi‐structured interviews were conducted analysed using reflexive thematic analysis, hereby six patients, three five practitioners, healthcare professionals. Patients selected help from...

Abstract Background End‐of‐life care in the Intensive Care Unit (ICU) is complex, requiring a balance of ethical, cultural and medical considerations while ensuring comfort dignity for critically ill patients their families. Aim We aimed to develop set core domains end‐of‐life at Scandinavian ICUs along with corresponding consensus statements from patients, families multidisciplinary experts. Methods In three‐round Delphi study, advisory board Norway, Sweden, Finland, Iceland Denmark,...

Most cancer patients die at institutions despite their wish for home death. GP-related factors may be crucial in attaining death.To describe palliative care and examine associations between death GP involvement the pathway.Population-based, combined register questionnaire study.Aarhus County, Denmark.Patient-specific questionnaires were sent to GPs of 599 who died during a 9-month period 2006. The 333 cases that included comprised information on sociodemography issues; example knowledge...

Little is known about the existing barriers to cooperation among health professionals in basic level palliative care for terminally ill patients with cancer primary care.The aim of this study was analyze professionals' views on interprofessional home patients.This a qualitative, descriptive based 7 semistructured group interviews conducted former Aarhus County, Denmark. Forty-three (23 family physicians, 5 chief and 15 nurses) were interviewed.Two main categories problems identified: (1)...

Objective. Palliative home care involves coordination of between the professionals involved. The NICE guideline on supportive and palliative (UK) recommends that teams, regardless their base, should promote continuity for patients. This may involve nomination a coordinating "key worker". study aimed to explore who acts as key worker ought take this role in views patients, relatives, primary professionals. Furthermore, it level agreement issue participants. Design. Interview questionnaire...

Specialised palliative care (SPC) takes place in specialised services for patients with complex symptoms and problems. Little is known about what determines the admission of to SPC whether there are differences relation institution type. The aims study were investigate cancer patients' admittance Denmark varied sex, age diagnosis, patterns differed by type (hospital-based team/unit, hospice, or both).This was a register-based adult living who died from 2010-2012. Data sources Danish...

Advance care planning (ACP) can be a way to meet patients' end-of-life preferences and enhance awareness of care. Thereby it may affect actual place death (APOD) decrease the rate hospitalisations. The aim was investigate if ACP among terminally ill patients with lung, heart cancer diseases effects fulfilment preferred (PPOD), amount time spent in hospital APOD.The study designed as randomised controlled trial. Patients were assessed using general disease-specific criteria into groups: one...

Cancer trajectories among patients with pre-existing severe mental disorders (SMD) are challenging and these pateints' prognosis is poor. This study aimed at exploring barriers in cancer SMD as experienced by Danish healthcare professionals.

General practitioner (GP) involvement may be instrumental in obtaining successful palliative cancer trajectories. The aim of the study was to examine associations between bereaved relatives' evaluation trajectories, place death, and GP involvement.Population-based, cross-sectional combined register questionnaire study.The former Aarhus County, Denmark.Questionnaire data on GPs' efforts evaluations trajectories were obtained for 153 cases deceased patients.A trajectory as evaluated...

Specialized palliative care teams are typically based in larger hospitals, from where home visits, telephone consultations, and support given directly to patients relatives, but also professionals working on the frontline. One of challenges is long distances patients' homes. Modern telecommunication may help overcome this, little known about perceived advantages barriers care. This study analyzed views modern specialized professionals' perspective.This descriptive four semistructured group...

It is unknown to what extent use of palliative care and focus on proactive planning end-of-life (EOL) among cancer patients also reflected by less intensive care. We aimed examine the in EOL dying as a result non-cancer diseases compared with due cancer.We conducted nationwide follow-up study 240,757 adults either chronic disease or Denmark between 2005 2011. Using Danish Intensive Care Database, we identified all admissions treatments units (ICU) during patients' last 6 months before death....

An important element in end-of-life care advocacy is to meet patients' preferences. Most Scandinavian patients die hospitals even though the majority prefers at home. Earlier studies have shown socio-economic differences relation dying home, but more knowledge needed preferences for place of death. Hence, on valid Danish register-based data, we aimed investigate whether demographic and factors were associated with preference home.Population-based, historic cohort study among 282 relatives...