+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Palliative care for patients with heart failure: facilitators and barriers - a cross sectional survey of German health care professionals

Palliative care for patients with heart failure: facilitators and barriers - a cross sectional survey of German health care professionals

Bmc Health Services Research 16(A): 361

Compared to patients with cancer, heart failure patients are seldom candidates for palliative care. Numerous studies have investigated reasons why heart failure patients do not receive palliative care; however, none of these studies have ever evaluated the situation in the German health care setting. This study aims to identify German healthcare providers' (HCP) perception of barriers and facilitators to palliative care of patients with chronic heart failure. We conducted an online-survey with 315 nurses and physicians of different medical disciplines. Even though heart failure patients' need of palliative care and its advantages has been recognized, HCP see potential for development and improvement. A lack of knowledge about the content and measures of palliative care, poor communication and unclear responsibilities between medical disciplines, difficulties to determine the right time to initiate palliative care, and the feeling not to be prepared to discuss end-of-life issues with the patient has been identified as barriers. Further, HCP believe that patients and relatives do not possess adequate knowledge about the disease and its progression and are therefore unprepared in asking questions regarding palliative care. They rather tend to demand everything possible to be done in order prolong life, and are reluctant to accept that life is limited. Overall, HCP perceive that dying is a taboo subject within our society placing palliative care on the same level as assisted dying. In addition, results indicate that HCP have an inappropriate notion of ideal medicine fearing to lose patient and are worried about the appropriateness of PC remuneration. In order to overcome the described barriers, HCP, patients, and relatives need to be educated in palliative care. Information and education encompassing the aim, content and measures of palliative care needs to be provided for all parties in order to optimize patient care, to foster communication between healthcare professionals, patients, and relatives, and to overcome perceived barriers. DRKS00007119.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 058499424

Download citation: RISBibTeXText

PMID: 27503510

DOI: 10.1186/s12913-016-1609-x

Related references

Health Care Professionals' Perceptions of Home Telemonitoring in Heart Failure Care: Cross-Sectional Survey. Journal of Medical Internet Research 21(2): E10362, 2019

Possible associations between palliative care conferences and positive outcomes when performing palliative care for patients with end-stage heart failure: a nationwide cross-sectional questionnaire survey. Heart and Vessels 2018, 2018

Role of allied health care professionals in goals-of-care discussions with hospitalized patients and perceived barriers: a cross-sectional survey. Cmaj Open 6(2): E241-E247, 2018

What, how and from whom do health care professionals learn during collaboration in palliative home care: a cross-sectional study in primary palliative care. Bmc Health Services Research 14: 501, 2016

Self-Care Practices of Primary Health Care Patients Diagnosed with Chronic Heart Failure: A Cross-Sectional Survey. International Journal of Environmental Research and Public Health 16(9), 2019

The Perspectives of Health Care Professionals on Providing End of Life Care and Palliative Care for Patients With Chronic Heart Failure: An Integrative Review. Heart, Lung and Circulation 2018, 2018

"Please describe from your point of view a typical case of an error in palliative care": Qualitative data from an exploratory cross-sectional survey study among palliative care professionals. Journal of Palliative Medicine 17(3): 331-337, 2014

Barriers and Facilitators to Palliative Care of Patients with Chronic Heart Failure in Germany: A Study Protocol. Journal of Public Health Research 4(2): 556, 2015

Self-Care in Palliative Care Nursing and Medical Professionals: A Cross-Sectional Survey. Journal of Palliative Medicine 20(6): 625-630, 2017

End-of-life decisions and advance directives in palliative care: a cross-cultural survey of patients and health-care professionals. Journal of Pain and Symptom Management 16(3): 153-162, 1998

Current challenges in palliative care provision for heart failure in the UK: a survey on the perspectives of palliative care professionals. Open Heart 2(1): E000188, 2015

Health care professionals' attitudes regarding palliative care for patients with chronic heart failure: an interview study. Bmc Palliative Care 15: 76, 2017

A Survey of Medical Professionals in an Apex Tertiary Care Hospital to Assess Awareness, Interest, Practices, and Knowledge in Palliative Care: A Descriptive Cross-sectional Study. Indian Journal of Palliative Care 25(2): 172-180, 2019

Barriers and Facilitators to Care in Patients with Diabetes: A Cross-Sectional SurveyImage 1. Canadian Journal of Diabetes 40(5): S43-S44, 2016

Home Care Pharmacy Practice in Canada: A Cross-Sectional Survey of Services Provided, Remuneration, Barriers, and Facilitators. Canadian Journal of Hospital Pharmacy 70(4): 294-300, 2017