• Palliative medicine · Feb 2013

    Issues in prognostication for hospital specialist palliative care doctors and nurses: a qualitative inquiry.

    • David Pontin and Nikki Jordan.
    • University of Glamorgan, Care Sciences, Trefforest, Pontypridd, UK. dpontin@glamorgan.ac.uk
    • Palliat Med. 2013 Feb 1;27(2):165-71.

    BackgroundPatients with advanced life-limiting diseases have high information needs concerning prognosis yet discussions between patients and healthcare professionals are either avoided or inaccurate due to over-optimism. Available prognostic models are problematic. Literature indicates that hospital specialist palliative care professionals are frequently asked to prognosticate, although their experience of prognostication is unknown. Identifying this experience will support the development of prognosis training for hospital specialist palliative care professionals.AimTo explore hospital specialist palliative care professionals' experience of prognostication.Research Questions'How do specialist palliative care team members prognosticate?'; 'How do they view prognostication?'DesignQualitative research - focus group interviews.Setting/ParticipantsThree UK hospital specialist palliative care teams. Participants included medical doctors and palliative care nurses. Inclusion/exclusion criteria: member of hospital specialist palliative care team with knowledge and experience of prognostication. Numbers of participants: four hospital specialist palliative medicine consultants, three senior doctors in training, nine clinical nurse specialists.ResultsTwo major themes: Difficulties of prognostication; Benefits of prognostication. Eleven sub-themes: Difficulties (Non-malignant disease; Communicating uncertainty; Seeking definitive prognosis; Participants' feelings; Confidence in prognostication; Estimating prognosis; Dealing with reaction of prognosis; Prognostic error); Benefits (Patient informed decision-making prioritizing needs and care; Family-prioritizing commitments; Services accessing funding and services planning patient care).ConclusionsFindings highlight lack of evidence to support practice, and identify the complexity and emotional labour involved in prognostication by hospital specialist palliative care team members, and are used to discuss recommendations for further research and practice.

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