Spezialisierte ambulante Palliativversorgung aus Sicht ambulanter Pflegedienste – Eine empirische Untersuchung in Sachsen-Anhalt Ost
Berendt J, Papke J, Mitzscherlich B, Behrendt D (2015)
Publication Type: Journal article
Publication year: 2015
Journal
Original Authors: J. Berendt, J. Papke, B. Mitzscherlich, D. Behrendt
Book Volume: 16
Pages Range: 117-121
Issue: 03
Abstract
Introduction: Little is known about the present point of view of mobile nursing services which are involved in specialized outpatient palliative care (SAPV) in Germany. However, how do they assess the development of established structures? What are beneficial and inconvenient factors that affect their service provision?
Method: The survey involves mobile nursing services of Dessau-Roßlau and Anhalt-Bitterfeld which are regions of Saxony-Anhalt, Germany. A total of nine guided interviews were conducted with heads of mobile nursing services in August and September 2013. The interviews were transcribed and finally paraphrased following the qualitative content analysis of Mayring.
Results: Reducing bureaucracy referred to requesting therapeutic appliances and a very good cooperation with physicians in palliative care are beneficial factors for heads of mobile nursing services. They experience technical, organizational and emotional support as well as financial improvement in the context of SAPV. Nevertheless, the financial resources often do not correspond to real nursing and operational effort. The cooperation with general practitioners (GPs) who are not certified in palliative medicine is rated as difficult. An adverse attitude often complicates the integration of patients in structures of SAPV. Moreover the period of two till eleven hours between time of death and official death certificate has been assessed critically in particular.
Conclusion: The positive changes that have occurred are facing new challenges. A more differentiated funding is desirable in the context of disease progression and rural coverage areas. Outpatient care services also need support to improve the cooperation with GPs. Payers and the medical associations are encouraged in addition to the coordination center to promote and require basic knowledge in palliative care for GPs. Furthermore there is a great need for research to demonstrate the benefits of SAPV.
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Germany (DE)How to cite
APA:
Berendt, J., Papke, J., Mitzscherlich, B., & Behrendt, D. (2015). Spezialisierte ambulante Palliativversorgung aus Sicht ambulanter Pflegedienste – Eine empirische Untersuchung in Sachsen-Anhalt Ost. Zeitschrift für Palliativmedizin, 16, 117-121. https://doi.org/10.1055/s-0034-1387547
MLA:
Berendt, Julia, et al. "Spezialisierte ambulante Palliativversorgung aus Sicht ambulanter Pflegedienste – Eine empirische Untersuchung in Sachsen-Anhalt Ost." Zeitschrift für Palliativmedizin 16 (2015): 117-121.
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