How to Manage Hospital-Based Palliative Care Teams Without Full-Time Palliative Care Physicians in Designated Cancer Care Hospitals: A Qualitative Study

作者：Sakashita Akihiro^*; Kishino Megumi; Nakazawa Yoko; Yotani Nobuyuki; Yamaguchi Takashi; Kizawa Yoshiyuki

来源：American Journal of Hospice and Palliative Care, 2016, 33(6): 520-526.

DOI：10.1177/1049909115569879

• palliative care
• consultation
• management
• qualitative research
• palliative care teams
• education

Objective: To clarify how highly active hospital palliative care teams can provide efficient and effective care regardless of the lack of full-time palliative care physicians.
Methods: Semistructured focus group interviews were conducted, and content analysis was performed.
Results: A total of 7 physicians and 6 nurses participated. We extracted 209 codes from the transcripts and organized them into 3 themes and 21 categories, which were classified as follows: (1) tips for managing palliative care teams efficiently and effectively (7 categories); (2) ways of acquiring specialist palliative care expertise (9 categories); and (3) ways of treating symptoms that are difficult to alleviate (5 categories).
Conclusions: The findings of this study can be used as a nautical chart of hospital-based palliative care team (HPCT) without full-time PC physician. Full-time nurses who have high management and coordination abilities play a central role in resource-limited HPCTs.

• 出版日期2016-7