Experiences of family caregivers of patients with terminal disease and the quality of end-of-life care received: a mixed methods study

Author:

Martí-García Celia12,Fernández-Alcántara Manuel3,Suárez López Patricia4,Romero Ruiz Carolina5,Muñoz Martín Rocío4,Garcia-Caro Mᵃ Paz26

Affiliation:

1. Department of Nursing, University of Málaga, Málaga, Spain

2. Mind, Brain and Behaviour Research Center (CIMCYC), University of Granada, Granada, Spain

3. Department of Health Psychology, University of Alicante, Alicante, Spain

4. Distrito sanitario Granada-Metropolitano de Atención Primaria, Granada, Spain

5. Hospital General Universitario Virgen de las Nieves, Granada, Spain

6. Department of Nursing, University of Granada, Granada, Spain

Abstract

The aim of this study was to analyze the perceptions and experiences of relatives of patients dying from a terminal disease with regard to the care they received during the dying process, considering the oncological or non-oncological nature of the terminal disease, and the place where care was provided (at home, emergency department, hospital room, or palliative care unit). For this purpose, we conducted a mixed-methods observational study in which two studies were triangulated, one qualitative using semi-structured interviews (n = 30) and the other quantitative, using questionnaires (n = 129). The results showed that the perception of relatives on the quality of care was highly positive in the quantitative evaluation but more critical and negative in the qualitative interview. Experience of the support received and palliative measures was more positive for patients attended in hospital in the case of oncological patients but more positive for those attended at home in the case of non-oncological patients.

Funder

Health Ministry of the Junta de Andalucía

Variability of clinical practice and conditioning factors in the implementation of end-of-life care processes

Publisher

PeerJ

Subject

General Agricultural and Biological Sciences,General Biochemistry, Genetics and Molecular Biology,General Medicine,General Neuroscience

Reference53 articles.

1. El valor terapéutico en oncología. La perspectiva de pacientes, familiares y profesionales;Arrighi;Psicooncologia (Pozuelo de Alarcon),2010

2. Hidden caregivers: providing appropriate services;Barber;British Journal of Healthcare,2012

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