AI Article Synopsis
- The study examined the perspectives of French physicians and nurses on palliative care in a large Paris hospital, revealing a desire for physicians to control terminal care in their departments.
- It highlighted the importance of considering patient and family preferences for care location, emphasizing that hospitalized patients should mainly focus on symptom relief.
- The findings stressed the psychological strain on nurses and identified training and expert consultation as key areas for improving terminal care, suggesting that addressing these could enhance care quality and provider satisfaction.
Article Abstract
The views of French physicians and nurses of the organization of palliative care have not been previously analyzed. We surveyed opinion on the care of the terminally ill in a 1,000-bed Paris university hospital. Data were obtained in 1992 by non-directed interviews of leading physicians and semi-directed interviews of nurses. Most physicians wished to managed terminal care in their departments. Patients and family preferences were considered in choosing the place for care. Treatment of hospitalized patients should be limited to relieving symptoms. Department heads and senior nurses agreed on most problems encountered in the management of care. The psychological burden borne by nurses was emphasized. Terminal care training and the possibility of consulting experts in palliative care were the main suggestions for improvement cited by both department heads and senior nurses. Integrating this knowledge into the planning process should result in improved care and in increased satisfaction for the care providers.
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