Universität zu Köln

Seibel, Katharina, Coune, Bettina, Mueller, Michael, Boehlke, Christopher ORCID: 0000-0002-6985-0201, Simon, Steffen T., Bausewein, Claudia and Becker, Gerhild (2022). Implementation of an acute palliative care unit for COVID-19 patients in a tertiary hospital: Qualitative data on clinician perspectives. Palliat. Med., 36 (2). S. 332 - 342. LONDON: SAGE PUBLICATIONS LTD. ISSN 1477-030X

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Abstract

Background: During the COVID-19 pandemic, it has become apparent that palliative care has dynamically adapted to the care of dying patients with and without COVID-19 and has developed new forms of collaboration. Evaluation is needed to assess which innovations should be integrated into future pandemic management. Aim: To explore the experiences of stakeholders and staff in implementing and operating an ad hoc unit delivering acute palliative care. What lessons were learned? Design: Qualitative interview study (German Clinical Trials Register; identifier 22,473) with qualitative content analysis. Setting/participants: During the first wave of the pandemic, the University Medical Center Freiburg (Germany) established an ad hoc unit delivering acute palliative care for COVID-19 patients likely to die. Nurses from non-palliative areas and the specialist palliative care team formed a new team working together there. Twenty-nine individuals from management and staff of this unit were interviewed. Results: Patient care and teamwork were rated positively. Joint familiarization, bedside teaching, and team/management support were evaluated as core elements for success. Challenges for the nurses from non-palliative settings included adapting to palliative care routines and culture of care. The palliative care team had to adjust the high standards of palliative care to pandemic conditions. Due to sufficient hospital-wide capacity, only three COVID-19 patients were treated, significantly fewer than anticipated at planning. Conclusions: Results show the feasibility of an ad hoc COVID-19 acute palliative care unit. In the event of capacity constraints, such a unit can be a viable part of future pandemic management.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Seibel, Katharina UNSPECIFIED UNSPECIFIED UNSPECIFIED Coune, Bettina UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Boehlke, Christopher UNSPECIFIED orcid.org/0000-0002-6985-0201 UNSPECIFIED Simon, Steffen T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bausewein, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, Gerhild UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-679205
DOI:	10.1177/02692163211059690
Journal or Publication Title:	Palliat. Med.
Volume:	36
Number:	2
Page Range:	S. 332 - 342
Date:	2022
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1477-030X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Health Care Sciences & Services; Public, Environmental & Occupational Health; Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67920