Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study

Background: During the COVID-19 pandemic, care for cancer patients may be disrupted for several reasons, leading to disease progression. Home-Based palliative care, if properly managed, can provide easy and safe access to care services for these patients. This study aimed to explore stakeholders’ pe...

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Main Authors: Suzanne Hojjat-Assari, Pooneh Pirjani, Vahid Kaveh, Heshmatolah Heydari, Ghazal Razani, Kosar Hossinie, Romina Sadeqian
Format: Article
Language:English
Published: Iran University of Medical Sciences 2023-01-01
Series:Journal of Client-centered Nursing Care
Subjects:
Online Access:http://jccnc.iums.ac.ir/article-1-408-en.html
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author Suzanne Hojjat-Assari
Pooneh Pirjani
Vahid Kaveh
Heshmatolah Heydari
Ghazal Razani
Kosar Hossinie
Romina Sadeqian
author_facet Suzanne Hojjat-Assari
Pooneh Pirjani
Vahid Kaveh
Heshmatolah Heydari
Ghazal Razani
Kosar Hossinie
Romina Sadeqian
author_sort Suzanne Hojjat-Assari
collection DOAJ
description Background: During the COVID-19 pandemic, care for cancer patients may be disrupted for several reasons, leading to disease progression. Home-Based palliative care, if properly managed, can provide easy and safe access to care services for these patients. This study aimed to explore stakeholders’ perceptions of home-based palliative care for cancer patients during the pandemic. Methods: This qualitative study was conducted using conventional content analysis in Tehran, Iran, in 2021. By purposeful sampling, 19 participants, including cancer patients receiving home-based care services from the Iranian Cancer Control Center (MACSA) and their families, as well as the homecare providers, were recruited. The study data were generated by conducting 19 semi-structured interviews and a focus group session and analyzed based on the method proposed by Lundman and Graneheim. Results: Qualitative analysis of the data revealed 5 main categories: “need for remote services”, “disease transmission reduction”, “management requirements”, “burnout”, and “reducing hospital workload.”  Conclusion: The use of telemedicine, the existence of call centers, and the designing of appropriate guidelines, along with the help of qualified personnel, prevent the transmission of COVID-19 to cancer patients in-home palliative care and lead to the provision of comprehensive care to these patients. This approach to care helps avert staff burnout and reduces the number of occupied beds in hospitals.
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spelling doaj.art-cdfbcccd5cae4693b06be99c51054eb32023-02-20T12:27:11ZengIran University of Medical SciencesJournal of Client-centered Nursing Care2476-41242476-41322023-01-01913546Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative StudySuzanne Hojjat-Assari0Pooneh Pirjani1Vahid Kaveh2Heshmatolah Heydari3Ghazal Razani4Kosar Hossinie5Romina Sadeqian6 French Institute of Research and High Education, Paris, France. Department of Home-bmased Palliative Care, Iranian Cancer Control Center, Tehran, Iran. Department of Medical Oncology and Hematology, Iran University of Medical Sciences, Tehran, Iran. Department of Community Health Nursing, Social Determinants of Health Research Center, School of Nursing and Midwifery, Lorestan University of Medical Sciences, Khorramabad, Iran. Student Research Committee, Arak University of Medical Sciences, Arak, Iran. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran. Background: During the COVID-19 pandemic, care for cancer patients may be disrupted for several reasons, leading to disease progression. Home-Based palliative care, if properly managed, can provide easy and safe access to care services for these patients. This study aimed to explore stakeholders’ perceptions of home-based palliative care for cancer patients during the pandemic. Methods: This qualitative study was conducted using conventional content analysis in Tehran, Iran, in 2021. By purposeful sampling, 19 participants, including cancer patients receiving home-based care services from the Iranian Cancer Control Center (MACSA) and their families, as well as the homecare providers, were recruited. The study data were generated by conducting 19 semi-structured interviews and a focus group session and analyzed based on the method proposed by Lundman and Graneheim. Results: Qualitative analysis of the data revealed 5 main categories: “need for remote services”, “disease transmission reduction”, “management requirements”, “burnout”, and “reducing hospital workload.”  Conclusion: The use of telemedicine, the existence of call centers, and the designing of appropriate guidelines, along with the help of qualified personnel, prevent the transmission of COVID-19 to cancer patients in-home palliative care and lead to the provision of comprehensive care to these patients. This approach to care helps avert staff burnout and reduces the number of occupied beds in hospitals.http://jccnc.iums.ac.ir/article-1-408-en.htmlhome healthcarepalliative careadvanced stage cancer patientscovid-19pandemic
spellingShingle Suzanne Hojjat-Assari
Pooneh Pirjani
Vahid Kaveh
Heshmatolah Heydari
Ghazal Razani
Kosar Hossinie
Romina Sadeqian
Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study
Journal of Client-centered Nursing Care
home healthcare
palliative care
advanced stage cancer patients
covid-19
pandemic
title Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study
title_full Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study
title_fullStr Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study
title_full_unstemmed Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study
title_short Stakeholders’ Perceptions of Home-based Palliative Care for Cancer Patients During the COVID-19 Pandemic: A Qualitative Study
title_sort stakeholders perceptions of home based palliative care for cancer patients during the covid 19 pandemic a qualitative study
topic home healthcare
palliative care
advanced stage cancer patients
covid-19
pandemic
url http://jccnc.iums.ac.ir/article-1-408-en.html
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