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Volume 11, Issue 4 (12-2014)
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Mardani Hamooleh M, Borimnejad L, Seyedfatemi N, Tahmasebi M. Interpretation of palliative care concept, its barriers and facilitators using meta-synthesis. Mod Care J 2014; 11 (4) :316-329
URL: http://mcj.bums.ac.ir/article-1-612-en.html
URL: http://mcj.bums.ac.ir/article-1-612-en.html
1- Assistant professor, Department of nursing, Faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran
2- Leili Borimnejad, Associate professor, Department of nursing, Center for Nursing Care Research, faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran l.borimnejad@gmail.com
3- Associate professor, Department of nursing, Center for Nursing Care Research, Faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran
4- Assistant professor, Department of Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
2- Leili Borimnejad, Associate professor, Department of nursing, Center for Nursing Care Research, faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran l.borimnejad@gmail.com
3- Associate professor, Department of nursing, Center for Nursing Care Research, Faculty of Nursing, Iran University of Medical Sciences, Tehran, Iran
4- Assistant professor, Department of Gynecology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (214 Views)
Background and Aim: Palliative care is one of the most important concepts in nursing. The aim of this study was to interpret palliative care concept, its barriers and facilitators using meta-synthesis..
Materials and Methods: In this meta-synthesis, a systematic review was conducted and qualitative articles related to palliative care concept in Medline, Elsevier and Ovid in the period from 2002 to 2012 were selected. To facilitate the search, the terms “palliative care” and "qualitative research” were used by MeSH system. Then, articles that had exactly studied palliative care concept and its related factors, and were published in English, were selected for analysis and compared. In this study, 553qualitative articles related to palliative care concept were found and 44 articles were in close relation to palliative care concept which included 22 articles from Medline, 3 articles from Elsevier, and 19 articles from Ovid databases. In total, from among the 44 qualitative articles in the period from 2002 to 2012, full texts of 16 articles were selected and reviewed in an interpretive manner. Data were analyzed using open coding style.
Results: Results from interpretation of palliative care concept, its barriers and facilitators were categorized in 3 themes consisting of palliative care concept, palliative care facilitating, and palliative care threatening factors. In general, 35 codes were introduced as the most important elements in the context of palliative care.
Conclusion: The results show that palliative care is a complex and multi-dimensional concept. Multiple factors are related to it, which can facilitate or threaten it. In addition, the results of the present meta- synthesis showed that palliative care is not bounded by a specific time or place but enjoys a team and interdisciplinary approach.
Materials and Methods: In this meta-synthesis, a systematic review was conducted and qualitative articles related to palliative care concept in Medline, Elsevier and Ovid in the period from 2002 to 2012 were selected. To facilitate the search, the terms “palliative care” and "qualitative research” were used by MeSH system. Then, articles that had exactly studied palliative care concept and its related factors, and were published in English, were selected for analysis and compared. In this study, 553qualitative articles related to palliative care concept were found and 44 articles were in close relation to palliative care concept which included 22 articles from Medline, 3 articles from Elsevier, and 19 articles from Ovid databases. In total, from among the 44 qualitative articles in the period from 2002 to 2012, full texts of 16 articles were selected and reviewed in an interpretive manner. Data were analyzed using open coding style.
Results: Results from interpretation of palliative care concept, its barriers and facilitators were categorized in 3 themes consisting of palliative care concept, palliative care facilitating, and palliative care threatening factors. In general, 35 codes were introduced as the most important elements in the context of palliative care.
Conclusion: The results show that palliative care is a complex and multi-dimensional concept. Multiple factors are related to it, which can facilitate or threaten it. In addition, the results of the present meta- synthesis showed that palliative care is not bounded by a specific time or place but enjoys a team and interdisciplinary approach.
Article Types: Research Article |
Subject:
General
Received: 2026/02/18 | Accepted: 2014/12/28 | Published: 2014/12/28
Received: 2026/02/18 | Accepted: 2014/12/28 | Published: 2014/12/28
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