Abstract
Cancer is the second cause of mortality in the world. Increased incidence of cancer and its growing trend have drawn attention to care for these patients. Palliative care is a solution for improving the quality of cancer care. However, only 14% of cancer patients in the world are receiving palliative care and most nurses lack the adequate knowledge and education to implement different palliative care models for cancer patients. This review of the literature intended to identify the palliative care models used by nurses for cancer patients as well as the similarities and differences between these models. Databases such as PubMed, ProQuest, google scholar, and CINAHL were searched, and experimental studies that presented palliative care models for cancer patients that nurses were involved were selected. From a total of articles selected by searching the databases, 16 experimental articles were selected. These articles presented 12 palliative care models that involved nurses and participants were cancer patients. The palliative care models presented in the experimental articles were based on hospice, hospital, home care, ambulatory, community, pediatric, spirituality, early, family, telehealth, dignity, and integrated. It was found out that several palliative care nursing models for cancer patients can be employed by nurses as they are the key agents in the provision of palliative care. The collaborative nature of the models, their positive consequences for patients being common components of models, and the implementation of the models considering the disease trajectory were among their distinctions.
Similar content being viewed by others
References
Park Y, Colditz GA (2018) Diabetes and adiposity: a heavy load for cancer. Lancet Diabetes Endocrinol 6(2):82–83. https://doi.org/10.1016/S2213-8587(17)30396-0
Fitzmaurice C, Allen C, Barber RM et al (2017) Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol 3(4):524–548. https://doi.org/10.1001/jamaoncol.2016.5688
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492
Eyigor S, Akdeniz S (2014) Is exercise ignored in palliative cancer patients? World J Clin Oncol 5(3):554. https://doi.org/10.5306/wjco.v5.i3.554
Kristanti MS, Setiyarini S, Effendy C (2017) Enhancing the quality of life for palliative care cancer patients in Indonesia through family caregivers: a pilot study of basic skills training. BMC Palliat Care 16(1):4. https://doi.org/10.1186/s12904-016-0178-4
WHO definition of palliative care. Available at: http://www.who.int/cancer/palliative/definition/en/. Accessed May 23, 2018
Sharkey L, Loring B, Cowan M, Riley L, Krakauer EL (2018) National palliative care capacities around the world: results from the World Health Organization Noncommunicable Disease Country Capacity Survey. Palliat Med 32(1):106–113. https://doi.org/10.1177/0269216317716060
Sewtz C, Muscheites W, Kriesen U et al (2018) Questionnaires measuring quality of life and satisfaction of patients and their relatives in a palliative care setting—German translation of FAMCARE-2 and the palliative care subscale of FACIT-Pal. Ann Palliat Med. https://doi.org/10.21037/apm.2018.03.17
Molassiotis A, Brearley S, Saunders M et al (2009) Effectiveness of a home care nursing program in the symptom management of patients with colorectal and breast cancer receiving oral chemotherapy: a randomized, controlled trial. J Clin Oncol 27(36):6191–6198. https://doi.org/10.1200/JCO.2008.20.6755
Gomes B, Calanzani N, Curiale V, McCrone P, Higginson IJ (2013) Effectiveness and cost-effectiveness of home palliative care services for adults with advanced illness and their caregivers. Cochrane Database Syst Rev (6). https://doi.org/10.1002/14651858.CD007760.pub2
Cassel JB, Albrecht TA. Emerging Models of Providing Oncology Palliative Care. Paper presented at. Semin Oncol Nurs. 2018. https://doi.org/10.1016/j.soncn.2018.06.002
Solano JP, Gomes B, Higginson IJ (2006) A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manag 31(1):58–69. https://doi.org/10.1016/j.jpainsymman.2005.06.007
Cross LA (2019) Compassion fatigue in palliative care nursing: a concept analysis. J Hosp Palliat Nurs 21(1):21–28. https://doi.org/10.1097/NJH.0000000000000477
Bakitas M, Lyons KD, Hegel MT et al (2009) Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA Oncol 302(7):741–749. https://doi.org/10.1001/jama.2009.1198
Jack B, Hillier V, Williams A, Oldham J (2003) Hospital based palliative care teams improve the symptoms of cancer patients. Palliat Med 17(6):498–502. https://doi.org/10.1191/0269216303pm794oa
Peters L, Sellick K (2006) Quality of life of cancer patients receiving inpatient and home-based palliative care. J Adv Nurs 53(5):524–533. https://doi.org/10.1111/j.1365-2648.2006.03754.x
Brumley RD, Enguidanos S, Cherin DA (2003) Effectiveness of a home-based palliative care program for end-of-life. J Palliat Med 6(5):715–724. https://doi.org/10.1089/109662103322515220
Catania G, Bagnasco A, Signori A et al (2017) A phase 2 quasi-experimental trial evaluating the feasibility, acceptability, and potential effectiveness of complex nursing intervention focused on QoL assessment on advanced cancer patients with palliative care needs: study protocol. Pilot Feasibility Stud 3(1):54. https://doi.org/10.1186/s40814-017-0196-x
Vickers J, Thompson A, Collins GS, Childs M, Hain R (2007) Place and provision of palliative care for children with progressive cancer: a study by the Paediatric Oncology Nurses’ Forum/United Kingdom Children’s Cancer Study Group Palliative Care Working Group. J Clin Oncol 25(28):4472–4476. https://doi.org/10.1200/JCO.2007.12.0493
Jang RW, Burman D, Swami N et al (2013) Impact of an oncology palliative care clinic on access to home care services. Am J Hosp Palliat Care 30(5):425–431. https://doi.org/10.1177/1049909112452469
Seow H, Brazil K, Sussman J et al (2014) Impact of community based, specialist palliative care teams on hospitalisations and emergency department visits late in life and hospital deaths: a pooled analysis. BMJ Support Palliat Care 348:g3496. https://doi.org/10.1136/bmj.g3496
Temel JS, Greer JA, Muzikansky A et al (2010) Early palliative care for patients with metastatic non–small-cell lung cancer. N Engl J Med Overseas Ed 363(8):733–742. https://doi.org/10.1056/NEJMoa1000678
Zimmermann C, Swami N, Krzyzanowska M et al (2014) Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. Lancet 383(9930):1721–1730. https://doi.org/10.1016/S0140-6736(13)62416-2
Sun V, Grant M, Koczywas M et al (2015) Effectiveness of an interdisciplinary palliative care intervention for family caregivers in lung cancer. CA Cancer J Clin 121(20):3737–3745. https://doi.org/10.1002/cncr.29567
Ringdal GI, Jordhøy MS, Kaasa S (2002) Family satisfaction with end-of-life care for cancer patients in a cluster randomized trial. J Pain Symptom Manag 24(1):53–63. https://doi.org/10.1016/S0885-3924(02)00417-7
Stern A, Valaitis R, Weir R, Jadad AR (2012) Use of home telehealth in palliative cancer care: a case study. J Telemed Telecare. https://doi.org/10.1258/jtt.2012.111201
Julião M, Oliveira F, Nunes B, Carneiro AV, Barbosa A (2017) Effect of dignity therapy on end-of-life psychological distress in terminally ill Portuguese patients: a randomized controlled trial. Palliat Support Care 15(6):628–637. https://doi.org/10.1017/S1478951516001140
Hall S, Edmonds P, Harding R, Chochinov H, Higginson IJ (2009) Assessing the feasibility, acceptability and potential effectiveness of dignity therapy for people with advanced cancer referred to a hospital-based palliative care team: study protocol. BMC Palliat Care 8(1):5. https://doi.org/10.1186/1472-684X-8-5
Temel JS, Greer JA, El-Jawahri A et al (2017) Effects of early integrated palliative care in patients with lung and gi cancer: a randomized clinical trial. J Clin Oncol 35(8):834–841. https://doi.org/10.1200/JCO.2016.70.5046
Horvath MC, Wurtz R, Virnig BA et al (2018) Investigating hospice utilization for oncology patients using a claims database. Am Soc Clin Oncol Educ Book. https://doi.org/10.1200/JCO.2018.36.15_suppl.6570
de Graaf E, Zweers D, de Graeff A, Stellato RK, Teunissen SC (2018) Symptom intensity of hospice patients: a longitudinal analysis of concordance between patients’ and nurses’ outcomes. J Pain Symptom Manag 55(2):272–281. https://doi.org/10.1016/j.jpainsymman.2017.09.005
Lindley LC, Herr KA, Norton SA (2017) The role of hospice and palliative care nurses in quality improvement. J Hosp Palliat Nurs 19(2):160–165. https://doi.org/10.1097/NJH.0000000000000324
Morrison RS (2013) Models of palliative care delivery in the United States. Curr Opin Support Palliat Care 7(2):201. https://doi.org/10.1097/SPC.0b013e32836103e5
Bull J, Kamal AH, Harker M et al (2017) Standardization and scaling of a community-based palliative care model. J Palliat Med 20(11):1237–1243. https://doi.org/10.1089/jpm.2017.0027
Kamal AH, Currow DC, Ritchie CS, Bull J, Abernethy AP (2013) Community-based palliative care: the natural evolution for palliative care delivery in the US. J Pain Symptom Manag 46(2):254–264. https://doi.org/10.1016/j.jpainsymman.2012.07.018
Dudley N, Chapman S, Spetz J (2018) Community-based palliative care leader perspectives on staffing, recruitment, and training. J Hosp Palliat Nurs 20(2):146–152. https://doi.org/10.1097/NJH.0000000000000419
Meier DE, Beresford L (2008) Outpatient clinics are a new frontier for palliative care. J Palliat Med 11(6):823–828. https://doi.org/10.1089/jpm.2008.9886
Hannon B, Swami N, Pope A et al (2015) The oncology palliative care clinic at the Princess Margaret Cancer Centre: an early intervention model for patients with advanced cancer. Support Care Cancer 23(4):1073–1080. https://doi.org/10.1007/s00520-014-2460-4
Daly D, Matzel SC (2013) Building a transdisciplinary approach to palliative care in an acute care setting. Omega (Westport) 67(1–2):43–51. https://doi.org/10.2190/OM.67.1-2.e
Gielen J, Bhatnagar S, Chaturvedi SK (2016) Spirituality as an ethical challenge in Indian palliative care: a systematic review. Palliat Support Care 14(5):561–582. https://doi.org/10.1017/S147895151500125X
Smith TJ, Temin S, Alesi ER et al (2012) American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 30(8):880–887. https://doi.org/10.1200/JCO.2011.38.5161
Kirby E, Broom A, Good P, Wootton J, Adams J Families and the transition to specialist palliative care. Mortality (Abingdon) 2014, 19(4):323–341. https://doi.org/10.1080/13576275.2014.916258
Reigada C, Pais-Ribeiro JL, Novella A, Gonçalves E (2015) The caregiver role in palliative care: a systematic review of the literature. Health Care Curr Rev. https://doi.org/10.4172/2375-4273.1000143
Kidd L, Cayless S, Johnston B, Wengstrom Y (2010) Telehealth in palliative care in the UK: a review of the evidence. J Telemed Telecare 16(7):394–402. https://doi.org/10.1258/jtt.2010.091108
Johnston B, Kidd L, Wengstrom Y, Kearney N (2012) An evaluation of the use of Telehealth within palliative care settings across Scotland. Palliat Med 26(2):152–161. https://doi.org/10.1177/0269216311398698
Vathana N (2017) Palliative care in pediatric cancer. Siriraj Med J 61(5):266–270 Siriraj Med J 2009;61:266–270
Foster TL, Lafond DA, Reggio C, Hinds PS. Pediatric palliative care in childhood cancer nursing: from diagnosis to cure or end of life. Paper presented at: Semin Oncol Nurs 2010. doi: https://doi.org/10.1016/j.soncn.2010.08.003
Martínez M, Arantzamendi M, Belar A et al (2017) ‘Dignity therapy’, a promising intervention in palliative care: a comprehensive systematic literature review. Palliat Med 31(6):492–509. https://doi.org/10.1177/0269216316665562
Johnston B, Östlund U, Brown H (2012) Evaluation of the dignity care pathway for community nurses caring for people at the end of life. Int J Palliat Nurs 18(10):483–489. https://doi.org/10.12968/ijpn.2012.18.10.483
Siouta N, Van Beek K, Van der Eerden M et al (2016) Integrated palliative care in Europe: a qualitative systematic literature review of empirically-tested models in cancer and chronic disease. BMC Palliat Care 15(1):56. https://doi.org/10.1186/s12904-016-0130-7
Hui D, Bruera E (2015) Models of integration of oncology and palliative care. Ann Palliat Med 4(3):89–98. https://doi.org/10.3978/j.issn.2224-5820.2015.04.01
Hui D, Bruera E (2016) Integrating palliative care into the trajectory of cancer care. Nat Rev Clin Oncol 13(3):159. https://doi.org/10.1038/nrclinonc.2015.201
Acknowledgments
This project was derived from the Tabriz faculty of Nursing and Midwifery(1397.675). Hereby, the authors appreciate of all the faculty that helped us.
Funding
This study was financially supported by Tabriz University of Medical Sciences.
Author information
Authors and Affiliations
Contributions
Hadi Hassankhani
Constructing an idea or hypothesis for research and/or manuscript, literature review, providing personnel, environmental and planning methodology to reach the conclusion, supervising the course of the project or the article
Azad Rahmani
Analysis and interpretation of data, taking responsibility in logical interpretation, and presentation of the results critical revision
Fariba Taleghani
Planning methodology to reach the conclusion, organizing and supervising the course of the project or the article
Zohreh Sanaat
Reviewing the article before submission not only for spelling and grammar but also for its intellectual content, critical revision, planning methodology to reach the conclusions
Javad Dehghannezhad
Taking responsibility in the construction of the whole or body of the manuscript, acquisition of data, organizing and supervising the course of the project or the article, and taking responsibility
Corresponding author
Ethics declarations
Competing Interests
The authors declare that they have no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Hassankhani, H., Rahmani, A., Taleghani, F. et al. Palliative Care Models for Cancer Patients: Learning for Planning in Nursing (Review). J Canc Educ 35, 3–13 (2020). https://doi.org/10.1007/s13187-019-01532-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-019-01532-3