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An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa.
Introduction: Palliative care is a core component of comprehensive health care across a person's life span. South Africa is currently in the process of integrating palliative care into all levels of the health care system. Doctors play a vital role in providing these services, but misconceptions abo...
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| Format: | Thesis |
| Language: | English |
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Department of Medicine
2021
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| _version_ | 1867614233375539200 |
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| access_status_str | Open Access |
| author | Booth, Elizabeth Cecile |
| author2 | Ganca, Linda |
| author_browse | Booth, Elizabeth Cecile Ganca, Linda |
| author_facet | Ganca, Linda Booth, Elizabeth Cecile |
| author_sort | Booth, Elizabeth Cecile |
| collection | Thesis |
| description | Introduction: Palliative care is a core component of comprehensive health care across a person's life span. South Africa is currently in the process of integrating palliative care into all levels of the health care system. Doctors play a vital role in providing these services, but misconceptions about palliative care and who should be providing it, may prevent these services from being offered. Aim: The aim of this study was to discover doctor's perceptions and the current provision of palliative care in a private hospital. Objectives: The objectives of the study were: (1) to explore doctors' experiences of pain and symptom management in palliative care; (2) to explore doctors' perceptions of palliative care, goals of care and teamwork in palliative care; and (3) to explore the doctors' provision of palliative care at the hospital. Methodology: This was a qualitative study using a grounded theory approach. Semi-structured interviews were conducted with 14 participants, made up of doctors in oncology, physicians, surgeons, a cardiologist, an intensivist, a hematologist and a general practitioner. Interviews were recorded, transcribed and an inductive process was used for data analysis which allowed for categories to emerge from the data. Results: Eight themes emerged from the data analysis: improving the quality of life; palliative care as a role for oncologists; late referrals to palliative care, views on the World Health Organisation analgesic pain ladder; morphine a controversial means of pain control; team approach; family involvement and spiritual care. Conclusion: Palliative care was seen as an important intervention for a dying patient, but by introducing these services so late, patients are not benefitting from all that palliative care has to offer. Doctors did not always have a good understanding of when and how to provide palliative care. The following recommendations were made: (1) further research to be conducted in more private hospitals; (2)engage with management and doctors to begin the process of offering more formalised palliative care services at the hospital; (3) networking with available palliative care services, (4) organising palliative care training and workshops and (5) palliative care awareness campaigns. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/33673 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:48:47.319Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Department of Medicine |
| publisherStr | Department of Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/33673 An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. Booth, Elizabeth Cecile Ganca, Linda Palliative Medicine Introduction: Palliative care is a core component of comprehensive health care across a person's life span. South Africa is currently in the process of integrating palliative care into all levels of the health care system. Doctors play a vital role in providing these services, but misconceptions about palliative care and who should be providing it, may prevent these services from being offered. Aim: The aim of this study was to discover doctor's perceptions and the current provision of palliative care in a private hospital. Objectives: The objectives of the study were: (1) to explore doctors' experiences of pain and symptom management in palliative care; (2) to explore doctors' perceptions of palliative care, goals of care and teamwork in palliative care; and (3) to explore the doctors' provision of palliative care at the hospital. Methodology: This was a qualitative study using a grounded theory approach. Semi-structured interviews were conducted with 14 participants, made up of doctors in oncology, physicians, surgeons, a cardiologist, an intensivist, a hematologist and a general practitioner. Interviews were recorded, transcribed and an inductive process was used for data analysis which allowed for categories to emerge from the data. Results: Eight themes emerged from the data analysis: improving the quality of life; palliative care as a role for oncologists; late referrals to palliative care, views on the World Health Organisation analgesic pain ladder; morphine a controversial means of pain control; team approach; family involvement and spiritual care. Conclusion: Palliative care was seen as an important intervention for a dying patient, but by introducing these services so late, patients are not benefitting from all that palliative care has to offer. Doctors did not always have a good understanding of when and how to provide palliative care. The following recommendations were made: (1) further research to be conducted in more private hospitals; (2)engage with management and doctors to begin the process of offering more formalised palliative care services at the hospital; (3) networking with available palliative care services, (4) organising palliative care training and workshops and (5) palliative care awareness campaigns. 2021-07-30T09:56:30Z 2021-07-30T09:56:30Z 2020 2021-07-29T12:27:55Z Master Thesis Masters MPhil http://hdl.handle.net/11427/33673 eng application/pdf Department of Medicine Faculty of Health Sciences |
| spellingShingle | Palliative Medicine Booth, Elizabeth Cecile An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. |
| thesis_degree_str | Master's |
| title | An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. |
| title_full | An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. |
| title_fullStr | An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. |
| title_full_unstemmed | An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. |
| title_short | An exploration of Doctor's perceptions and the provision of Palliative Care at a Private Hospital in Gauteng, South Africa. |
| title_sort | exploration of doctor s perceptions and the provision of palliative care at a private hospital in gauteng south africa |
| topic | Palliative Medicine |
| url | http://hdl.handle.net/11427/33673 |
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