Barriers and facilitators that hospital clinicians perceive to discuss the personal values, wishes, and needs of patients in palliative care: a mixed-methods systematic review.

Sita de VriesMary-Joanne VerhoefSigrid Cornelia Johanna Maria VervoortYvette Milene van der LindenSaskia Cornelia Constantia Maria TeunissenEverlien de Graaf

Published in: Palliative care and social practice (2023)

A patient-centered approach seems lacking when clinicians discuss the patient's VWN, since most studies focused on treatment decision making rather than on the exploration and monitoring of the multidimensional well-being of patients. This review emphasizes the need for the development and integration of a systematic approach to explore and monitor the patients' VWN to improve appropriate palliative care in hospitals.

Keyphrases

palliative care
end stage renal disease
systematic review
ejection fraction
newly diagnosed
chronic kidney disease
healthcare
prognostic factors
decision making
emergency department
patient reported
adverse drug
electronic health record