Difficult decisions: An interpretative phenomenological analysis study of healthcare professionals’ perceptions of oxygen therapy in palliative care
Background: The role of oxygen therapy to palliate dyspnoea is controversial. Without a clear evidence base oxygen is commonly prescribed, sometimes to the detriment of patients. This use of oxygen appears to be an entrenched culture, the roots of which remain obscure. Aim: To explore healthcare pro...
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| Veröffentlicht in: | Palliative medicine 2015-12, Vol.29 (10), p.950-958 |
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| creator | Kelly, Carol Ann O’Brien, Mary R |
| description | Background:
The role of oxygen therapy to palliate dyspnoea is controversial. Without a clear evidence base oxygen is commonly prescribed, sometimes to the detriment of patients. This use of oxygen appears to be an entrenched culture, the roots of which remain obscure.
Aim:
To explore healthcare professionals’ perceptions of oxygen therapy in palliative care.
Design:
Interpretative phenomenological analysis study utilising semi-structured interviews to explore beliefs and behaviours of healthcare professionals regarding palliative oxygen therapy. Data were recorded, transcribed and analysed using interpretative phenomenological analysis.
Setting/participants:
A total of 34 healthcare professionals, including doctors, nurses, pharmacists and paramedics in the United Kingdom, who were involved in prescribing, or administering, oxygen therapy to palliate dyspnoea.
Results:
Most healthcare professionals in this study were well informed about oxygen therapy; all recognised the role of oxygen in palliative care setting as important. The overarching theme of compassion identified sub-themes of ‘comfort’, ‘do anything and everything’ and ‘family benefit’. However, the use of oxygen in the palliative care setting was not without its dilemmas, as additional sub-themes of ‘controversy’, ‘doubt’ and ‘dependency’ illustrated.
Conclusion:
Findings suggest that oxygen therapy in palliative care poses an on-going dilemma for healthcare professionals striving to provide optimum care. It seems patients and families often expect and welcome oxygen, but the perception of oxygen as a solution to dyspnoea can conflict with healthcare professionals’ own doubt and experiences. There appears to be an emotional cost associated with this dilemma and the choices that need to be made. |
| doi_str_mv | 10.1177/0269216315584864 |
| format | Article |
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The role of oxygen therapy to palliate dyspnoea is controversial. Without a clear evidence base oxygen is commonly prescribed, sometimes to the detriment of patients. This use of oxygen appears to be an entrenched culture, the roots of which remain obscure.
Aim:
To explore healthcare professionals’ perceptions of oxygen therapy in palliative care.
Design:
Interpretative phenomenological analysis study utilising semi-structured interviews to explore beliefs and behaviours of healthcare professionals regarding palliative oxygen therapy. Data were recorded, transcribed and analysed using interpretative phenomenological analysis.
Setting/participants:
A total of 34 healthcare professionals, including doctors, nurses, pharmacists and paramedics in the United Kingdom, who were involved in prescribing, or administering, oxygen therapy to palliate dyspnoea.
Results:
Most healthcare professionals in this study were well informed about oxygen therapy; all recognised the role of oxygen in palliative care setting as important. The overarching theme of compassion identified sub-themes of ‘comfort’, ‘do anything and everything’ and ‘family benefit’. However, the use of oxygen in the palliative care setting was not without its dilemmas, as additional sub-themes of ‘controversy’, ‘doubt’ and ‘dependency’ illustrated.
Conclusion:
Findings suggest that oxygen therapy in palliative care poses an on-going dilemma for healthcare professionals striving to provide optimum care. It seems patients and families often expect and welcome oxygen, but the perception of oxygen as a solution to dyspnoea can conflict with healthcare professionals’ own doubt and experiences. There appears to be an emotional cost associated with this dilemma and the choices that need to be made.</description><identifier>ISSN: 0269-2163</identifier><identifier>EISSN: 1477-030X</identifier><identifier>DOI: 10.1177/0269216315584864</identifier><identifier>PMID: 25921708</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Attitude of Health Personnel ; Decision making ; Dyspnea ; Dyspnea - physiopathology ; Dyspnea - therapy ; Evidence-Based Practice - standards ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Interviews as Topic ; Male ; Medical personnel ; Nurses ; Oxygen Inhalation Therapy - standards ; Oxygen therapy ; Palliative care ; Palliative Care - methods ; Palliative Care - standards ; Perceptions ; Physicians ; Professional-Family Relations ; Qualitative Research ; United Kingdom</subject><ispartof>Palliative medicine, 2015-12, Vol.29 (10), p.950-958</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-37f32a4cd977c41edee4ddc4a9bd83c187ef38e7ad322f021a4dffa10619768c3</citedby><cites>FETCH-LOGICAL-c440t-37f32a4cd977c41edee4ddc4a9bd83c187ef38e7ad322f021a4dffa10619768c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269216315584864$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269216315584864$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,12825,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25921708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelly, Carol Ann</creatorcontrib><creatorcontrib>O’Brien, Mary R</creatorcontrib><title>Difficult decisions: An interpretative phenomenological analysis study of healthcare professionals’ perceptions of oxygen therapy in palliative care</title><title>Palliative medicine</title><addtitle>Palliat Med</addtitle><description>Background:
The role of oxygen therapy to palliate dyspnoea is controversial. Without a clear evidence base oxygen is commonly prescribed, sometimes to the detriment of patients. This use of oxygen appears to be an entrenched culture, the roots of which remain obscure.
Aim:
To explore healthcare professionals’ perceptions of oxygen therapy in palliative care.
Design:
Interpretative phenomenological analysis study utilising semi-structured interviews to explore beliefs and behaviours of healthcare professionals regarding palliative oxygen therapy. Data were recorded, transcribed and analysed using interpretative phenomenological analysis.
Setting/participants:
A total of 34 healthcare professionals, including doctors, nurses, pharmacists and paramedics in the United Kingdom, who were involved in prescribing, or administering, oxygen therapy to palliate dyspnoea.
Results:
Most healthcare professionals in this study were well informed about oxygen therapy; all recognised the role of oxygen in palliative care setting as important. The overarching theme of compassion identified sub-themes of ‘comfort’, ‘do anything and everything’ and ‘family benefit’. However, the use of oxygen in the palliative care setting was not without its dilemmas, as additional sub-themes of ‘controversy’, ‘doubt’ and ‘dependency’ illustrated.
Conclusion:
Findings suggest that oxygen therapy in palliative care poses an on-going dilemma for healthcare professionals striving to provide optimum care. It seems patients and families often expect and welcome oxygen, but the perception of oxygen as a solution to dyspnoea can conflict with healthcare professionals’ own doubt and experiences. There appears to be an emotional cost associated with this dilemma and the choices that need to be made.</description><subject>Attitude of Health Personnel</subject><subject>Decision making</subject><subject>Dyspnea</subject><subject>Dyspnea - physiopathology</subject><subject>Dyspnea - therapy</subject><subject>Evidence-Based Practice - standards</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Nurses</subject><subject>Oxygen Inhalation Therapy - standards</subject><subject>Oxygen therapy</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - standards</subject><subject>Perceptions</subject><subject>Physicians</subject><subject>Professional-Family Relations</subject><subject>Qualitative Research</subject><subject>United Kingdom</subject><issn>0269-2163</issn><issn>1477-030X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU1rFTEUhoMo9lrdu5KAGzdjk0lmknFX6leh4EbB3ZAmJ_em5E7GJFOcnb9C8O_5S0y4tZSC4CJkcZ73OSEvQs8peU2pECek7YeW9ox2neSy5w_QhnIhGsLI14doU8dNnR-hJyldEUIZ6fljdNR2JSaI3KCfb521Ti8-YwPaJRem9AafTthNGeIcIavsrgHPO5jCvhwftk4rj9Wk_JpcwikvZsXB4h0on3daxULHYCFVmfLp949feIaoYc7VXtHwfd3ChPMOoprXsgvPynt3WFUNT9EjW6Lw7OY-Rl_ev_t89rG5-PTh_Oz0otGck9wwYVmruDaDEJpTMADcGM3VcGkk01QKsEyCUIa1rSUtVdxYqyjp6SB6qdkxenXwlhd_WyDlce-SBu_VBGFJIxU9p7zrBP8PlAkuCelEQV_eQ6_CEutfVKpvySCHrlDkQOkYUopgxzm6vYrrSMlY6x3v11siL27Ey-UezG3gb58FaA5AUlu4s_Vfwj8pKLFB</recordid><startdate>201512</startdate><enddate>201512</enddate><creator>Kelly, Carol Ann</creator><creator>O’Brien, Mary R</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201512</creationdate><title>Difficult decisions: An interpretative phenomenological analysis study of healthcare professionals’ perceptions of oxygen therapy in palliative care</title><author>Kelly, Carol Ann ; O’Brien, Mary R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-37f32a4cd977c41edee4ddc4a9bd83c187ef38e7ad322f021a4dffa10619768c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Attitude of Health Personnel</topic><topic>Decision making</topic><topic>Dyspnea</topic><topic>Dyspnea - physiopathology</topic><topic>Dyspnea - therapy</topic><topic>Evidence-Based Practice - standards</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Nurses</topic><topic>Oxygen Inhalation Therapy - standards</topic><topic>Oxygen therapy</topic><topic>Palliative care</topic><topic>Palliative Care - methods</topic><topic>Palliative Care - standards</topic><topic>Perceptions</topic><topic>Physicians</topic><topic>Professional-Family Relations</topic><topic>Qualitative Research</topic><topic>United Kingdom</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelly, Carol Ann</creatorcontrib><creatorcontrib>O’Brien, Mary R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Palliative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kelly, Carol Ann</au><au>O’Brien, Mary R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Difficult decisions: An interpretative phenomenological analysis study of healthcare professionals’ perceptions of oxygen therapy in palliative care</atitle><jtitle>Palliative medicine</jtitle><addtitle>Palliat Med</addtitle><date>2015-12</date><risdate>2015</risdate><volume>29</volume><issue>10</issue><spage>950</spage><epage>958</epage><pages>950-958</pages><issn>0269-2163</issn><eissn>1477-030X</eissn><abstract>Background:
The role of oxygen therapy to palliate dyspnoea is controversial. Without a clear evidence base oxygen is commonly prescribed, sometimes to the detriment of patients. This use of oxygen appears to be an entrenched culture, the roots of which remain obscure.
Aim:
To explore healthcare professionals’ perceptions of oxygen therapy in palliative care.
Design:
Interpretative phenomenological analysis study utilising semi-structured interviews to explore beliefs and behaviours of healthcare professionals regarding palliative oxygen therapy. Data were recorded, transcribed and analysed using interpretative phenomenological analysis.
Setting/participants:
A total of 34 healthcare professionals, including doctors, nurses, pharmacists and paramedics in the United Kingdom, who were involved in prescribing, or administering, oxygen therapy to palliate dyspnoea.
Results:
Most healthcare professionals in this study were well informed about oxygen therapy; all recognised the role of oxygen in palliative care setting as important. The overarching theme of compassion identified sub-themes of ‘comfort’, ‘do anything and everything’ and ‘family benefit’. However, the use of oxygen in the palliative care setting was not without its dilemmas, as additional sub-themes of ‘controversy’, ‘doubt’ and ‘dependency’ illustrated.
Conclusion:
Findings suggest that oxygen therapy in palliative care poses an on-going dilemma for healthcare professionals striving to provide optimum care. It seems patients and families often expect and welcome oxygen, but the perception of oxygen as a solution to dyspnoea can conflict with healthcare professionals’ own doubt and experiences. There appears to be an emotional cost associated with this dilemma and the choices that need to be made.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25921708</pmid><doi>10.1177/0269216315584864</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2163 |
| ispartof | Palliative medicine, 2015-12, Vol.29 (10), p.950-958 |
| issn | 0269-2163 1477-030X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1764145574 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SAGE Complete |
| subjects | Attitude of Health Personnel Decision making Dyspnea Dyspnea - physiopathology Dyspnea - therapy Evidence-Based Practice - standards Female Health Knowledge, Attitudes, Practice Humans Interviews as Topic Male Medical personnel Nurses Oxygen Inhalation Therapy - standards Oxygen therapy Palliative care Palliative Care - methods Palliative Care - standards Perceptions Physicians Professional-Family Relations Qualitative Research United Kingdom |
| title | Difficult decisions: An interpretative phenomenological analysis study of healthcare professionals’ perceptions of oxygen therapy in palliative care |
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