Barriers and challenges of team working in palliative care of the elderly: an integrated review

Document Type : Review Article

Authors

1 PhD Student of Nursing, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Associate Professor, Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran Professor, Professor, Dept. of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

10.22038/nnj.2025.82412.1458

Abstract

Background and Aims: A multidisciplinary approach is needed to balance therapeutic and palliative intervention options, given the complexity of geriatric care. Despite the development and implementation of team education models in geriatrics and palliative care, little attention has been paid to the nature and process of teamwork. An integrated review of interdisciplinary team collaboration, barriers and challenges in palliative care in the elderly.
Materials and Methods: The present integrated review study was conducted based on the methodology of Whitmore. PubMed, Scopus, Web of sciences, Science Direct and Google scholar search "End of life," "Palliative medicine," "Hospice care," "Terminal care," 'Palliative care', 'interdisciplinary' team', 'quality of life', 'elderly' were searched without time limit. All the articles were summarized and categorized based on the year, research objective, critical evaluation criteria and conclusion. The results of the previous steps were analyzed by applying data reduction, data display, and data comparison.
Results: Key barriers to interdisciplinary collaboration in palliative care were identified in the three domains; 1) education: Inadequate training process, lack of development of palliative care training, practice. 2) Implementation: challenge of referring elderly people in need of palliative care, lack of specialist staff and inappropriate organizational culture. And 3) Policy: Fragmented care, lack of funding and regulatory barriers.
Conclusion: Interdisciplinary team collaboration in palliative care in the elderly requires providing inter professional training opportunities for team members, executive assurance, policy making in the domains of palliative care, and funding and financial resources.

Keywords

References

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Navid No
Volume 27, Issue 91
December 2024
Pages 53-67

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