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Background <p>Universal access to palliative care (PC) is a human right that most countries have not accomplished. Effective PC delivery requires an interprofessional team approach. Healthcare professional education is critical to bolstering PC service integration, especially in low- and middle-income countries (LMICs) where PC is least available. Jamaica is a LMIC with inadequate PC. This study aimed to explore the PC experiences and educational needs of healthcare interprofessionals in Jamaica to inform future PC advancement efforts.</p> Methods <p>A qualitative multiple case study design was used with physicians, nurses, and social workers (<i>n</i> = 13) as selected distinct cases using maximum variation sampling. Semi-structured interviews were conducted. Verbatim transcripts were analyzed using an inductive thematic analysis within and across cases. Reflection notes, clarifying communications, and PC educational materials corroborated findings.</p> Results <p>Five key themes emerged including clinical experiences, cultural environment, communication, self-care, and education. Across cases, physicians were most familiar with PC and social workers least. Nurses did not recognize the full scope of PC. Perceptions of peer communication differed across disciplines. Social workers found interprofessional team involvement beneficial to communication and patient care. All disciplines struggled to maintain a reasonable work-life balance, which was attributed to resource limitations. Between cases, none of the participants had formal PC education. All expressed interest in future training and embraced interprofessional learning.</p> Conclusions <p>Study findings can inform tailored interprofessional PC educational interventions focused on team collaboration, communication, and integration of PC into communities using resource-stratified approaches and capitalizing on all health professionals as equally important contributors. Advancement of PC should be supported by synergistic international academic-practice partnerships.</p>

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Healthcare interprofessional palliative care educational needs: a qualitative multiple case study in Jamaica

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年1月8日

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  • Rebecca L. Edwards,
  • Marie Bakitas,
  • Adelais Markaki,
  • Dingle Spence,
  • Mark Stoltenberg,
  • Eulalia Kahwa,
  • Peng Li,
  • Nataliya V. Ivankova

摘要

Background

Universal access to palliative care (PC) is a human right that most countries have not accomplished. Effective PC delivery requires an interprofessional team approach. Healthcare professional education is critical to bolstering PC service integration, especially in low- and middle-income countries (LMICs) where PC is least available. Jamaica is a LMIC with inadequate PC. This study aimed to explore the PC experiences and educational needs of healthcare interprofessionals in Jamaica to inform future PC advancement efforts.

Methods

A qualitative multiple case study design was used with physicians, nurses, and social workers (n = 13) as selected distinct cases using maximum variation sampling. Semi-structured interviews were conducted. Verbatim transcripts were analyzed using an inductive thematic analysis within and across cases. Reflection notes, clarifying communications, and PC educational materials corroborated findings.

Results

Five key themes emerged including clinical experiences, cultural environment, communication, self-care, and education. Across cases, physicians were most familiar with PC and social workers least. Nurses did not recognize the full scope of PC. Perceptions of peer communication differed across disciplines. Social workers found interprofessional team involvement beneficial to communication and patient care. All disciplines struggled to maintain a reasonable work-life balance, which was attributed to resource limitations. Between cases, none of the participants had formal PC education. All expressed interest in future training and embraced interprofessional learning.

Conclusions

Study findings can inform tailored interprofessional PC educational interventions focused on team collaboration, communication, and integration of PC into communities using resource-stratified approaches and capitalizing on all health professionals as equally important contributors. Advancement of PC should be supported by synergistic international academic-practice partnerships.