Recommendations for hospice care to terminally ill cancer patients: a phenomenological study of oncologists' experiences

J Soc Work End Life Palliat Care. 2014;10(2):149-69. doi: 10.1080/15524256.2014.906373.

Abstract

The aim of this exploratory study was to better understand oncologists' experiences and their perceptions of hospice care as an end-of-life treatment choice for terminally ill cancer patients. To describe this experience, semi-structured qualitative interviews were conducted using phenomenological methods with nine oncologists. Four themes emerged from the data analysis: (a) feelings of discomfort and relief, (b) being different from others, (c) experience with nonhospice patients, and (d) factors influencing the decision to recommend hospice. Future research and a flexible interdisciplinary practice model are suggested to better assist with end-of-life care decision making and recommendations for hospice care with oncologists and their terminally ill cancer patients are presented.

Keywords: hospice; oncology social work; phenomenology; physician decision making; qualitative; terminal illness.

MeSH terms

  • Attitude of Health Personnel*
  • Communication
  • Decision Making
  • Female
  • Hospice Care / organization & administration*
  • Humans
  • Male
  • Medical Oncology / organization & administration*
  • Neoplasms / therapy*
  • Physician-Patient Relations*
  • Practice Patterns, Physicians' / organization & administration*
  • Terminally Ill