title: Issues in prognostication for hospital specialist palliative care doctors and nurses: a qualitative inquiry.
abstract: BACKGROUND
  Patients with advanced life-limiting diseases have high information needs concerning prognosis yet discussions between patients and healthcare professionals are either avoided or inaccurate due to over-optimism. Available prognostic models are problematic. Literature indicates that hospital specialist palliative care professionals are frequently asked to prognosticate, although their experience of prognostication is unknown. Identifying this experience will support the development of prognosis training for hospital specialist palliative care professionals.
  
  
  OBJECTIVE
  To explore hospital specialist palliative care professionals' experience of prognostication.
  
  
  OBJECTIVE
  'How do specialist palliative care team members prognosticate?'; 'How do they view prognostication?'
  
  
  METHODS
  Qualitative research - focus group interviews.
  
  
  METHODS
  Three UK hospital specialist palliative care teams. Participants included medical doctors and palliative care nurses. Inclusion/exclusion criteria: member of hospital specialist palliative care team with knowledge and experience of prognostication. Numbers of participants: four hospital specialist palliative medicine consultants, three senior doctors in training, nine clinical nurse specialists.
  
  
  RESULTS
  Two major themes: Difficulties of prognostication; Benefits of prognostication. Eleven sub-themes: Difficulties (Non-malignant disease; Communicating uncertainty; Seeking definitive prognosis; Participants' feelings; Confidence in prognostication; Estimating prognosis; Dealing with reaction of prognosis; Prognostic error); Benefits (Patient informed decision-making prioritizing needs and care; Family-prioritizing commitments; Services accessing funding and services planning patient care).
  
  
  CONCLUSIONS
  Findings highlight lack of evidence to support practice, and identify the complexity and emotional labour involved in prognostication by hospital specialist palliative care team members, and are used to discuss recommendations for further research and practice.
authors.affiliation: University of Glamorgan, Care Sciences, Trefforest, Pontypridd, UK. dpontin@glamorgan.ac.uk
authors.forename: David
authors.initials: D
authors.lastname: Pontin
authors.forename: Nikki
authors.initials: N
authors.lastname: Jordan
mesh_terms: D017144:Focus Groups; D006801:Humans; D008505:Medical Staff, Hospital; D009723:Nurse-Patient Relations; D009741:Nursing Staff, Hospital; D010166:Palliative Care; D010817:Physician-Patient Relations; D011379:Prognosis; D036301:Qualitative Research; D014342:Truth Disclosure; D006113:United Kingdom