Perceptions and attitudes toward palliative care among healthcare professionals in Qatar’s home care setting

TL;DR

This study explores how healthcare workers in Qatar perceive and deliver palliative care at home, identifying challenges and opportunities to improve end-of-life care.

Contribution

The study provides new insights into palliative care delivery in Qatar’s home care setting, highlighting cultural and regulatory challenges specific to the region.

Findings

Healthcare professionals emphasize patient-centered care and comfort in palliative care.

Regulatory restrictions on narcotics and cultural norms pose significant challenges to home-based palliative care.

Training, policy revisions, and awareness are identified as key areas for improvement.

Abstract

Palliative care (PC) is an emerging concept in the Middle East, with Qatar lacking formalized home-based services until the 2021 Doha declaration. This qualitative study addresses a gap in the literature by exploring home healthcare service (HHCS) staff perceptions, attitudes, and challenges in delivering PC in Qatar’s home setting, aiming to inform service development and enhance end-of-life care accessibility.

Using Braun and Clarke’s thematic analysis approach, semi-structured interviews were conducted with 13 purposively sampled HHCS staff from various disciplines (e.g., physicians, nurses, pharmacists). Interviews, lasting approximately 30 min each, were audio-recorded via Microsoft Teams, transcribed, and analyzed with QualCoder software to identify codes, sub-themes, and major themes.

Four key themes emerged: (1) patient-centered care and comfort, emphasizing pain-free management, quality of life, and respecting patient/family wishes; (2) challenges and barriers, including narcotic drug access, community acceptance, and cultural/religious considerations; (3) communication and supportive services, highlighting clear channels and psychosocial/spiritual support; and (4) training and resources, stressing staff education, emotional support, and policy revisions.

Findings reveal unique Qatar-specific obstacles, such as regulatory restrictions on narcotics and cultural norms affecting death at home, while offering opportunities to improve training, policies, and awareness. These insights are crucial for integrating culturally sensitive PC into home-based systems, potentially reducing hospital burdens and aligning with global aging trends.

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