A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe

dc.contributor.advisorGwyther, Lizen_ZA
dc.contributor.authorTsikai, Franciscah Ndayiziveyien_ZA
dc.date.accessioned2018-01-29T07:28:15Z
dc.date.available2018-01-29T07:28:15Z
dc.date.issued2017en_ZA
dc.description.abstractBackground: This study investigated the factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit. The study was conducted at Island Hospice Service in Harare, Zimbabwe where Palliative care has been practiced in Zimbabwe since 1979 mainly using the home-based care model where patients are cared for by family caregivers with the support of the palliative care teams. Aim:To explore and understand issues that influence family caregivers at Island Hospice to seek help at emergency units for patients who are terminally ill. Method: This was a phenomenological study using semi-structured qualitative interviews with fifteen adult family caregivers who were the main carers of Island Hospice patients who presented at the emergency unit during the January to September 2015 period. Data were collected in Shona language using semi structured digitally recorded interviews. Data analysis through identifying themes that emerged from the transcripts. Results: Family caregivers reported the need for availability of palliative care medicine and other resources in the home setting. The family caregivers reported the need to be given information regarding the patient's diagnosis and prognosis as that would prepare them emotionally. They described challenges as pressure from relatives, witchcraft issues as well as lack of practical skills in providing care. Conclusion Considering the lack of resources and support the respondents do not support the idea of home deaths, they would rather send patients to the emergency rooms. A more organized end of life care and support for family caregivers and patients could be instituted by the hospice organization.en_ZA
dc.identifier.apacitationTsikai, F. N. (2017). <i>A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/27072en_ZA
dc.identifier.chicagocitationTsikai, Franciscah Ndayiziveyi. <i>"A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2017. http://hdl.handle.net/11427/27072en_ZA
dc.identifier.citationTsikai, F. 2017. A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Tsikai, Franciscah Ndayiziveyi AB - Background: This study investigated the factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit. The study was conducted at Island Hospice Service in Harare, Zimbabwe where Palliative care has been practiced in Zimbabwe since 1979 mainly using the home-based care model where patients are cared for by family caregivers with the support of the palliative care teams. Aim:To explore and understand issues that influence family caregivers at Island Hospice to seek help at emergency units for patients who are terminally ill. Method: This was a phenomenological study using semi-structured qualitative interviews with fifteen adult family caregivers who were the main carers of Island Hospice patients who presented at the emergency unit during the January to September 2015 period. Data were collected in Shona language using semi structured digitally recorded interviews. Data analysis through identifying themes that emerged from the transcripts. Results: Family caregivers reported the need for availability of palliative care medicine and other resources in the home setting. The family caregivers reported the need to be given information regarding the patient's diagnosis and prognosis as that would prepare them emotionally. They described challenges as pressure from relatives, witchcraft issues as well as lack of practical skills in providing care. Conclusion Considering the lack of resources and support the respondents do not support the idea of home deaths, they would rather send patients to the emergency rooms. A more organized end of life care and support for family caregivers and patients could be instituted by the hospice organization. DA - 2017 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe TI - A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe UR - http://hdl.handle.net/11427/27072 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/27072
dc.identifier.vancouvercitationTsikai FN. A study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabwe. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2017 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27072en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPalliative Medicineen_ZA
dc.titleA study to explore factors that influence family caregivers of patients receiving palliative care from Island Hospice to seek help at emergency unit in Harare, Zimbabween_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPhilen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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