Table 3.
Main analytical theme | Summary of key issues/learning |
---|---|
Definitions and roles | • Difficulties in conceptualising involvement and palliative care due to use of different terminology
• Take time to clarify roles, purpose and expectations • Take time to create a safe space and to work together collaboratively, acknowledging boundary issues |
Values and principles | • Similarity of values in involvement and palliative care
• Acknowledge difficulties; however, do not make assumptions • Acknowledge and work with power issues |
Organisations and culture | • Consider involvement as a core activity, integrate throughout organisations
• Address practical matters to make systems more involvement-friendly • Address issues concerning attitudes to involvement and emotional aspects • Involvement found to be less daunting than originally thought |
Training and support | • Provide training opportunities for all, considering different motivations
• Address support issues • Involve different people using different methods |
Networking and groups | • Develop infrastructure to enable networking and mutual support, build collaborations and develop new groups
• Take time to develop relationships • Consider issues concerning sustainability of groups |
Perspectives and diversity | • View differing perspectives as all valuable
• Acknowledge and address issues concerning diversity • Consider diversity rather than representativeness |
Relationships and communication | Take time to develop relationships
• Need for professionals to interact with patients/carers • Ensure communication is accessible and regular, provide feedback • Acknowledge value and benefits of involvement |
Emotions and impact | • Acknowledge and address issues concerning emotional impact
• Ensure good practice followed in involvement • Acknowledge positive benefits and impacts • Ensure patients/carers offered opportunities to be involved |