{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T21:53:47Z","timestamp":1789595627470,"version":"build-2803163510"},"reference-count":41,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002001","name":"Health Services and Delivery Research Programme","doi-asserted-by":"publisher","award":["NIHR135128"],"award-info":[{"award-number":["NIHR135128"]}],"id":[{"id":"10.13039\/501100002001","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Homecare workers (paid workers without professional qualifications who provide care for people within their own homes) are crucial providers of end-of-life care (the last 6\u2009months of life) but are not part of the healthcare multidisciplinary team. Little is known about the homecare worker role within interprofessional working practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To explore the experiences of end-of-life homecare provision, from multiple perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A qualitative multiple case study using semi-structured interviews, and the option to create a Pictor chart \u2013 a visual diagram of relationships between those involved in care provision. Data were analysed using a reflexive thematic analysis. An adaptation of Bronfenbrenner\u2019s ecological systems theory was used to inform the analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Homecare workers and managers, people receiving care, carers, social, and healthcare practitioners from three economically and culturally diverse geographical regions within England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>133 participants were recruited (case 1\u2009=\u200949, case 2\u2009=\u200934, case 3\u2009=\u200949). Although examples of good practice were seen, common barriers to collaboration between health and social care practitioners and homecare workers were identified: lack of healthcare practitioner knowledge\/training on homecare workers\u2019 role and its value, and poor communication (gatekeeping by managers, asynchronous working practices, restricted access to documentation and systems).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The homecare worker role was poorly understood and undervalued with inadequate communication and interaction between practitioners, potentially impacting on quality of care. Collaborative practice is necessary for provision of high-quality care, but we found this was often absent due to knowledge, professional, and organisational barriers. Further research should explore suggested strategies to address the barriers identified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163251383385","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T09:39:07Z","timestamp":1763977147000},"page":"62-73","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Addressing barriers to interprofessional working with homecare workers in community palliative care: Insights from a multi-site qualitative case study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7890-8682","authenticated-orcid":false,"given":"Zana","family":"Bayley","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2796-346X","authenticated-orcid":false,"given":"Cat","family":"Forward","sequence":"additional","affiliation":[{"name":"Health and Social Care Workforce Research Unit, King\u2019s College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6162-4499","authenticated-orcid":false,"given":"Caroline","family":"White","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5137-092X","authenticated-orcid":false,"given":"Helene","family":"Elliott-Button","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7482-8839","authenticated-orcid":false,"given":"Justine","family":"Krygier","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1652-5800","authenticated-orcid":false,"given":"Liz","family":"Walker","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7628-7421","authenticated-orcid":false,"given":"Mark","family":"Pearson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3644-6480","authenticated-orcid":false,"given":"Jamilla","family":"Hussain","sequence":"additional","affiliation":[{"name":"Bradford Teaching Hospitals Foundation Trust, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9140-4972","authenticated-orcid":false,"given":"Paul","family":"Taylor","sequence":"additional","affiliation":[{"name":"Sheffield Centre for Health and Related Research, University of Sheffield, Sheffield, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Wray","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3085-5002","authenticated-orcid":false,"given":"Helen","family":"Roberts","sequence":"additional","affiliation":[{"name":"Hull York Medical School, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0680-2093","authenticated-orcid":false,"given":"Alison","family":"Bravington","sequence":"additional","affiliation":[{"name":"Yorkshire Quality and Safety Research Group (YQSR), Bradford Institute for Health Research, Bradford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-9158","authenticated-orcid":false,"given":"Miriam J","family":"Johnson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School, The University of Hull, Hull, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1471301217699354"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221092624"},{"key":"e_1_3_3_4_2","unstructured":"Murphy L Farragher L Long J. 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