{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T10:14:16Z","timestamp":1791540856857,"version":"4.3.4"},"reference-count":66,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Ligue Pulmonaire Genevoise"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ther Adv Respir Dis"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chronic obstructive pulmonary disease (COPD) is a condition causing chronic physical symptoms, psychological burdens, as well as social consequences. This contributes to a major decrease in quality of life (QoL). Palliative care (PC) is a person-centered approach intended to relieve physical, psychological, social, and spiritual suffering. Despite international practice guidelines, patients with COPD have limited access to PC, mostly during end-of-life (EoL) care. It is therefore important to explore healthcare professionals\u2019 (HPs) point of view about PC to improve access for COPD patients to PC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to describe the perceptions of HPs working with COPD patients in Switzerland in different settings on PC provision, implementation, access, and organization. Additionally, we aimed to identify gaps, barriers, training needs, and solutions for HPs related to PC needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This is a cross-sectional survey study with quantitative and open-ended questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used an electronic survey sent to HPs working with patients suffering from COPD in the inpatient, outpatient, and home-based settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 56 out of 98 participants (57%) answered the questionnaire of which 41.1% were nurses. 47.2% of participants were uncertain about the good timing of addressing COPD patients to PC and did it after several acute exacerbations, during EoL, or at the request of the patient. 45.5% did not know the availability of a local specialized PC. Lack of skills\/training was identified as one of the hindering factors to discuss EoL (42.9%\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u200956).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite recognizing the importance of PC, several barriers were identified, including a lack of knowledge about when to initiate a PC and limited utilization of tools for identifying PC needs. Multidisciplinary teamwork and the identification of a nurse coordinator could improve earlier referrals to PC and improve QoL for COPD patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17534666251341748","type":"journal-article","created":{"date-parts":[[2025,5,28]],"date-time":"2025-05-28T08:15:47Z","timestamp":1748420147000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Healthcare professionals\u2019 representation toward optimal palliative care provision for COPD patients: a cross-sectional survey"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3252-9657","authenticated-orcid":false,"given":"Filipa Alexandra","family":"Baptista Peixoto Befecadu","sequence":"first","affiliation":[{"name":"Research and Implementation Fellow, Research and Implementation Care Lab, Care Directorate, Geneva University Hospitals, Geneva Bd de la Tour 8, 1205 Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Gasche","sequence":"additional","affiliation":[{"name":"Division of Pneumology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Adler","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Diseases, H\u00f4pital de la Tour, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4295-3024","authenticated-orcid":false,"given":"Ivan","family":"Guerreiro","sequence":"additional","affiliation":[{"name":"Division of Pneumology, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7248-3513","authenticated-orcid":false,"given":"Sophie","family":"Pautex","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Department of Readaptation and Geriatrics, Geneva University Hospitals and Geneva University, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3430-370X","authenticated-orcid":false,"given":"Lisa","family":"Hentsch","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Department of Readaptation and Geriatrics, Geneva University Hospitals, Geneva, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,28]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00004110"},{"key":"e_1_3_4_3_2","volume-title":"BPCO D\u00e9pistage pr\u00e9coce \u2013 traitement efficace","author":"Ligue Pulmonaire Suisse","year":"2025","unstructured":"Ligue Pulmonaire Suisse. 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