Document Type

Final Project

Graduation Date

Spring 5-10-2025

Degree Name

Doctor of Nursing Practice

First Advisor

Dr. Kathryn Fiandt


Palliative Care is an evidence based and integrative aspect of cancer care that has demonstrated improved quality of life and diminished symptomology, however, barriers to referrals exist. With the growing interest in and demand for specialized healthcare services, more research on integration and referral practices surrounding palliative care is necessary. This study aimed to explore the knowledge, attitudes, perceptions, and barriers to referring cancer patients to outpatient palliative care at a teaching and research hospital. In one cancer center, 50 physicians, Advance Practice Providers, and nurse case managers responded to an electronic survey regarding interest and support for palliative care services, including perceptions of the benefits of palliative care for their patients. Results were positive overall, and as expected barriers were identified. These barriers included patient comprehension and perception of palliative care services and providers’ perception of which oncology patients would benefit from palliative care and at what point. This research contributes to the body of knowledge surrounding knowledge, skills, and attitudes, as well as persistent barriers to patients and providers who refer to palliative care services. Further education, training, and research for patients, families, and providers will aid in increased utilization and comprehension.

Available for download on Saturday, May 10, 2025

Included in

Nursing Commons