AVALIACAO DAS BARREIRAS NA IMPLEMENTACAO DE PROTOCOLOS DE CUIDADOS PALIATIVOS PARA PACIENTES COM MULTIPLAS DOENCAS CRONICAS

This study aimed to analyze the barriers hindering the effective implementation of palliative care protocols for patients with multiple chronic diseases through a literature review. The methodology was exploratory and descriptive, focusing on identifying institutional, cultural, and professional training-related barriers by analyzing scientific articles, theses, dissertations, and other relevant publications from the past ten years. The discussion of the results highlighted that inadequate professional training, the lack of clear protocols, and cultural resistance to accepting palliative care are significant barriers that compromise the quality of care provided. Furthermore, it was suggested that an integrated approach, combining education, cultural change, and institutional support, could effectively overcome these barriers. The study concluded that the research question was answered, the specific objectives were met, and future research was suggested to explore the effectiveness of the proposed strategies as well as the perspectives of patients and their families on palliative care.