[Primary care nurses' difficulties in advance care planning processes: A qualitative study].
| Autor: | Granero-Moya N; Hospital S. Juan de la Cruz, Úbeda, Jaén, España. Electronic address: nanigranero@gmail.com., Frías-Osuna A; Universidad de Jaén, Jaén, España., Barrio-Cantalejo IM; Centro de Salud Almanjáyar, Granada, España., Ramos-Morcillo AJ; Centro de Salud Murcia Centro-San Juan, Área de Salud VI-Vega Media del Segura, Servicio Murciano de Salud, Murcia, España. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Atencion primaria [Aten Primaria] 2016 Dec; Vol. 48 (10), pp. 649-656. Date of Electronic Publication: 2016 Apr 12. |
| DOI: | 10.1016/j.aprim.2016.01.008 |
| Abstrakt: | Objective: To know the primary care nurses' difficulties to promote advance care planning process with patients in the end of life. Design: Phenomenological qualitative methodology. Location: Health Management Area North of Jaén. Participants: Primary care nurses. Method: Purposive sampling. Fourteen in-depth interviews were conducted until the speeches saturation. Content analysis in four steps: transcription, coding, obtaining results and conclusions verification. Supported whit the software Nvivo 8. Triangulation of results between researchers. Results: Professionals' difficulties: Lack of knowledge about the topic, lack of communication skills, lack of experience and presence of negative emotions. In the health institution lack of time and interference with other professionals is a barrier. Also the patient's attitude and the family are identified as an obstacle because few people speak about the end of life. Finally, our society prevents open discussion about issues related to death. Conclusions: Professional learning about advanced care planning, training in communication skills and emotional education are necessary. Health managers should consider the fact that early interventions for planning health decisions require training, time and continued attention. If a cultural change does not happen, an evasive way to face the end of life will persist. (Copyright © 2016 Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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