Nurses' experiences of using the Integrated Palliative care Outcome Scale with patients in specialized palliative care-A qualitative focus group study.

Autor: Beck I; Department of Nursing and Integrated Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.; Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.; Department of Clinical Sciences Lund, Oncology, Faculty of Medicine, Lund University, Lund, Sweden., Törnquist K; Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.; Palliative Care Unit, Region Skåne, Lund, Sweden., Gruvebäck A; Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.; Palliative Care Unit, Region Skåne, Lund, Sweden., Rasmussen BH; Institute for Palliative Care, Lund University and Region Skåne, Lund, Sweden.; Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden., Olsson Möller U; Department of Nursing and Integrated Health Sciences, Faculty of Health Sciences, Kristianstad University, Kristianstad, Sweden.; Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Jazyk: angličtina
Zdroj: Nursing open [Nurs Open] 2023 Dec; Vol. 10 (12), pp. 7639-7649. Date of Electronic Publication: 2023 Sep 28.
DOI: 10.1002/nop2.2004
Abstrakt: Aim: To explore nurses' experiences of using the Integrated Palliative care Outcome Scale (IPOS) as a communication tool in specialized palliative care.
Design: This study employed a qualitative inductive approach. The Standards for Reporting Qualitative Research were followed for reporting.
Methods: Five focus groups were conducted with nurses from four specialized palliative care units, and the discussions were analysed with quality content analysis.
Results: Using IPOS for communication with the patient gave an opportunity to understand the patient's care needs and to let these care needs guide care interventions. Prerequisites in terms of relation, atmosphere, skills and flexibility were needed to establish an interactive communication. It was challenging to communicate about issues that evoked emotional reactions in the patient. There was a balancing act between the use of a structured scale and overcoming communication challenges. Nonetheless, when the two complemented each other, IPOS was a useful tool for nurses to promote person-centred care.
(© 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.)
Databáze: MEDLINE