Battling a Tangled Web: The Lived Experience of Nurses Providing End-of-Life Care on an Acute Medical Unit
| Autor: | Christine J. McPherson, Irene Oliveira, Brandi Vanderspank-Wright, Frances Fothergill-Bourbonnais |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Attitude of Health Personnel Context (language use) Nurse's Role Young Adult 03 medical and health sciences 0302 clinical medicine Nursing Humans Medicine Models Nursing 030212 general & internal medicine Ontario Medical unit Terminal Care 030504 nursing Interpretative phenomenological analysis business.industry Lived experience General Medicine Middle Aged Witness Acute Disease Working through Female 0305 other medical science business Hospital Units End-of-life care |
| Zdroj: | Research and Theory for Nursing Practice. 30:353-378 |
| ISSN: | 1945-7286 1541-6577 |
| DOI: | 10.1891/1541-6577.30.4.353 |
| Popis: | Meeting the heath care needs of patients at the end of life is becoming more complex. In Canada, most patients with life-limiting illness will die in hospitals, many on medical units. Yet, few studies have qualitatively investigated end-of-life care (EOLC) in this context, or from the perspectives of nurses providing EOLC. The purpose of this study was to seek to understand the lived experience of nurses on a medical unit providing EOLC to patients. Interpretive phenomenology guided the method and analysis. Individual face-to-face interviews were conducted with 10 nurses from 2 hospital medical units. The underlying essence of these nurses’ experiences was that of “battling a tangled web.” Battling a tangled web represented their struggles in attempting to provide EOLC in an environment that was not always conducive to it. Seven themes were generated from the analysis: caring in complexity, caught in a tangled web, bearing witness to suffering, weaving a way to get there: struggling through the process, creating comfort for the patient, working through the dying process with the family, and finding a way through the web. The findings contribute to an understanding of the experiences of nurses in providing EOLC on a medical unit including perceived facilitators and barriers. |
| Databáze: | OpenAIRE |
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