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Critical Care Registered Nurses' Perceptions of Preparedness in the Provision of End-of-Life Care
Başlık:
Critical Care Registered Nurses' Perceptions of Preparedness in the Provision of End-of-Life Care
Yazar:
Hall, Meg Ambrose, author.
ISBN:
9780355940916
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (279 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Barbara Patterson Committee members: Mary Baumberger-Henry; Stephanie Jeffers.
Özet:
While many individuals prefer to die at home, half of all annual deaths, approximately 2.5 million, occur in hospitals and over 500,000 of those deaths occur in intensive care units. Although not intended to provide care for patients who are in the finals moment of their life, critical care units regularly provide end-of-life (EOL) care to patients and their families. However, critical care registered nurses continue to report feelings of inadequacy and unpreparedness related to the provision of quality EOL care. Feelings of unpreparedness impact the quality of care patients and their families have in the final moments of life; thereby, jeopardizing the opportunity of a peaceful death.
A qualitative interpretive description study was conducted to explore critical care registered nurses' perceptions of preparedness in the provision of EOL care. Based on naturalistic underpinnings, an interpretive description approach was used to provide depth to the phenomenon at hand. The aim of this study was to understand and find the meaning of critical care registered nurses' perceptions of preparedness in the provision of EOL care within critical care units.
Using a maximal variation, snowballing technique, 14 critical care registered nurses were recruited and interviewed. Semi-structured individual interviews were conducted and constant comparative analysis was used to analyze data. Data analysis revealed that although participants initially described feelings of preparedness in the provision of EOL care, upon further examination of the data, the nurses identified feelings of unpreparedness in some aspects of EOL care. The specifics about what preparedness in the provision of EOL care meant is threaded throughout the five study themes that emerged during data analysis. The five themes were: Being Aware of Personal Beliefs to Understand EOL Care, Shifting the Emphasis to Accommodate the Dual Role of the Nurse in EOL Care, Weaving Education, Experience, and Support, Balancing the Dialectic of Professional and Personal Self, and Making Sense of the EOL Experience in a Personal Way. The theme Being Aware of Personal Beliefs to Understand EOL Care included two subthemes: realizing it is 'okay' for patients to die and creating a personal dialogue to reflect on the patient's quality of life.
The findings of this study have implications for nursing science and research, nursing education, and nursing practice. Consistent with Kolcaba's Comfort Theory, findings from this study highlight the importance of patient, family, and nurse comfort, specifically in the provision of EOL care. Study findings emphasize the need to enhance EOL care experiences in nursing education, both pre-licensure and staff development, while also increasing nurse comfort in the provision of EOL care. Support resources including debriefing must be available for nurses to be prepared to continually provide EOL care in the critical care environment. However, continued research related to critical care registered nurses' perceptions of preparedness in the provision of EOL is warranted to ensure dying patients and their families receive quality EOL and critical care registered nurses feel adequately prepared to do so.
Notlar:
School code: 1063
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(681278.1) | 681278-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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