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1
Economos, Guillaume, Francoise Tholly, Wadih Rhondali, Murielle Ruer, Colombe Tricou, Audrey Fawoubo, Élise Perceau-Chambard, and Marilene Filbet. "Nursing home hospital transfers in the terminally ill: night shift nurses matter!" BMJ Supportive & Palliative Care 10, no. 2 (September 17, 2019): 228–33. http://dx.doi.org/10.1136/bmjspcare-2019-001832.
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BackgroundFrench demographic projection expects an increasing number of older, dependent patients in the next few years. A large proportion of this population lives in nursing homes and their transfer to hospitals at the end of life is an ongoing issue.ObjectiveThis study explored the factors influencing the transfer of patients living in nursing homes to hospital at the end of life.DesignWe used a mixed-methods questionnaire developed by an expert group and assessing different characteristics of the nursing homes.ParticipantsAll the nursing homes in the Rhône-Alpes area (n=680) were surveyed.ResultsWe obtained 466 (68%) answers. We found that a palliative care programme was present in 336 (72%) nursing homes. The majority had a coordinating physician 428 (82%) and a mean number of 6 nurses for 83 beds, with 83 (18%) having a night shift nurse. There was a mean number of 19 deaths per nursing home during the recorded year. The main cause of death was dementia (41%), cancer-related death (13%). Death occurred mostly in the nursing home (14 74%). Night shift nurse attendance was significantly associated with the place of death: 27 deaths occurred in nursing homes with a night shift nurse versus 12 in those without one (p<0001).ConclusionsThe location of the death of frail elderly patients is a major health issue that needs to be addressed. Our results suggests that the presence of a night shift nurse decreases the number of emergency transfers and deaths in the hospital.
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Keles, E., G. Bektemur, and K. N. Baydili. "COVID-19 deaths among nurses: a cross-sectional study." Occupational Medicine 71, no. 3 (March 24, 2021): 131–35. http://dx.doi.org/10.1093/occmed/kqab035.
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Abstract Background Nurses who are one of the pivotal elements of countries’ strategic responses to COVID-19 are being exposed to COVID-19. Aims To investigate the underlying characteristics of nurses who died due to COVID-19. Methods On 1 September 2020, a grey literature search was conducted. Data obtained through Medscape, Google, PubMed, government and non-government websites. The search strategy was carried out using variants and combinations of keywords related to ‘nurse’ and ‘COVID-19’ in English. Abstracted data included age, gender, type of nurse, department of nursing, country, date of death and publication characteristics. Results Out of reported 1518 COVID-19-related nurse deaths, details of age, gender and department of nursing were available for 766 (50%), 945 (62%) and 153 (10%) of nurses, respectively. The median age of the nurses was 56 years. The majority of deaths were reported in the 46- to 65 (32%)-year age range. While the registered nurses had the highest number of deaths according to types of nurses (680/957; 71%), they are mental health nurses (42/153; 28%) in the department of nursing. The countries with the most reported nurse deaths were USA, South Africa, Mexico and Russia. Conclusions The predominance of deceased mental health nurses among nursing departments can be examined in future studies. Supportive health policies can be developed to increase the motivation of nurses.
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Gray-Toft, Pamela A., and James G. Anderson. "Sources of Stress in Nursing Terminal Patients in a Hospice." OMEGA - Journal of Death and Dying 17, no. 1 (August 1987): 27–39. http://dx.doi.org/10.2190/t7f3-07bl-1qnr-8br4.
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A study was undertaken in the hospice unit at a large, midwestern community hospital to investigate the sources of stress experienced by hospice nurses. The case material reported in this article is based on observations, interviews with nurses, written stressful incident reports completed by nurses, and support group discussions. A number of sources of stress experienced by hospice nurses are identified. Physical characteristics of the unit as well as staffing policies designed to improve the quality of care resulted in conflict and feelings of alienation from other hospital personnel. Procedures followed in admitting patients to the hospice created stress when they were not fully supported by hospital administrators and physicians. Other policies related to the preparation of meals and open visitation increased the nurse's work load. At the same time, greater involvement with the patient and family during the dying process resulted in increased emotional demands on the nurse. Nurses experienced a sense of loss when a patient they had grown attached to died or was discharged to another institution. Stress also resulted from the nurse's exclusive involvement with terminally ill patients. Continual involvement with dying patients precipitated anxiety and superstitions concerning the nurse's own vulnerability and was particularly stressful when the nurse had experienced the death of someone close to her outside of the hospital.
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Ohashi, Yuki, Akiko Ozaki, Sawako Kawamura, Yukinori Nishida, and Katsumasa Hirabayashi. "Developing a nursing protocol for the remote verification of an expected death." International Journal of Palliative Nursing 27, no. 1 (February 2, 2021): 58–63. http://dx.doi.org/10.12968/ijpn.2021.27.1.58.
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Background: Homecare nurses play an important role in end-of-life care. A protocol is needed for the remote verification of expected deaths using information and communication technologies (ICT), that is consistent with Japanese guidelines. Aim: To clarify the processes that nurses use to verify deaths and to develop a tentative nursing protocol for verifying expected deaths, using home-based ICT. Methods: Using literature and semi-structured interviews, a tentative nursing protocol was developed for verifying expected deaths using home-based ICT. Findings: To protect the dignity of patients and their families, it is important that their understanding and consent is provided for the remote verification of expected deaths. Furthermore, the up-to-date legal and ethical responsibilities of nurses should be discussed regarding the verification of a patient's death to provide the best care for the patients and families when implementing the Death Certification Using Information and Communication Technology (DCUICT). Conclusion: This suggested protocol offers a framework for a new delivery of nursing care. It provides guidance for homecare nurses organising the care processes and nursing roles of DCUICT. Further revisions to this protocol must incorporate the specific requirement for the verification of nurses.
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Pesut, Barbara, Sally Thorne, Catharine Schiller, Madeleine Greig, Josette Roussel, and Carol Tishelman. "Constructing Good Nursing Practice for Medical Assistance in Dying in Canada: An Interpretive Descriptive Study." Global Qualitative Nursing Research 7 (January 2020): 233339362093868. http://dx.doi.org/10.1177/2333393620938686.
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Nurses play a central role in Medical Assistance in Dying (MAiD) in Canada. However, we know little about nurses’ experiences with this new end-of-life option. The purpose of this study was to explore how nurses construct good nursing practice in the context of MAiD. This was a qualitative interview study using Interpretive Description. Fifty-nine nurses participated in semi-structured telephone interviews. Data were analyzed inductively. The findings illustrated the ways in which nurses constructed artful practice to humanize what was otherwise a medicalized event. Registered nurses and nurse practitioners described creating a person-centered MAiD process that included establishing relationship, planning meticulously, orchestrating the MAiD death, and supporting the family. Nurses in this study illustrated how a nursing gaze focused on relationality crosses the moral divides that characterize MAiD. These findings provide an in-depth look at what constitutes good nursing practice in MAiD that can support the development of best practices.
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Cheung, Jasmine, Sandra West, and Maureen Boughton. "The Frontline Nurse’s Experience of Nursing Outlier Patients." International Journal of Environmental Research and Public Health 17, no. 14 (July 20, 2020): 5232. http://dx.doi.org/10.3390/ijerph17145232.
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The frontline nurses’ experience of nursing with overstretched resources in acute care setting can affect their health and well-being. Little is known about the experience of registered nurses faced with the care of a patient outside their area of expertise. The aim of this paper is to explore the phenomenon of nursing the outlier patient, when patients are nursed in a ward that is not specifically developed to deal with the major clinical diagnosis involved (e.g., renal patient in gynecology ward). Using a hermeneutic phenomenological approach, eleven individual face-to-face in-depth interviews were conducted with registered nurses in New South Wales, Australia. The study identified that each nurse had a specialty construct developed from nursing in a specialized environment. Each nurse had normalized the experience of specialty nursing and had developed a way of thinking and practicing theorized as a “care ladder”. By grouping and analyzing various “care ladders” together, the nursing capacities common to nurses formed the phenomenological orientation, namely “the composite care ladder”. Compared to nursing specialty-appropriate patients, nursing the outlier patient caused disruption of the care ladder, with some nurses becoming less capable as they were nursing the outlier patient. Nursing the outlier patient disrupted the nurses’ normalized constructs of nursing. This study suggests that nursing patients in specialty-appropriate wards will improve patient outcomes and reduce impacts on the nurses’ morale.
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Ormandy-Brooks, Lianne. "Verification of expected death in the community: role of the community specialist practitioner." British Journal of Community Nursing 25, no. 5 (May 2, 2020): 227–30. http://dx.doi.org/10.12968/bjcn.2020.25.5.227.
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In 2019, the Royal College of Nursing (RCN) and Queen's Nursing Institute (QNI) recognised a significant reduction in the number of qualified district nurses (those who hold the Community Specialist Practitioner (CSP) qualification). Community nursing is an evolving role, and, with the role of community nurse expanding, the role of the CSP in supporting teams to adapt to the development of the role is more important than ever. As a leader, the CSP possesses skills in leadership and co-ordination of the team, alongside specialist knowledge of the provision of nursing care in community settings. This article seeks to explore the hidden practice of verification of expected adult deaths by registered nurses and how the CSP role is integral in developing and embedding this skill within a team.
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Schmalfuss, Joice Moreira, Regina Yoshie Matsue, and Lucimare Ferraz. "Women with fetal death: nurses’ care limitations." Revista Brasileira de Enfermagem 72, suppl 3 (December 2019): 365–68. http://dx.doi.org/10.1590/0034-7167-2018-0261.
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ABSTRACT Objective: To present the limitations of the nursing care for women with fetal death, reflecting on this challenge for care practices. Method: Reflective study with theoretical focus on national and international publications, along with the experience of the authors in the area of women’s health and obstetrics. Results: There are limitations related to nursing care, which involve feelings of insecurity and powerlessness, inappropriate attitudes of these professionals in front of women, difficulties to manage emotional aspects, and structural problems of health services. Final Considerations: This study points out that there are challenges to qualify nursing care for women with fetal death, which included academic studies and continuing education in health services. Relational aspects should be valued and demand more sensitivity from nurses, with more empathic relationships in the care for women with fetal death.
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Prado, Roberta Teixeira, Josete Luzia Leite, Ítalo Rodolfo Silva, Laura Johanson da Silva, and Edna Aparecida Barbosa de Castro. "The process of dying/death: intervening conditions to the nursing care management." Revista Brasileira de Enfermagem 71, no. 4 (August 2018): 2005–13. http://dx.doi.org/10.1590/0034-7167-2017-0173.
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ABSTRACT Objective: To exhibit the factors that influence the Nursing care management in the face of death and the process of dying/death of hospitalized adults in the medical-surgical units for hospitalization. Method: The Grounded Theory was applied with the theorical support of the Complex Thinking Theory. Data have been collected through semi-structured interviews from May, 2015 to January, 2016 with three sample groups totaling 41 participants: nurses, assistant nurses and members of multidisciplinary group. Data analysis followed the steps of open coding, axial coding and selective coding. Results: The category “Pointing out the interfaces of care management to patients in process of death/dying and their families” and its respective subcategories show the complex interactions established by the nurse due to the Nursing care management. Final considerations: Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.
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Pai Vernekar, Shefalee, and Hemangini Shah. "A study of work-related stress among nurses in a tertiary care hospital in Goa." International Journal Of Community Medicine And Public Health 5, no. 2 (January 24, 2018): 657. http://dx.doi.org/10.18203/2394-6040.ijcmph20180246.
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Background: Nursing is, by its very nature, a stressful occupation. The role of nursing is associated with multiple and conflicting demands imposed by nurse supervisors and managers, and by medical and administrative staff. Such a situation appears to lead to work overload and possible to role conflict. This seriously impairs the provision of quality care and the efficacy of health services delivery. The objectives of the study were to determine the levels of work-related stress in nurses; to identify various sources of stress among nurses; to develop suitable recommendations based on the findings of the study.Methods: A cross-sectional study was conducted among registered nurses working in wards of a tertiary care hospital, Goa wherein Expanded Nursing Stress Scale was used to assess level and sources of stress among them.Results: 59.3% of nurses experienced moderate. 36.8% severe, 2.4% experienced very severe stress. Highest mean score was in the area of death and dying subscale (2.35±0.61) and workload subscale (2.11±0.53). Nurses working in casualty and general wards were more stressed. Also, younger nurses were more stressed in dealing with death of a patient.Conclusions: Death of a patient and excessive workload were major contributors of stress. Stress reduction activities and measures to decrease workload will help in decreasing the stress at workplace.
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Khalaf, Inaam A., Ghadeer Al-Dweik, Hana Abu-Snieneh, Laila Al-Daken, Ruba M. Musallam, Mohammad BaniYounis, Rula AL-Rimawi, et al. "Nurses’ Experiences of Grief Following Patient Death: A Qualitative Approach." Journal of Holistic Nursing 36, no. 3 (August 27, 2017): 228–40. http://dx.doi.org/10.1177/0898010117720341.
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Purpose: To explore the lived experiences of nurses’ feelings, emotions, grief reactions, and coping mechanisms following their patients’ death. Background: On a daily basis, nurses are experiencing patients’ death, which exposes them to grief. Nurses’ grief has not been sufficiently addressed in practice settings, although it has been a well-known threat to health and work performance. Design: A qualitative design guided by a phenomenological approach was adopted. Method: Data were collected from a purposive sample of 21 Jordanian nurses by conducting three focus groups and analyzed using Colaizzi’s framework. Findings: Four themes were generated in which participants reported feelings of grief following their patients’ death. Their grief emotions were reported as sadness, crying, anger, shock, denial, faith, fear, guilt, fear of the family’s reaction, and powerlessness. Conclusions: The study provided evidence that nurses respond emotionally to patients’ death and experience grief. Nurses are burdened by recurrent patients’ deaths and try to cope and overcome their grief. This study emphasizes the importance of developing strategies to help nurses positively cope with their grief from a holistic perspective. This will reflect positively on the nurses’ performance.
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Raudonis, Barbara M., and Jane Marie Kirschling. "Family Caregivers’ Perspectives on Hospice Nursing Care." Journal of Palliative Care 12, no. 2 (June 1996): 14–19. http://dx.doi.org/10.1177/082585979601200204.
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In hospice nursing, dying persons and their families are the unit of care and the focus of nursing interventions which are provided within the context of interdisciplinary care. The key component of hospice nursing is the interaction between the nurse, the terminally ill person, and the family. This naturalistic study was designed to describe the family caregiver's relationships between the hospice patient, the nurse, and themselves. The intent was to determine if family caregivers would develop empathic relationships with the hospice nurses. Nine bereaved family caregivers participated in the study. All were bereaved at least six months prior to being interviewed. The major finding of the study was that family caregivers perceived the hospice nurses as part of the family. The hospice nurses were characterized as respectful, kind, caring, clinical experts whose presence and interventions helped meet the needs of the family experiencing death.
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Rait, Suzanne. "Editorial--A World in Progress..." Neonatal Network 29, no. 6 (November 2010): 345. http://dx.doi.org/10.1891/0730-0832.29.6.345.
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THIS YEAR WAS THE CENTENNIAL OF FLORENCE Nightingale’s death and in commemoration, was designated as the International Year of the Nurse (IYNurse) by The Honor Society of Nursing, Sigma Theta Tau in the U.S., The Nightingale Initiative for Global Health in Canada, and the Florence Nightingale Museum in England. 2010 IYNurse is “a collaborative, grassroots global initiative honoring nurses’ voices, values, and wisdom—to act as catalysts for achieving a healthy world.” In this “celebration of commitment,” we honor Florence Nightingale as the founder of modern nursing and for the legacy she left us and we recognize the contributions of nurses today, all over the world. At the 2010 IYNurse website, you can read stories contributed by nurses that illustrate progress made in each of the eight UN Millennium Development Goals. Another section of the website contains tributes to nurses and to the nursing experience. A video of the Commemorative Global Service Celebrating Nursing that took place this past April at the Washington National Cathedral is also available for viewing. I hope you will visit this website and possibly make a contribution to nursing’s story.
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Marcella-Brienza, Susan, and Tina Mennillo. "Back to Work: Manager Support of Nurses With Chronic Sorrow." Creative Nursing 21, no. 4 (2015): 206–10. http://dx.doi.org/10.1891/1078-4535.21.4.206.
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Death: No one likes to think about it, never mind talk about it. The purpose of this article is to show the importance of the role of the nurse manager in supporting nurses who are returning to the bedside after a significant loss. Significant personal loss may lead to a phenomenon called chronic sorrow. Bereaved nurses with chronic sorrow experience grief-related feelings as a result of caring for patients who are suffering and dying. Qualified nurses may leave bedside nursing for nonclinical roles, or leave the profession altogether, because of constant exposure to this stress. It is critical that nursing management is perceptive to the particular needs of bereaved nurses to best reintegrate them into their nursing positions.
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Depaola, Stephen J., Roberta Neimeyer, and Stephanie K. Ross. "Death Concern and Attitudes toward the Elderly in Nursing Home Personnel as a Function of Training." OMEGA - Journal of Death and Dying 29, no. 3 (November 1994): 231–48. http://dx.doi.org/10.2190/t0ly-w07y-vvx0-nmap.
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The present project investigated the relationship between death fear, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of nursing home employees. Contrary to predictions, nursing professionals (i.e., Registered Nurses, Licensed Practical Nurses) did not have higher levels of death concern when compared to Nursing Assistants; in fact, Nursing Assistants had higher levels of death concerns on four components of death fear (fear of the dead, fear of the unknown, fear of consciousness when dead, and fear for body after death). The results also indicated that Nursing Assistants displayed significantly fewer positive attitudes toward the elderly than did nursing professionals.
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Wilson, Donna M., Barbara L. Goodwin, and Jessica A. Hewitt. "An Examination of Palliative or End-of-Life Care Education in Introductory Nursing Programs across Canada." Nursing Research and Practice 2011 (2011): 1–5. http://dx.doi.org/10.1155/2011/907172.
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An investigation was done to assess for and describe the end-of-life education provided in Canadian nursing programs to prepare students for practice. All 35 university nursing schools/faculties were surveyed in 2004; 29 (82.9%) responded. At that time, all but one routinely provided this education, with that school developing a course (implemented the next year). As compared to past surveys, this survey revealed more class time, practicum hours, and topics covered, with this content and experiences deliberately planned and placed in curriculums. A check in 2010 revealed that all of these schools were providing death education similar to that described in 2004. These findings indicate that nurse educators recognize the need for all nurses to be prepared to care for dying persons and their families. Regardless, more needs to be done to ensure novice nurses feel capable of providing end-of-life care. Death education developments will be needed as deaths increase with population aging.
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Suri, Martha, and Vevi Suryenti Putri. "Gambaran Tingkat Stress Perawat Pelaksana dalam Melakukan Intervensi Keperawatan pada Masa Pandemi Covid-19 di Rumah Sakit Jiwa Daerah Provinsi Jambi." Jurnal Akademika Baiturrahim Jambi 10, no. 2 (September 18, 2021): 439. http://dx.doi.org/10.36565/jab.v10i2.412.
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The number of deaths due to Covid-19 cases in Indonesia continues to increase. All nurses involved in the care of Covid-19 patients have sacrificed their personal and family interests. Nurses have sacrificed safety and the threat of contracting a virus that can end in death. This high burden and worry will certainly increase the nurse's stress level from mild to severe. This condition can also occur even after 1 year of the pandemic has passed, so it can be concluded that it can be acute or chronic. This type of research is descriptive analytic with a population of 130 nurses, a sample of 40 respondents. The results of this study indicate that 75.5% of nurses experience moderate stress, for this reason it is necessary to tighten the standard additional empirical preventive measures for patient cases under surveillance and confirmation of COVID-19 and overall infection control prevention in carrying out nursing interventions by nursing management in hospitals
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Pesut, Barbara, Sally Thorne, Megan L. Stager, Catharine J. Schiller, Christine Penney, Carolyn Hoffman, Madeleine Greig, and Josette Roussel. "Medical Assistance in Dying: A Review of Canadian Nursing Regulatory Documents." Policy, Politics, & Nursing Practice 20, no. 3 (May 6, 2019): 113–30. http://dx.doi.org/10.1177/1527154419845407.
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Canada's legalization of Medical Assistance in Dying (MAiD) in 2016 has had important implications for nursing regulators. Evidence indicates that registered nurses perform key roles in ensuring high-quality care for patients receiving MAiD. Further, Canada is the first country to recognize nurse practitioners as MAiD assessors and providers. The purpose of this article is to analyze the documents created by Canadian nursing regulatory bodies to support registered nurse and nurse practitioner practice in the political context of MAiD. A search of Canadian provincial and territorial websites retrieved 17 documents that provided regulatory guidance for registered nurses and nurse practitioners related to MAiD. Responsibilities of registered nurses varied across all documents reviewed but included assisting in assessment of patient competency, providing information about MAiD to patients and families, coordinating the MAiD process, preparing equipment and intravenous access for medication delivery, coordinating and informing health care personnel related to the MAiD procedure, documenting nursing care provided, supporting patients and significant others, and providing post death care. Responsibilities of nurse practitioners were identified in relation to existing legislation. Safety concerns cited in these documents related to ensuring that nurses understood their boundaries in relation to counseling versus informing, administering versus aiding, ensuring safeguards were met, obtaining informed consent, and documenting. Guidance related to conscientious objection figured prominently across documents. These findings have important implications for system level support for the nursing role in MAiD including ongoing education and support for nurses' moral decision making.
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Cheong, Chin Yee, Ngoc Huong Lien Ha, Laurence Lean Chin Tan, and James A. Low. "Attitudes towards the dying and death anxiety in acute care nurses – can a workshop make any difference? A mixed-methods evaluation." Palliative and Supportive Care 18, no. 2 (August 6, 2019): 164–69. http://dx.doi.org/10.1017/s1478951519000531.
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AbstractObjectivesIn Singapore, the core curriculum for end-of-life (EOL) care used in nurse training courses is limited. Only 45% of nurses indicated familiarity with inpatient palliative care. Nurses who lack skills in palliative care may develop anxiety and negative attitudes towards caring for dying patients. We explored whether a two-day, multimodal EOL care workshop could reduce nurses’ death anxiety and improve nurses’ skills, knowledge, and attitude towards palliative care.MethodsForty-five nurses participated in the workshop. At baseline before and at six weeks after, a 20-item knowledge-based questionnaire and the Death Attitude Profile-Revised (DAP-R) were administered. Six weeks post-workshop, in-depth interviews were conducted. We employed descriptive statistics, student paired samples t-test and inductive thematic analysis.ResultsThere was a significant improvement in nurses’ knowledge score (p < 0.01) and reduction in their death anxiety score (p < 0.01). Fear of Death (p = 0.025) and Death Avoidance (p = 0.047) sub-scores decreased significantly. However, the remaining domains such as Neutral Acceptance, Approach Acceptance, and Escape Acceptance did not show any significant difference, although Escape Acceptance showed a trend towards a reduced score (p = 0.063). After the workshop, more nurses adopted the Neutral Acceptance stance (76.2%), and none of them fell into the Fear of Death subdomain. Most nurses interviewed reported a positive change in their knowledge, attitudes, and practice even after the workshop.Significance of resultsThe multimodal palliative care workshop was useful in improving nurses’ EOL knowledge and reducing their anxiety towards death. The positive change in nurses’ attitudes and practices were noted to be sustained for at least six weeks after the intervention.
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Demmer, Craig. "Death-Related Experience and Professional Support among Nursing Staff in Aids Care Facilities." OMEGA - Journal of Death and Dying 39, no. 2 (October 1999): 123–32. http://dx.doi.org/10.2190/rrhe-t116-qjk6-l3j3.
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This study explores the death-related experience of AIDS care nurses and the availability of worksite support services to help them cope with caring for dying AIDS patients. The participants of the study were 197 nurses working in seven AIDS nursing facilities in New York City. Seventy-eight were registered nurses, forty-three were licensed practical nurses, and seventy-six were certified nursing assistants. The major finding was that respondents had substantial experience with dying AIDS patients, yet over a third of them did not have support services available where they worked to help them cope. The results suggest that nursing staff in AIDS care facilities should be provided with ongoing support services that are easily accessible.
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Cavaye, Joyce, and Jacqueline H. Watts. "End-of-life education in the pre-registration nursing curriculum: Patient, carer, nurse and student perspectives." Journal of Research in Nursing 17, no. 4 (September 8, 2010): 317–26. http://dx.doi.org/10.1177/1744987110379531.
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Providing good quality care for dying patients has been highlighted as a national priority in the UK. The Department of Health’s end-of-life (EOL) care strategy outlines how patients should be cared for to ensure that they experience a ‘good death’. Nurses have an important role to play in the delivery of EOL care and need to be knowledgeable about the palliation of symptoms and the social context of death and dying. Traditionally, the pre-registration nursing curriculum has had a limited emphasis on EOL care. While there have been significant developments in nurse education in the last decade, the amount of EOL content in nurse education remains inadequate. Drawing on literature mainly from the UK and USA, this review explores from the perspectives of students, newly qualified nurses, patients and carers the outcomes of EOL education. It reviews the evidence to determine whether newly qualified nurses are adequately prepared to deliver quality care to patients at the end of their lives. The evidence suggests that despite a greater emphasis on EOL care in nurse training, adequately preparing nurses remains a challenge to educators.
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Cortez, Elaine Antunes, Fabio Da Silva Costa, Valéria Utrini Amim, Vânia Fonseca dos Santos Gavina, and Ilda Cecília Moreira da Silva. "Reflexões sobre a assistência de enfermagem durante o processo de morte/morrer." Revista de Enfermagem UFPE on line 3, no. 4 (September 20, 2009): 1159. http://dx.doi.org/10.5205/reuol.581-3802-1-rv.0304200948.
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Objective: to promote discussion on nursing care during death process/dying; to analysis on scientific and technical knowledge applicability during death process/dying. The subject of study in this research is nursing care during death process/dying. We define as research problem: how is it nursing care during death process/dying?. Methodology: descriptive and exploratory research, bibliography with qualitative focus, made in Virtual Health Library in Lilacs, SciELo and Bdenf. We made reading with selection purpose and focused on theme analysis from what categories brought about. Professional practice on death process/dying - understanding and meanings, and professional courses focusing death process/dying. Results: practice has shown nurses frustation while death process/to die is envolved, having said that their care faces healing/recovering; and they realized that Tanatology study is required during University course. Conclusion: we can’t allow that having to face death should be frustating for nursing professionals. Descriptors: death; nurse care; attitude.
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Rosa, William, Tarron Estes, and Jean Watson. "Caring Science Conscious Dying." Nursing Science Quarterly 30, no. 1 (December 25, 2016): 58–64. http://dx.doi.org/10.1177/0894318416680538.
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Caring science is an extant theory of human relationship, guiding the profession of nursing with the understanding and application of a moral-ethical praxis that promotes, protects, and provides human dignity throughout the life continuum. Over the past 30 or more years, caring science has transformed nursing by calling for a heightened ethical perspective of human dignity in how nurses practice, educate, research, and evolve the profession. Conscious dying is a framework rooted in a human caring ontology, which strives to deepen the nurse healer’s awareness in tending to a patient’s dying and death, returning death to its sacred place in the cycle of life. Reflective inventories are self-reflection tools that have been used to encourage nurses’ personal growth and development and may be utilized in individual or group settings. The purpose herein is to introduce an emerging metaparadigm that links self to system, interweaving and integrating the teachings of caring science and conscious dying through the use of reflective inventories for both the individual nurse and collective of nursing.
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Makowicz, Dawid, Renata Dziubaszewska, Natalia Makowicz, Patrycja Barna, and Monika Piękoś. "The attitude of nursing staff towards the death and dying of the patient." Pielegniarstwo XXI wieku / Nursing in the 21st Century 18, no. 3 (September 1, 2019): 151–61. http://dx.doi.org/10.2478/pielxxiw-2019-0024.
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AbstractIntroduction. Nurses in their work more often than other professional groups have contact with human death. Nowadays, death is the source of many negative emotions that can cause increased exposure to burnout. Therefore, it is extremely important for nursing staff to have an appropriate approach to dying patients, what will allow them to provide optimal care for the patient at the end of his life.Aim. Assessment of attitudes of nursing staff towards the death and dying of the patient.Material and methods. The study was conducted using the diagnostic survey method with the use of the original questionnaire, which consisted of 40 questions including 26 questions of single choice, 4 questions of multiple choice and 10 questions with characteristics. The material for the study was collected in March and April 2018, the opinion of 594 registered nurses (581 women, 13 man) was examined in departments where nursing staff have frequent contact with dying patients. The analysis was carried out using the SPSS program.Results. The most often nursing staff considers death as a natural phenomenon that every human being must meet (52.2%). Most of the nurses approach emotionally (42.3%) to death of patient. The most frequent emotions accompanying members of nursing teams during a patient’s death are compassion (69.4%) and sadness (67.8%). The nursing staff considers that the most ethical treatment for a dying patient is to give him decent conditions of dying (98%). Nurses mainly consider persistent therapy (79.6%) as prolonging suffering.Conclusions. Nurses in contact with a dying patient most often feel compassion and sadness. The most ethical treatment of a dying patient according to nursing staff is to provide him with decent conditions for dying.
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Milligan, Fiona, and Emad Almomani. "Death anxiety and compassion fatigue in critical care nurses." British Journal of Nursing 29, no. 15 (August 13, 2020): 874–79. http://dx.doi.org/10.12968/bjon.2020.29.15.874.
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It may be argued that altruism, or the selfless concern for others, was fundamental to the discipline of nursing; however, with the evolution of nursing, there has been debate within the profession and among service users about whether this element has been lost. Nurses deal with increasingly complex and stressful situations, both patient and performance related. Additionally, demands on the service and capacity constraints continue to place a significant burden on nurses and other health professionals. There are concerns that the cost of caring has had an impact at a personal and performance level within the nursing profession, highlighted particularly by the negative experiences described by NHS service users in the Francis report. Debate continues about the definition of ‘compassionate care’ and how we measure its delivery. Resolving these concerns is a high priority for recruitment and retention strategies within both the NHS and private sector healthcare organisations.
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Qiao, Guiyuan, Sijian Li, and Jie Hu. "Stress, Coping, and Psychological Well-Being Among New Graduate Nurses in China." Home Health Care Management & Practice 23, no. 6 (May 12, 2011): 398–403. http://dx.doi.org/10.1177/1084822311405828.
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This study examined the relationships between demographic characteristics, sources of nursing stress and coping strategies, and psychological well-being within graduate nurses. Moving from the student role to the staff nurse role can be an uneasy journey, transition is recognized as a stressful experience, and many graduate nurses find it difficult to cope with their new roles in their first few months. Four self-report questionnaires were administered to a sample of 96 new graduate nurses in central China. Death and dying, workload, and inadequate preparation were the most common sources of nursing stress, whereas the most frequently used coping strategies were planning, acceptance, and positive reframing. A number of significant correlations were found among demographic characteristics, sources of nursing stress, coping strategies, and psychological well-being. Negative predictors of psychological well-being were denial (coping strategies) and death and dying (workplace stressor). Role transition is often difficult when an individual comes to a new environment and is given new responsibilities and expectations. Although this transition is stressful and they feel inadequately prepared, with assistance, the new graduate nurses can develop effective coping strategies to adjust to the new role.
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Mathiews, Ann Kimberlin. "Death With Dignity." Creative Nursing 16, no. 4 (November 2010): 185–87. http://dx.doi.org/10.1891/1078-4535.16.4.185.
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The concept of death with dignity evolves over a nurse’s career. A new nurse focuses on the patient as a person. As the nurse gains experience, she facilitates family grieving. As a seasoned professional, the nurse emphasizes the dignity that, through effective nursing, can be restored to dying. Preservation of dignity is found in the way we honor death.
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Benica, SW, CB Longo, and JH Barnsteiner. "Perceptions and significance of patient deaths for pediatric critical care nurses." Critical Care Nurse 12, no. 3 (March 1, 1992): 72–75. http://dx.doi.org/10.4037/ccn1992.12.3.72.
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This study provides nursing administrators with data regarding stressors of the pediatric critical care nurse in order of priority. Death of patients was the only item isolated and compared to the other stress categories. It is suggested that death of patients be compared to all other items on the audit. The authors recommend expanding this study by asking two additional questions: Does the amount of time spent caring for dying patients correlate with the nurses' estimate of patient deaths and is there a relationship between the time spent caring for patients who die and perception of death as a stressor? This information can be utilized at the unit level in the development of stress management activities. At the hospital administrator level, this information can assist in the expansion of retention and recruitment strategies.
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Shih, Fu-Jin, Meei-Ling Gau, Yaw-Sheng Lin, Suang-Jing Pong, and Hung-Ru Lin. "Death and Help Expected from Nurses when Dying." Nursing Ethics 13, no. 4 (July 2006): 360–75. http://dx.doi.org/10.1191/0969733006ne881oa.
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This project was undertaken to ascertain the perceptions of a group of Taiwan’s fourth-year bachelor of science in nursing (BSN) students regarding death and help expected from nurses during the dying process. Within the Chinese culture, death is one of the most important life issues. However, in many Chinese societies it is difficult for people to reveal their deepest feelings to their significant others or loved ones. It was in this context that this project was developed because little is known about how Taiwan’s nursing students perceive death and the dying process. Using an open-ended, self-report questionnaire, 110 senior BSN students recorded their thoughts on: (1) their fears before physical death; (2) afterlife destinations; and (3) the help they would expect from nurses when dying. The data were analyzed using a three-layer qualitative thematic analysis. The students’ reported needs during the dying process were directed towards three main goals: (1) help in reaching the ‘triple targets of individual life’; (2) help in facilitating in-depth support so that both the dying person and significant others can experience a blessed farewell; and (3) help in reaching a destination in the afterlife. The results support the belief of dying as a transition occurring when life weans itself from the mortal world and prepares for an afterlife.
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Wihastuti, Titin Andri, Ida Rahmawati, Septi Dewi Rachmawati, Yulia Candra Lestari, and Kumboyono Kumboyono. "Barriers of Nurse Collaboration for the Care of Acute Coronary Syndrome Patients in Emergency Departments: A Pilot Study." Open Nursing Journal 13, no. 1 (February 25, 2019): 60–65. http://dx.doi.org/10.2174/1874434601913010060.
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Introduction: Acute Coronary Syndrome (ACS) is a cardiovascular disease that is one of the main causes of death worldwide. Nurse collaboration in Indonesia is still very complex and inadequate. Positive collaboration in providing care for patients with ACS is essential in the practice of nursing services. Objective: This study aims to explore the barriers in the implementation of nurses-physicians collaboration for the care of patient with ACS in Emergency Departments (EDs). Method: This research is a qualitative survey using purposive sampling. It was conducted on 16 nurses who worked in emergency departments from four general hospitals in East Java, Indonesia. Research data were collected using open-ended questions in semi-structured interviews. Results: There were three themes obtained from the data analysis, which include the difference of confidence between senior and junior nurses in ACS actions, limitations in performing professional nursing, and unclear job responsibilities. Conclusions: Collaboration of nurses and physicians in emergency departments still faces many problems. It is important to carry out interprofessional education initiations for nursing and medical students, apply peer-mentoring to increase the self-confidence of junior nurse, develop and train the clinical pathway of collaboration between physicians and nurses for the care of ACS patients in EDs.
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Naidoo, Vasanthrie, and Maureen Nokuthula Sibiya. "Critical Care Nurses’ Experiences With Death and Dying: A South African Perspective." Global Journal of Health Science 11, no. 9 (July 10, 2019): 69. http://dx.doi.org/10.5539/gjhs.v11n9p69.
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The aim of this study was to explore experiences of South African critical care nurses regarding grief, death and dying in a critical care environment. Data was collected using semi-structured interviews and was analyzed using Giorgi’s thematic data analysis method. Available literature suggests that critical care nurses have varied experiences in relation to their experiences in relation to end-of -life patient care. However, few studies have examined the involvement of South African intensive care nurses’ in caring for the dying patient, their grief, their reactions to death in the workplace and the extent to which their nursing practice is based on shared beliefs, experiences and attitudes. Findings from this study revealed many predisposing factors and circumstantial occurrences shaping both, the nature of care of the dying and subsequent grief that, affected the nurse. Repeated exposure to grief, leads to occupational stress and burn out, causing emotional disengagement from caring for the dying, which ultimately affect the quality of care rendered for both the dying patient and their family. Issues, such as communication, multicultural diversity, education and coping mechanisms are essential in nursing education and practice and nurses caring for the critically ill or dying patient, need to have support networks and strategies put in place, not only to assist in providing care, but also for their own emotional support and well-being.
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Range, Lillian M., and Alicia L. Rotherham. "Moral distress among nursing and non-nursing students." Nursing Ethics 17, no. 2 (February 25, 2010): 225–32. http://dx.doi.org/10.1177/0969733009352071.
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Their nursing experience and/or training may lead students preparing for the nursing profession to have less moral distress and more favorable attitudes towards a hastened death compared with those preparing for other fields of study. To ascertain if this was true, 66 undergraduates (54 women, 9 men, 3 not stated) in southeastern USA completed measures of moral distress and attitudes towards hastening death. Unexpectedly, the results from nursing and non-nursing majors were not significantly different. All the present students reported moderate moral distress and strong resistance to any efforts to hasten death but these factors were not significantly correlated. However, in the small sample of nurses in training, the results suggest that hastened death situations may not be a prime reason for moral distress.
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Suprayitno, Edy, and Iwan Setiawan. "Nurses’ roles in palliative care: An Islamic perspective." Belitung Nursing Journal 7, no. 1 (February 22, 2021): 50–54. http://dx.doi.org/10.33546/bnj.1254.
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Palliative care is an important approach for nurses to improve the quality of life of patients holistically and mitigate suffering among the patients in critical condition and near to death. This article provides an Islamic perspective about nurses’ roles in palliative care, which can be applied worldwide, especially in Muslim-majority countries. Understanding Islamic beliefs will help nurses provide professional and culturally sensitive nursing care. In its principle, Islam always respects the process of life until death comes. So, the application of Islamic values in palliative care will make the patients accept their ill condition completely, keep being close to Allah SWT (God), and die peacefully. The concepts of illness, death, early action on the dead, and palliative care application in nursing are explained in this article to open up new ideas rather than provide definitive answers. We hope that this perspective will highlight healthcare policymakers the need to integrate Islamic values in nursing practice.
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Siela, Debra, K. Renee Twibell, and Vicki Keller. "The Shortage of Nurses and Nursing Faculty." AACN Advanced Critical Care 19, no. 1 (January 1, 2008): 66–77. http://dx.doi.org/10.4037/15597768-2008-1009.
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Nurses are needed more than ever to support the healthcare needs of every American. Nurses make up the greatest single component of hospital staff. In 2004, of the almost 3 million nurses in the United States, 83% were employed in nursing, and 58% of those were employed full-time. However, a severe shortage of nurses exists nationwide, putting the safe, effective healthcare of Americans in jeopardy. The concurrent shortage of nursing faculty has significant impact on the potential for admitting and graduating sufficient numbers of nursing students to address the shortage of prepared nurses. A close examination of the demographics of the 3 million nurses provides a context for an in-depth discussion of strategies that critical care nurses can employ to help alleviate the nursing and nurse faculty shortages.
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Gama, Georgeana, Margarida Vieira, and Filipe Barbosa. "Factors influencing nurses' attitudes toward death." International Journal of Palliative Nursing 18, no. 6 (June 2012): 267–73. http://dx.doi.org/10.12968/ijpn.2012.18.6.267.
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Menezes, Milene Barcellos de, Lucilda Selli, and Joseane de Souza Alves. "Dysthanasia: nursing professionals' perception." Revista Latino-Americana de Enfermagem 17, no. 4 (August 2009): 443–48. http://dx.doi.org/10.1590/s0104-11692009000400002.
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Dysthanasia means slow and painful death without quality of life. This study aimed to know whether nurses identify dysthanasia as part of the final process of the lives of terminal patients hospitalized at an adult ICU. This is an exploratory-qualitative study. Data were collected through semi-structured interviews with ten nurses with at least one year of experience in an ICU, and interpreted through content analysis. Results indicate that nurses understand and identify dysthanasia, do not agree with it and recognize elements of orthonasia as the adequate procedure for terminal patients. We conclude that nurses interpret dysthanasia as extending life with pain and suffering, while terminal patients are submitted to futile treatments that do not benefit them. They also identify dysthanasia using elements of orthonasia to explain it.
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Agusthia, Mira, and Rachmawaty M. Noer. "Perception Student of Nursing Bachelor with Motivation Continuing Education in Professional Field in Nursing Program STIKES Awal Bros Batam." IJECA (International Journal of Education and Curriculum Application) 1, no. 1 (April 30, 2018): 7. http://dx.doi.org/10.31764/ijeca.v1i1.2078.
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Preception is the one of factors influencing one’s motivation. A student who has negative preception could make them less motivate, otherwise a student who has positive preception make them more motivate, especially if they are motivated to continue their education on nursing professional development . This program is the program of graduate nursing student and professional in Nurse with attitude, behaviour, and professional abilities, and be able to carry out basic nursing care independently. Nursing Profesional Development Sepcialist is higher education level for nurse who has graduated from nursing education (nursing degree) to become profesion of nurse. the purpose of this program to prepare the nurses develop their knowledge and skills in adult learning principles and nursing career development in each specialities. This purpose of research to describe preception students of nursing with motivation to continue professional education in nursing science programs. types of research used on research in this qualitative research. By using method phenomenological research that is: using method (in depth interview). research participants it consists of 10 students. The results of this research is to identify 3 theme clusters according to the goals: according to the cluster theme perception participant is continue the nurses profession, goal of continuing nurses profession, interested in the nursing profession, motivation to continue the nurses profession, perception of nurses profession. The theme cluster hope is to accomplish grade point and program accomplishment nurse profession. The theme cluster support is family and lectures support. Based on the results of the research it is recommended for the undergraduate nursing student to continue the nurses profession, important to be improved because this matter will to increase quality of nursing services.
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SYNDER, RITA, and JACKIE WESTERFIELD. "SHOULD NURSES PRONOUNCE DEATH?" Nursing 20, no. 6 (June 1990): 41. http://dx.doi.org/10.1097/00152193-199006000-00020.
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Vitale, Susan Ann, Maureen Lowers-Roach, and Lisa A. Lumley. "A narrative inquiry of nursing experiences during the Covid-19 pandemic." Journal of Nursing Education and Practice 11, no. 8 (March 29, 2021): 1. http://dx.doi.org/10.5430/jnep.v11n8p1.
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This research focused on nursing care during the early phase of the Covid-19 pandemic. The experiences of 18 nurses and 3 nurse practitioners were analyzed through qualitative narrative inquiry. Riessman’s analytic approach guided identification of thematic similarities. The nurses in this study were emotionally exhausted by the rapid rise in patients and the daily death toll. The challenge of so many gravely ill cases required creative adaptations to address overcrowding and lack of resources. Teamwork proved immeasurable. Nurses advocated for their patients and families and were proud to have worked in this emergency. Nurses dealt with stressors by maintaining prior coping practices and developing new ones and relied on support from their family, hospital and community. A common objective was to establish and maintain the highest-possible levels of care in spite of challenging conditions. Proficiencies developed in coping with unprecedented challenges can help plan for future healthcare crises.
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Bettencourt, Amanda P., Matthew D. McHugh, Douglas M. Sloane, and Linda H. Aiken. "Nurse Staffing, the Clinical Work Environment, and Burn Patient Mortality." Journal of Burn Care & Research 41, no. 4 (April 13, 2020): 796–802. http://dx.doi.org/10.1093/jbcr/iraa061.
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Abstract The complexity of modern burn care requires an integrated team of specialty providers working together to achieve the best possible outcome for each burn survivor. Nurses are central to many aspects of a burn survivor’s care, including physiologic monitoring, fluid resuscitation, pain management, infection prevention, complex wound care, and rehabilitation. Research suggests that in general, hospital nursing resources, defined as nurse staffing and the quality of the work environment, relate to patient mortality. Still, the relationship between those resources and burn mortality has not been previously examined. This study used a multivariable risk-adjusted regression model and a linked, cross-sectional claims database of more than 14,000 adults (≥18 years) thermal burn patients admitted to 653 hospitals to evaluate these relationships. Hospital nursing resources were independently reported by more than 29,000 bedside nurses working in the study hospitals. In the high burn patient-volume hospitals (≥100/y) that care for the most severe burn injuries, each additional patient added to a nurse’s workload is associated with 30% higher odds of mortality (P < .05, 95% CI: 1.02–1.94), and improving the work environment is associated with 28% lower odds of death (P < .05, 95% CI: 0.07–0.99). Nursing resources are vital in the care of burn patients and are a critical, yet previously omitted, variable in the evaluation of burn outcomes. Attention to nurse staffing and improvement to the nurse work environment is warranted to promote optimal recovery for burn survivors. Given the influence of nursing on mortality, future research evaluating burn patient outcomes should account for nursing resources.
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Kang, Hyun-Ju, and Hye Choe. "Nursing Students' Experiences with Patient Deaths during Clinical Practice." Journal of Korean Academic Society of Nursing Education 26, no. 1 (February 28, 2020): 56–66. http://dx.doi.org/10.5977/jkasne.2020.26.1.56.
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Purpose: The purpose of this study was to explore nursing students' experiences with patient deaths during clinical practice. Methods: The participants were ten nursing students who had experienced patient deaths during clinical nursing practice at a university hospital in Korea. Individual in-depth interviews were conducted, and the data were analyzed using the content analysis method suggested by Graneheim and Lundman (2004). Results: The participants' experience was structured into six categories: experiencing various emotions in facing patient deaths, viewing oneself as a nursing student at the scene of a patient's death, thinking about death again, finding a pathway of understanding and support for patient death experiences, impressions and regret felt while actually observing terminal care, and picturing oneself as a future nurse dealing with a patient's death. Conclusion: Based on this study, stress management and self-reflection programs are suggested for nursing students who have experienced patient deaths. Practical nursing education for patient death and end of life care is also needed.
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Thompson, Edward H. "Palliative and Curative Care Nurses' Attitudes toward Dying and Death in the Hospital Setting." OMEGA - Journal of Death and Dying 16, no. 3 (May 1986): 233–42. http://dx.doi.org/10.2190/4yhb-gc2p-d1gc-er0p.
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This study tested the hypothesis that nurses' attitudes toward caring for the dying would be systematically related to the type of nursing unit in which they work. The competing hypothesis suggested that it may not be the structural variable of work setting, but the nurse's experience and, possibly, learned ability to cope with problems surrounding the care of the dying. The major finding was that work setting is a more significant force in shaping attitudes than is experience. The results suggest that nurses working in a curative setting, such as surgery or pediatrics, cannot easily escape the saliency of their unit's curative orientation and sentiment order.
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Zyga, Sofia, Maria Malliarou, Maria Lavdaniti, Maria Athanasopoulou, and Paul Sarafis. "GREEK RENAL NURSES’ ATTITUDES TOWARDS DEATH." Journal of Renal Care 37, no. 2 (May 11, 2011): 101–7. http://dx.doi.org/10.1111/j.1755-6686.2011.00210.x.
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Faronbi, Joel Olayiwola, Oladele Akinyoola, Grace Oluwatoyin Faronbi, Cecilia Bukola Bello, Florence Kuteyi, and Isaiah Oluwaseyi Olabisi. "Nurses’ Attitude Toward Caring for Dying Patients in a Nigerian Teaching Hospital." SAGE Open Nursing 7 (January 2021): 237796082110052. http://dx.doi.org/10.1177/23779608211005213.
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Introduction Death and the dying experience are common phenomena in all clinical settings. Death and the dying presents physical and emotional strain on the dying patient, his relations and professional caregivers. Objective The study therefore assessed the sociodemographic determinants of nurses’ attitudes towards death and caring for dying patient. Method A cross–sectional design was used to study 213 randomly selected nurses, working in one of the tier one teaching hospital in Nigeria. Attitude towards death and the dying was collected with Frommelt Attitude Care of the Dying and Death Attitude Profit–Revised questionnaire. The data collected was analysed with SPSS version 20 and inferential analyses were considered statistically significant at p < 0.05. Results The study revealed that most of the nurses had negative attitudes toward the concept of death (76.5%) and caring for dying patient (68%). Furthermore, a chi-square test revealed significant associations between the nurses’ years of working experience (χ2 = 24.57, p <.00) and current unit of practice (χ2 = 21.464; p = .002) and their attitude towards caring for the dying patient. Also, nurses’ age (χ2 = 13.77, p = .032), professional qualifications (χ2 = 13.774, p = .008), and current ward of practice (χ2 = 16.505, p = .011) were significantly associated with their attitudes to death. Furthermore, the study observed a significant association between nurses’ attitudes to death and caring for the dying patient (χ2 = 11.26, p < 0.01). Conclusion This study concluded that nurses had negative attitudes towards death and dying and therefore prescribes, as part of continuing professional development strategy, the need for requisite positive value – laden, ethnoreligious specific education regarding end of life care.
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Konlan, Kennedy Dodam, Mavis Armah-Mensah, Rita Aryee, and Theresa Akua Appiah. "Expectation and Satisfaction with Nursing Care among Hypertensives Receiving Care at a Resource-Constrained Hospital in Ghana." Nursing Research and Practice 2020 (March 7, 2020): 1–11. http://dx.doi.org/10.1155/2020/6094712.
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Background. Hypertension accounts for a third of the global preventable premature deaths. In Sub-Saharan Africa, hypertension is the most rapidly increasing cardiovascular disease (CVD) and the second leading cause of death. Proper management of hypertension requires adherence to management by patients and this is partly possible if patients feel satisfied with the nursing care they receive. Satisfaction with nursing care is only possible if there is a congruence between the expectations of care and the actual care received from nurses. Aim. We explored the expectations and satisfaction of Ghanaian hypertensives with nursing care received at the Korle-Bu Teaching Hospital (KBTH). Methods. In this qualitative study, a phenomenological approach was used to gather data about the lived experiences of patients with hypertension about nursing care. In-depth interviews (IDIs) were conducted among sixteen (16) patients with hypertension from the hypertensive Out-Patient Department (OPD) Clinics of the Medical Department at the KBTH. Only patients with history of previous admission(s) at the KBTH during the immediate past six months were purposively recruited. The respondents were interviewed about the nursing care received during their immediate past admission(s) at the KBTH using an IDI-guide. The IDIs were recorded digitally, transcribed verbatim, and reviewed severally and thematic analysis was done. Nvivo 11 software was used to manage the data and aid with the thematic analysis. Results. The results of this study showed that Ghanaian hypertensive patients perceived nurses as key players in the management of patients. On the respondents’ expectations from nurses prior to their immediate past admissions at the KBTH, the data revealed the responsiveness of nurses to patient needs, prompt pain management, high confidentiality level of nurses, rendering of efficient health education, maintenance of therapeutic work environment, and ensuring effective communication as well as professional/ethical practice from the nurses. On the question of what made nursing care satisfying, it was observed from the respondents that they considered the competence of nurses, maintenance of therapeutic environment, and also effective handling of confidential information as determinants of their satisfaction with nursing care. Further, the respondents identified some key areas of dissatisfaction and these included the responsiveness of nurses to patient needs, prompt pain management, effectiveness of health education, and provision of culturally sensitive communication. Disproportionate distribution of nursing staff across the three nursing shifts, unethical practice among some nurses, inadequate resources for work, and low work morale of some nurses were identified as factors responsible for the gaps between patient expectations and actual care received. Conclusion. Our study concludes that continuous professional development programs for nurses should focus on the areas of dissatisfaction so as to improve care for hypertensives. We also recommend that nursing staff distribution across the various shifts should be of keen interest to nurse managers if hypertension care in particular and overall patient care in general are to improve.
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Augusta, Holly. "Art and the Art of Nursing." Journal of the American Psychiatric Nurses Association 1, no. 2 (April 1995): 39–41. http://dx.doi.org/10.1177/107839039500100202.
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As nursing education and clinical practice begin to embrace more than the natural, physical, and social sciences, art can function as a shortcut to insight and empathy. Paintings wordlessly illustrate the artist's response to illness, disability, death, and healing. They can serve as useful teaching tools and maps of subjective experience for psychiatric nurses. (JAM PSYCHIATR NURSES Assoc (1995].1, 39-41)
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Cavaye, Joyce, and Jacqueline H. Watts. "An Integrated Literature Review of Death Education in Pre-Registration Nursing Curricula: Key Themes." International Journal of Palliative Care 2014 (January 2, 2014): 1–19. http://dx.doi.org/10.1155/2014/564619.
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Recent policy has raised the profile of end-of-life care internationally, with the aim of increasing access to quality care for everyone experiencing life-limiting illness. This reflects an international shift in the provision of palliative care to encompass chronic conditions other than cancer. Nurses have an important role in delivering this care and need to be equipped with particular knowledge and skills. However, pre-registration nursing curricula have traditionally had a limited emphasis on death and dying and nurses report feeling unprepared to care for dying patients. This has led to claims that death education in pre-registration curricula is inadequate. This integrated review explores the published literature that reports on death education within pre-registration nurse education. Presenting an international overview, the aim of the review is to contribute to knowledge about the nature and extent of death education in pre-registration curricula. In the context of this paper, death education encompasses both palliative and end-of-life care. Electronic searches of major bibliographic databases found inconsistencies across educational provision with variations in quantity, content, and approach. Despite an increasing amount of death education in pre-registration curricula, there remains a deficit in key areas such as knowledge, skills, organisation of care, and teamwork.
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Ha, Do Thi, and Khanitta Nuntaboot. "FACTORS INFLUENCING COMPETENCY DEVELOPMENT OF NURSES AS PERCEIVED BY STAKEHOLDERS IN VIETNAM." Belitung Nursing Journal 6, no. 4 (August 7, 2020): 103–10. http://dx.doi.org/10.33546/bnj.1119.
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Background: Competency of nurses is vital to safe nursing practice as well as essential component to drive quality of nursing services. Competency development is a continuous process of improving knowledge, attitudes and skills, and is influenced by a numerous of factors.Purposes: This study aims to explore factors that influence the development of competencies of nurses working in clinical settings in Vietnam.Methods: A descriptive qualitative research was conducted in Ho Chi Minh City, Vietnam with a purposive sample of twenty-seven participants including nurses, nurse managers, administrators, nurse teachers, medical doctors, and other health care providers. Data collection was by in-depth interviews and focus group discussions. Content analysis was used to analyze the data.Findings: The research participants described numerous of factors that influence the journey of developing nurses’ competencies. The identified factors were relevant to nursing education and training system in Vietnam; working environments of nurses; public image and values of nursing profession; characteristics of nurses themselves; Vietnamese nursing profession; sociocultural-economic and political aspects in Vietnam; and global contexts.Conclusion: The derived knowledge would greatly benefit clinical nurses, administrators, nursing educators, health care services managers, policy makers as well as other relevant health care stakeholders in proposing of solutions to promote nursing education, nursing workplace environments, and the appropriate regulations in order to enhance the nursing competency and quality of nursing services in Vietnam.
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Mallett, Karen, Stephen G. Jurs, James H. Price, and Suzanne Slenker. "Relationships among Burnout, Death Anxiety, and Social Support in Hospice and Critical Care Nurses." Psychological Reports 68, no. 3_suppl (June 1991): 1347–59. http://dx.doi.org/10.2466/pr0.1991.68.3c.1347.
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The present study was undertaken to compare the occupational stress, levels of burnout, death anxiety, and the social support of a national sample of 376 hospice and critical care nurses, t tests indicated that critical care nurses reported significantly more occupational stress, showed higher burnout, and experienced more death anxiety than hospice nurses. The two nursing groups differed significantly when the three components of the Maslach Burnout Inventory were compared: hospice nurses reported feeling less emotional exhaustion, utilized the technique of depersonalization less frequently, and experienced a greater sense of personal accomplishment. The two nursing groups did not differ in social support when both the quantity and quality of that construct were examined. Pearson coefficients indicated positive associations between burnout and occupational stress and between burnout and death anxiety, with a negative relationship between burnout and social support.
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SEKİ ÖZ, Hilal, and Maral KARGIN. "A Review on Nursing and Being Able to Talk About Death." Turkiye Klinikleri Journal of Nursing Sciences 13, no. 2 (2021): 452–56. http://dx.doi.org/10.5336/nurses.2020-74970.
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