Premium
Caring for dying patients outside special palliative care settings: experiences from a nursing perspective
Author(s) -
Wallerstedt Birgitta,
Andershed Birgitta
Publication year - 2007
Publication title -
scandinavian journal of caring sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.678
H-Index - 66
eISSN - 1471-6712
pISSN - 0283-9318
DOI - 10.1111/j.1471-6712.2007.00430.x
Subject(s) - palliative care , feeling , nursing , perspective (graphical) , qualitative research , medicine , quality (philosophy) , psychology , sociology , social psychology , social science , philosophy , epistemology , artificial intelligence , computer science
The aim of the study was to describe nurses’ experiences in caring for gravely ill and dying patients outside special palliative care settings. Tape‐recorded qualitative interviews were conducted with a total of nine nurses in primary home care, community care and hospitals. The interviews were analysed according to phenomenological methodology, which resulted in the three common structures: ambition and dedication, everyday encounters, and satisfaction/dissatisfaction. In the ‘everyday encounters’ structure, the following key constituents emerged: responsibility, cooperation, experience and knowledge, feelings, and time and resources. The results describe the nurses’ high ambitions to give dying patients and their relatives high‐quality care. Despite this, they experienced greater or lesser degrees of dissatisfaction because of insufficient cooperation, support, time and resources. They experienced satisfaction through contact with patients and relatives, functioning collegial cooperation, and the knowledge, experience and personal growth the care had given them. The results indicate that nurses need the resources such as time, improved methods of communication and cooperation as well as more support in order to give quality palliative care and achieve satisfaction with the outcome. The need for discussion about the conditions for giving palliative care outside the hospices and other special palliative care settings is also elucidated.