Having to focus on doing rather than being—Nurse assistants’ experience of palliative care in municipal residential care settings

Beck, Ingela; Törnquist, Agneta; Broström, Linus; Edberg, Anna‐Karin

doi:10.1016/j.ijnurstu.2011.10.016

Cited by 88 publications

(123 citation statements)

References 24 publications

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“…On the other hand, students obtained the lowest mean score on the reverse scored item 3 (i.e., "I would be uncomfortable talking about impending death with the dying person"). This finding may reflect feelings of poor confidence in self-efficacy, due to the perception of helplessness, which is often observed among nurses [6] .…”

Section: Discussionmentioning

confidence: 86%

“…A recent study reported that nurse assistants often described palliative care as a contrast to the everyday care they performed, in that they had a concrete possibility to provide the care the patient's needed [6] . Moreover, the study emphasized that nurse assistants felt uncomfortable talking about death with patients or with their relatives and that they needed help to address their own emotions [6] . Taken together, these results seem to suggest that an excellent care may not always be provided to dying patients and that the patients may have unmet needs.…”

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confidence: 99%

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Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale

Leombruni

Miniotti

Bovero

et al. 2013

JNEP

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Background: Extensive research indicated that nursing students at the end of their curricula feel unprepared to care for the dying. Therefore, studies on nursing students' attitudes to caring for dying patients play a key role in nursing education, and the FATCOD-B scale is the only tool that specifically evaluates them. Methods:A cross-sectional study design was used. During 2013, the FATCOD-B scale was administered to a sample of 82 nursing students. Descriptive statistics, the Student's t-test, Cronbach's alpha and principal components analysis were used in data analyses. Results:Italian nursing students' scores on the FATCOD-B scale seemed to be lower than literature evidence on sums of ratings; however, mean ratings revealed similar levels of attitudes to the dying. Gender and personal experience with dying persons were not predictors of FATCOD-B scores. Internal consistency of the FATCOD-B scale was not satisfactory. Principal component analysis found a four-factor questionable solution for the FATCOD-B scale. Conclusions:Findings from the present study suggest a need for end-of-life care nursing education in Italy. The preliminary results concerning the psychometrics of the scale suggest that the Italian version of the FATCOD-B could be in need of revision. The implications for practice are discussed.

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Section: Discussionmentioning

confidence: 86%

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confidence: 99%

Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale

Leombruni

Miniotti

Bovero

et al. 2013

JNEP

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“…In order to meet patients' needs to express existential concerns, nurses have been found to develop relationships of trust through effective communication skills (Mok and Chiu, 2004;Johnston and Smith, 2006). Alternatively, assistant nurses find it unnatural to talk about death with patients or their relatives and report that caring for dying patients provokes negative emotions (Beck et al, 2011). A study among healthcare staff at nursing homes found that they expressed a fear of death.…”

Section: Introductionmentioning

confidence: 99%

Existential encounters: Nurses' descriptions of critical incidents in end-of-life cancer care

Browall

Henoch

Melin‐Johansson

et al. 2014

European Journal of Oncology Nursing

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a b s t r a c tNurses working with cancer patients in end of life care need to be prepared to encounter patients' psychosocial and spiritual distress. Aim: The aim of this study was to describe nurses' experiences of existential situations when caring for patients severely affected by cancer. Methods and sample: Nurses (registered and enrolled) from three urban in-patient hospices, an oncology clinic and a surgery clinic and a palliative homecare team were, prior to the start of a training program, invited to write down their experiences of a critical incident (CI), in which existential issues were featured. Results: Eighty-eight CIs were written by 83 nurses. The CIs were analyzed with qualitative content analysis. Two main themes were found: Encounters with existential pain experiences, which concerned facing death and facing losses; and Encountering experiences of hope, which concerned balancing honesty, and desire to live. Conclusions: This study points out that health care professionals need to be aware of patients' feelings of abandonment in exposed situations such as patients' feelings of existential loneliness. That there are some patients that express a desire to die and this makes the nurses feel uncomfortable and difficult to confront these occurrences and its therefore important to listen to patients' stories, regardless of care organization, in order to gain access to patients' inner existential needs.

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“…It was important to NAs that supervisors provided both personal and professional support (Beck et al, 2012;Cooper & Mitchell, 2006;Dellefield, 2008;Eriksson & Fagerberg, 2008). Support was often operationalized by NAs as hands-on assistance during direct resident care (Burke et al, 2001;McGillis Hall et al, 2005;Rubin et al, 2009).…”

Section: Supervisors Provide Support Resources and Informationmentioning

confidence: 99%

An Integrative Review of the Structures and Processes Related to Nurse Supervisory Performance in Long‐Term Care

Chu

Ploeg

Wong³

et al. 2016

Worldviews Ev Based Nurs

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Having to focus on doing rather than being—Nurse assistants’ experience of palliative care in municipal residential care settings

Abstract: Background: Palliative care should be provided, irrespective of setting to all patients

Cited by 88 publications

References 24 publications

Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale

Attitudes toward caring for dying patients: An overview among Italian nursing students and preliminary psychometrics of the FATCOD-B scale

Existential encounters: Nurses' descriptions of critical incidents in end-of-life cancer care

An Integrative Review of the Structures and Processes Related to Nurse Supervisory Performance in Long‐Term Care

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