Northampton Electronic Collection of Theses and Research

How do hospital nurses experience end-of-life care provision? A creative phenomenological approach

Stuart, P. (2022) How do hospital nurses experience end-of-life care provision? A creative phenomenological approach. British Journal of Nursing. 31(19), pp. 997-1002. 0966-0461.

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Stuart_Peter_BJN_2022_How_do_hospital_nurses_experience_end-of-life_care_provision_A_creative_phenomenological_approach
Stuart_Peter_BJN_2022_How_do_hospital_nurses_experience_end_of_life_care_provision_A_creative_phenomenological_approach.pdf - Accepted Version
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Abstract:
BACKGROUND: Current evidence suggests hospital nurses end-of-life care is complex due to the conflicting tasks of treatment focused care against palliation which needs further exploration. AIM: To understand hospital nurses’ experiences of end-of-life care. METHOD: Interpretive phenomenology was used to explore 10 hospital nurses’ experiences. FINDINGS: Nurses’ individual experience of death informed their attitudes to death. The dominant attitude was death-as-calm, accompanied by human connection, and death-as-process. To continue providing end-of-life care the nurses successfully protected their authentic-self through three processes; professional-identity; defence-of-self and being-someone-else. The nurses found the unpredictable nature of hospital end-of-life care difficult but used a collaborative power to manage situations. CONCLUSION: This study suggests the hospital nurses effectively managed the tensions between treatment and palliation. To enable this the nurses successfully protect their authentic self and continue providing end-of-life care, but clinical areas need to take appropriate measure to mitigate against the effects of providing end-of-life care. The negotiated power the nurses utilised when providing end-of-life care should be recognised and developed.
Uncontrolled Keywords:
end of life care, Nursing Staff, Hospital, palliative care, Leadership, End-of-life care, Hospital nurses, Hospice Care, Humans, Palliative Care, Knowledge, Empowerment, Hospitals, Palliative care, Terminal Care, Qualitative Research, Protection
Creators:
Stuart, P.
Faculties, Divisions and Institutes:
Faculties > Faculty of Health & Society > Nursing
Date:
28 October 2022
Date Type:
Publication
Page Range:
pp. 997-1002
Journal or Publication Title:
British Journal of Nursing
Volume:
31
Number:
19
Language:
English
DOI:
10.12968/bjon.2022.31.19.997
ISSN:
0966-0461
Status:
Published / Disseminated
Refereed:
Yes
Related URLs:
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