Le regard des infirmières sur les soins palliatifs

Ruer, Murielle; Pluviaux, Chrystel; Clerc, Bérengère; Laurent, Aurélie; Rhondali, Wadih; Filbet, Marilène

doi:10.1016/j.medpal.2011.11.003

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…A Belgian study defined caregiver resistance in implementing a PA as "the unconscious refusal to put attitudes or learned actions into practice when faced with a patient in need of palliative care" and identified six factors: feelings of powerlessness, the lack of training, the need to protect oneself from stress, personal beliefs and the quality of social and organizational support [12]. A French study showed that in spite of a 5-year training program, the implementation of a PA was tardy; 49% of nurses feared that the use of a PA would cause anxiety in the patient and 90% found it difficult to choose the right moment [13]. A cross-sectional Survey of 363 nurses in a multispecialty hospital showed that overall level of nurses' knowledge about palliative care was poor [14].…”

Section: Introductionmentioning

confidence: 99%

A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France

et al. 2020

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Background: Despite a broad consensus and recommendations, numerous international reports or studies have shown the difficulties of implementing palliative care within healthcare services. The objective of this study was to understand the palliative approach of registered nurses in hospital medical and surgical care units and their use of mobile palliative care teams. Methods: Qualitative study using individual in depth semi-structured interviews and focus group of registered nurses. Data were analyzed using a semiopragmatic phenomenological analysis. Expert nurses of mobile palliative care team carried out this study. 20 registered nurses from three different hospitals in France agreed to participate. Results: Nurses recognize their role as being witnesses to the patient's experience through their constant presence. This is in line with their professional values and gives them an "alert role" that can anticipate a patient-centered palliative approach. The physician's positioning on palliative care plays a key role in its implementation. The lack of recognition of the individual role of the nurse leads to a questioning of her/his professional values, causing inappropriate behavior and distress. According to nurses, "rethinking care within a team environment" allows for the anticipation of a patient-centered palliative approach. Mobile Palliative Care Team highlights the major role of physicians-nurses "balance" while providing personal and professional support.

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Section: Introductionmentioning

confidence: 99%