Registered nurses' provision of end-of-life care to hospitalised adults: A mixed studies review

Karbasi, C.; Pacheco, Erikerllissan do Nascimento; Bull, Claudia; Evanson, Alaina D; Chaboyer, Wendy

doi:10.1016/j.nedt.2018.09.007

Cited by 24 publications

(31 citation statements)

References 60 publications

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“…Advocating on behalf of residents (Dahlin, ) was found to be particularly important for nurses in LTC settings, where most residents' cognitive function is declining. This advocacy role is consistent with EOL care in other settings (Karbasi et al, ; Sekse et al, ). However, nurses also mentioned that the dignity of dying residents was disturbed by unnecessary treatment to keep them alive as per relatives' wishes but contrary to the residents' own.…”

Section: Discussionsupporting

confidence: 67%

“…Some studies have focused on nurses' role in palliative care in homecare settings, finding that nurses value and play various roles in palliative care but struggle with emotional difficulties (Walshe & Luker, ) and role uncertainty (Mulvihill, Harrington, & Robertson, ; Offen, ). Karbasi, Pacheco, Bull, Evanson, and Chaboyer () did a mixed‐studies review of registered nurses' EOL care for hospitalized adults. Nurses were reflective on their practice but experienced contextual barriers including lack of space, time, and educational preparation for providing high‐quality EOL care.…”

Section: Introductionmentioning

confidence: 99%

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End‐of‐life nursing care practice in long‐term care settings for older adults: A qualitative systematic review

Nasu

Konno

Fukahori

2019

Int J of Nursing Practice

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Aim To synthesize qualitative evidence on nurses' end‐of‐life care practices in long‐term care settings for older adults. Background Qualitative evidence on how nurses describe their own end‐of‐life care practice has not been reviewed systematically. Design Qualitative systematic review. Data Sources Databases MEDLINE, CINAHL, PsycINFO, EMBASE, Mednar, Google Scholar, and Ichushi were searched for published and unpublished studies in English or Japanese. Methods The review followed the Joanna Briggs Institute approach to qualitative systematic reviews. Each study was assessed by two independent reviewers for methodological quality. The qualitative findings were pooled to produce categories and synthesized through meta‐aggregation. Results Twenty studies met all inclusion criteria. Their 137 findings were grouped into 10 categories and then aggregated into three synthesized findings: playing multidimensional roles to help residents die with dignity, needing resources and support for professional commitment, and feeling mismatch between responsibilities and power, affecting multidisciplinary teamwork. Conclusion Nurses play multidimensional roles as the health care professionals most versed in residents' complex needs. Managers and policymakers should empower nurses to resolve the mismatch and help nurses obtain needed resources for end‐of‐life care that ensures residents die with dignity.

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Section: Discussionsupporting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

End‐of‐life nursing care practice in long‐term care settings for older adults: A qualitative systematic review

Nasu

Konno

Fukahori

2019

Int J of Nursing Practice

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“…Inadequate coping with death decreases job satisfaction (10) and increases nurses' stress, negatively affecting the quality of care (11) . Meanwhile, individuals who perceive themselves as optimally coping with death often assess these difficult situations as challenges and actively face occupational stress (12) .…”

Section: Introductionmentioning

confidence: 99%

Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey

Povedano-Jiménez

Gámez

García‐Caro

2020

Rev. Latino-Am. Enfermagem

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Objective: to explore self-perception competence among Spanish nurses dealing with patient death and its relationship with work environment, evidence-based practice, and occupational stress. Method: a cross-sectional web-based survey collected information from a convenience sample of 534 nurses from professional Spanish Colleges who answered four validated questionnaires: Coping with Death Scale, Practice Environment Scale of the Nursing Work Index, Perception of Evidence-Based Practice (EBP) and Nursing Stress Scale. Results: a total of 79% of the participants were women, the average age was 40 years old, 38% had a postgraduate degree and 77% worked in public health settings. Many nurses evaluated their work environment as unfavorable (66%), reported high occupational stress (83.5±14.9), and had high scores on knowledge/skills in EBP (47.9±11.3). However, 61.2% of them perceived an optimal coping (>157 score). The multivariate logistic model indicated positive associations with work environment and EBP characteristics (OR: 1.30, p=0.054; OR: 1.04, p=0.007; OR: 1.13, p<0.001, respectively) but negative associations with occupational stress and short work experience (OR: 0.98, p=0.0043; OR: 0.74, p<0.002, respectively). These factors explained 23.1% of the coping variance (p<0.001). Conclusion: although most nurses perceived optimal coping, the situation could be enhanced by modifying several contextual factors. The identification of these factors would improve the quality of end-of-life care by facilitating nursing management.

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“…O cuidado de enfermagem neste contexto aproxima-se dos princípios filosóficos dos CP. O foco da Enfermagem é prestar cuidados centrados no paciente, de modo individualizado e integral, contemplando os aspectos físicos, emocionais, sociais e espirituais, com o objetivo de promover o conforto (Ascari et al, 2017;Karbasi et al, 2018).…”

Section: Investigação Qualitativa Realizada Com Médicos Que Trabalhamunclassified

Conhecimento e autoeficácia em cuidados paliativos dos enfermeiros da Atenção Primária à Saúde

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Registered nurses' provision of end-of-life care to hospitalised adults: A mixed studies review

Cited by 24 publications

References 60 publications

End‐of‐life nursing care practice in long‐term care settings for older adults: A qualitative systematic review

End‐of‐life nursing care practice in long‐term care settings for older adults: A qualitative systematic review

Work environment factors in coping with patient death among Spanish nurses: a cross-sectional survey

Conhecimento e autoeficácia em cuidados paliativos dos enfermeiros da Atenção Primária à Saúde

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