Telling their story: A qualitative descriptive study of the lived experience of expatriate palliative care nurses in the United Arab Emirates

Oakley, Suzanne; Grealish, Laurie; Coyne, Elisabeth

doi:10.1016/j.ejon.2020.101793

Cited by 5 publications

(13 citation statements)

References 55 publications

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“…Nurses were aware of these spiritual or cultural needs, but reported that they lacked the knowledge and experience to adequately address them. Given the importance of incorporating family values into PC to preserve the dignity of patients from different cultures, 22,23 training in this area would be particularly useful. Workplace violence against nurses is frequent, 24,25 with findings indicating approximately 36% of nurses experiencing physical violence and 67% experiencing nonphysical violence 26 .…”

Section: Discussionmentioning

confidence: 99%

Challenges in Palliative Care Nursing at a University Hospital

Gabal

Adamidis

Popov

et al. 2022

J Hosp Palliat Nurs

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We examined the perception of palliative care nurses regarding challenges, coping strategies, resources, and needs when working in a university hospital in Austria. A qualitative descriptive design was applied, using semistructured interviews with 8 female and 2 male nurses. All interviews were recorded as digital audio and transcribed verbatim. We used thematic analysis and MAXQDA. In our analysis, 6 themes emerged: Four themes related to challenges: (a) lack of a supporting structural framework, (b) conflict in interdisciplinary work, (c) conflict with caregivers, and (d) dealing with death in a highly specialized university environment. One theme related to (e) individual solutions and coping strategies, and 1 theme comprised (f) needs and suggestions for improvements. Taking care of the family of a dying person, handling threatening situation, and working with inexperienced physicians were among the most important challenges reported by nurses. A supportive team, professional counseling, and training related to communication skills and to culturally specific needs of families are perceived to be necessary to provide high-quality palliative care. Addressing the needs of nurses can substantially improve their working condition and has an impact not only on the nurses themselves but also on the quality of patient care.

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Section: Discussionmentioning

confidence: 99%

Challenges in Palliative Care Nursing at a University Hospital

Gabal

Adamidis

Popov

et al. 2022

J Hosp Palliat Nurs

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“…Loss of status Professional marginalization and desire to transition to other sectors (Aboderin, 2007;Adhikari & Melia, 2015;Ham, 2020;Nursalam et al, 2020) Deskilling Employment in lower skilled roles leading to frustration and loss of specialized skills (Adhikari & Melia, 2015;Jenkins & Huntington, 2016;Nursalam et al, 2020) Communication Language and accent comprehension Difficulties in communication negatively affecting care quality and workplace integration (Adebayo et al, 2021(Adebayo et al, , 2023Adhikari & Melia, 2015;Angus et al, 2021;Ham, 2020Ham, , 2021Khatutsky et al, 2010;Nursalam et al, 2020;Oakley et al, 2020;Schilgen et al, 2019;Wagner et al, 2015;Wagner, Brush, Castle. et al, 2015) Discrimination Racial bias, prejudice, and inequality Experiences of discrimination and prejudice in the workplace (Aboderin, 2007;Abrahamson et al, 2011;Adebayo et al, 2023;Ham...…”

Section: Study Characteristicsmentioning

confidence: 99%

Internationally Educated Nursing Staff Caring for Older Adults: A Scoping Study

Olanrewaju,

Loeb

2024

J Transcult Nurs

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Introduction: Internationally Educated Nursing staff (IENs) are born and obtained their initial educational preparation in their home country before relocating to work in high-income countries (e.g., United States). Older adults are recipients of IENs’ care. The study purpose was to synthesize relevant findings on IENs’ experiences caring for older adults in various settings. Method: Arksey and O’Malley’s framework approach to Scoping studies was employed. The PubMed, CINAHL, PsycINFO, Web of Science, and Google Scholar databases were searched. A labor and employment relations researcher and a health science librarian were consulted. Results: Three main themes (transitional challenges; IENs’ experiences working with older adults; factors affecting IEN service delivery) and seven subthemes emerged. Discussion: Cultural beliefs and communication barriers posed particular challenges to IENs as they worked with Western peers, older adults, and families. Facilitating factors revealed can inform administrative leaders of practice initiatives. Research gaps and limitations identified can guide future study approaches.

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“…• Improved ability to cope with stress and distress [12,117,131,151,152,154,180,[224][225][226][227][228][229] • Enhanced wellbeing [111,114,143,168,173,201,230] • Enhanced peer support [114,146,174,195,197,229,[231][232][233][234] • Enhanced spiritual or existential support [235] Championing of social justice [112,114,220] through:…”

Section: Patient Benefits Clinician Benefitsmentioning

confidence: 99%

The role of patients’ stories in medicine: a systematic scoping review

Quah,

Chua,

Lin

et al. 2023

BMC Palliat Care

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Background Patients’ stories provide Palliative Care physicians with a glimpse into the former’s lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients’ stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care. Amidst a dearth of accounts in Palliative Care, we map current use of patient stories to guide the training, assessment, and oversight of this ‘care influencing’ practice in medicine. Methods This systematic scoping review was guided by the Systematic Evidence-Based Approach (SEBA) to ensure a reproducible and structured approach. The themes and categories identified through the Split Approach’s concurrent and independent thematic and directed content analyses provided a comprehensive sketch of the included articles. The Jigsaw Perspective combined the themes and categories identified. The last stage of SEBA compared these results with two recent reviews of storytelling to ensure consistency of the domains created that guided the discussion. Results Ten thousand two hundred seven articles were reviewed, 963 full text articles were evaluated, and 199 articles were included. The four domains identified were study characteristics, benefits, approaches, and positive effects and concerns. Conclusion Stories support patient-centered, personalized, and holistic clinical care. However, variability in the stories, their interpretations and use in care decisions underscore the need for further study on the structuring, teaching, assessing, and delivery of this ‘care influencing’ practice.

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Telling their story: A qualitative descriptive study of the lived experience of expatriate palliative care nurses in the United Arab Emirates

Cited by 5 publications

References 55 publications

Challenges in Palliative Care Nursing at a University Hospital

Challenges in Palliative Care Nursing at a University Hospital

Internationally Educated Nursing Staff Caring for Older Adults: A Scoping Study

The role of patients’ stories in medicine: a systematic scoping review

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