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Nurses’ experiences of compassionate care in the palliative pathway

AIMS AND OBJECTIVES: The aim was to explore how nurses experience compassionate care for patients with cancer and family caregivers in different phases of the palliative pathway. BACKGROUND: Compassion is fundamental to palliative care and viewed as a cornerstone of high‐quality care provision. Heal...

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Autores principales: Skorpen Tarberg, Anett, Landstad, Bodil J., Hole, Torstein, Thronæs, Morten, Kvangarsnes, Marit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756377/
https://www.ncbi.nlm.nih.gov/pubmed/33031582
http://dx.doi.org/10.1111/jocn.15528
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author Skorpen Tarberg, Anett
Landstad, Bodil J.
Hole, Torstein
Thronæs, Morten
Kvangarsnes, Marit
author_facet Skorpen Tarberg, Anett
Landstad, Bodil J.
Hole, Torstein
Thronæs, Morten
Kvangarsnes, Marit
author_sort Skorpen Tarberg, Anett
collection PubMed
description AIMS AND OBJECTIVES: The aim was to explore how nurses experience compassionate care for patients with cancer and family caregivers in different phases of the palliative pathway. BACKGROUND: Compassion is fundamental to palliative care and viewed as a cornerstone of high‐quality care provision. Healthcare authorities emphasize that patients should have the opportunity to stay at home for as long as possible. There are, however, care deficiencies in the palliative pathway. DESIGN: This study employed a qualitative design using focus groups and a hermeneutic approach. METHODS: Four focus groups with three to seven female nurses in each group were conducted in Mid‐Norway in 2018. Nurses’ ages ranged from 28–60 years (mean age = 45 years), and they were recruited through purposive sampling (N = 21). Compassionate care was chosen as the theoretical framework. Reporting followed the COREQ guidelines. RESULTS: Three themes expressing compassionate care related to different phases of the pathway were identified: (a) information and dialogue, (b) creating a space for dying and (c) family caregivers’ acceptance of death. CONCLUSIONS: This study showed that it was crucial to create a space for dying, characterized by trust, collaboration, good relationships, empathy, attention, silence, caution, slowness, symptom relief and the absence of noise and conflict. RELEVANCE TO CLINICAL PRACTICE: The quality of compassion possessed by individual practitioners, as well as the overall design of the healthcare system, must be considered when creating compassionate care for patients and their family caregivers. Nursing educators and health authorities should pay attention to the development of compassion in education and practice. Further research should highlight patients’ and family caregivers’ experiences of compassionate care and determine how healthcare systems can support compassionate care.
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spelling pubmed-77563772020-12-28 Nurses’ experiences of compassionate care in the palliative pathway Skorpen Tarberg, Anett Landstad, Bodil J. Hole, Torstein Thronæs, Morten Kvangarsnes, Marit J Clin Nurs Original Articles AIMS AND OBJECTIVES: The aim was to explore how nurses experience compassionate care for patients with cancer and family caregivers in different phases of the palliative pathway. BACKGROUND: Compassion is fundamental to palliative care and viewed as a cornerstone of high‐quality care provision. Healthcare authorities emphasize that patients should have the opportunity to stay at home for as long as possible. There are, however, care deficiencies in the palliative pathway. DESIGN: This study employed a qualitative design using focus groups and a hermeneutic approach. METHODS: Four focus groups with three to seven female nurses in each group were conducted in Mid‐Norway in 2018. Nurses’ ages ranged from 28–60 years (mean age = 45 years), and they were recruited through purposive sampling (N = 21). Compassionate care was chosen as the theoretical framework. Reporting followed the COREQ guidelines. RESULTS: Three themes expressing compassionate care related to different phases of the pathway were identified: (a) information and dialogue, (b) creating a space for dying and (c) family caregivers’ acceptance of death. CONCLUSIONS: This study showed that it was crucial to create a space for dying, characterized by trust, collaboration, good relationships, empathy, attention, silence, caution, slowness, symptom relief and the absence of noise and conflict. RELEVANCE TO CLINICAL PRACTICE: The quality of compassion possessed by individual practitioners, as well as the overall design of the healthcare system, must be considered when creating compassionate care for patients and their family caregivers. Nursing educators and health authorities should pay attention to the development of compassion in education and practice. Further research should highlight patients’ and family caregivers’ experiences of compassionate care and determine how healthcare systems can support compassionate care. John Wiley and Sons Inc. 2020-10-25 2020-12 /pmc/articles/PMC7756377/ /pubmed/33031582 http://dx.doi.org/10.1111/jocn.15528 Text en © 2020 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Skorpen Tarberg, Anett
Landstad, Bodil J.
Hole, Torstein
Thronæs, Morten
Kvangarsnes, Marit
Nurses’ experiences of compassionate care in the palliative pathway
title Nurses’ experiences of compassionate care in the palliative pathway
title_full Nurses’ experiences of compassionate care in the palliative pathway
title_fullStr Nurses’ experiences of compassionate care in the palliative pathway
title_full_unstemmed Nurses’ experiences of compassionate care in the palliative pathway
title_short Nurses’ experiences of compassionate care in the palliative pathway
title_sort nurses’ experiences of compassionate care in the palliative pathway
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7756377/
https://www.ncbi.nlm.nih.gov/pubmed/33031582
http://dx.doi.org/10.1111/jocn.15528
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