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The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study

PURPOSE: To gain greater understanding of what it means to care for older patients dying from traumatic injuries in the emergency department. DESIGN: A Heideggerian phenomenological design using the methods of Van Manen. METHODS: In‐depth, face‐to‐face interviews were conducted with five emergency n...

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Autores principales: Ryan, Kimberley, Windsor, Carol, Jack, Leanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546414/
https://www.ncbi.nlm.nih.gov/pubmed/35076153
http://dx.doi.org/10.1111/jnu.12764
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author Ryan, Kimberley
Windsor, Carol
Jack, Leanne
author_facet Ryan, Kimberley
Windsor, Carol
Jack, Leanne
author_sort Ryan, Kimberley
collection PubMed
description PURPOSE: To gain greater understanding of what it means to care for older patients dying from traumatic injuries in the emergency department. DESIGN: A Heideggerian phenomenological design using the methods of Van Manen. METHODS: In‐depth, face‐to‐face interviews were conducted with five emergency nurses who worked in an emergency department in Australia. Interview data were interpreted using a Heideggerian hermeneutic approach and guided by Van Manen’s lifeworld analysis focusing on the experiential aspects of lived time (temporality) and lived space (spatiality) in the phenomenon. FINDINGS: The older patient reflects the passage of chronological time. This temporal aspect shaped the participant experience as there was a sudden awareness of the impact of the injuries sustained on the fragile physical condition of the patients. There was an unexpectedness and unpreparedness which was related to a precognitive assumption that the older patient would die from an age‐related comorbid condition. Also of significance was the sacred liminal space in which the nurses worked to facilitate the dying patient transition from life to death. CONCLUSIONS: The existential dimensions of temporality and spatiality revealed new insights into what it means to care for elderly patients dying from traumatic injuries. Temporal aspects were shaped by the longevity of the lives of patients and spatiality explored the liminal space where participants were morally guided to deliver end of life care with dignity and respect for a long‐lived life taken by trauma. CLINICAL RELEVANCE: The findings may contribute to further understanding of what shapes the experience for emergency nurses delivering EOL care in the ED, with specific relevance and focus on the older patient with traumatic injuries. Hermeneutic research may also encourage clinicians to explore phenomena to reveal new understandings that will inform further dialogue and future research.
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spelling pubmed-95464142022-10-14 The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study Ryan, Kimberley Windsor, Carol Jack, Leanne J Nurs Scholarsh Clinical Scholarship PURPOSE: To gain greater understanding of what it means to care for older patients dying from traumatic injuries in the emergency department. DESIGN: A Heideggerian phenomenological design using the methods of Van Manen. METHODS: In‐depth, face‐to‐face interviews were conducted with five emergency nurses who worked in an emergency department in Australia. Interview data were interpreted using a Heideggerian hermeneutic approach and guided by Van Manen’s lifeworld analysis focusing on the experiential aspects of lived time (temporality) and lived space (spatiality) in the phenomenon. FINDINGS: The older patient reflects the passage of chronological time. This temporal aspect shaped the participant experience as there was a sudden awareness of the impact of the injuries sustained on the fragile physical condition of the patients. There was an unexpectedness and unpreparedness which was related to a precognitive assumption that the older patient would die from an age‐related comorbid condition. Also of significance was the sacred liminal space in which the nurses worked to facilitate the dying patient transition from life to death. CONCLUSIONS: The existential dimensions of temporality and spatiality revealed new insights into what it means to care for elderly patients dying from traumatic injuries. Temporal aspects were shaped by the longevity of the lives of patients and spatiality explored the liminal space where participants were morally guided to deliver end of life care with dignity and respect for a long‐lived life taken by trauma. CLINICAL RELEVANCE: The findings may contribute to further understanding of what shapes the experience for emergency nurses delivering EOL care in the ED, with specific relevance and focus on the older patient with traumatic injuries. Hermeneutic research may also encourage clinicians to explore phenomena to reveal new understandings that will inform further dialogue and future research. John Wiley and Sons Inc. 2022-01-25 2022-09 /pmc/articles/PMC9546414/ /pubmed/35076153 http://dx.doi.org/10.1111/jnu.12764 Text en © 2022 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Clinical Scholarship
Ryan, Kimberley
Windsor, Carol
Jack, Leanne
The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study
title The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study
title_full The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study
title_fullStr The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study
title_full_unstemmed The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study
title_short The phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: An interpretive phenomenological study
title_sort phenomenon of caring for older patients who are dying from traumatic injuries in the emergency department: an interpretive phenomenological study
topic Clinical Scholarship
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9546414/
https://www.ncbi.nlm.nih.gov/pubmed/35076153
http://dx.doi.org/10.1111/jnu.12764
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