Identifying the palliative care role of the nurse working in community hospitals: an exploratory study
International Journal of Palliative NursingPublished 1 September 2004
Faye Hamilton, Joan McDowell
Citations17
SJR quartileQ2
SJR score0.37
SNIP0.44
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Six key themes were identified through thematic analysis of the information and gave valuable insight into the multidimensional nature and significance of the nurse's role in palliative care in the community hospital setting.
Abstract
AIM: to ascertain registered nurses' and GPs' perceptions of and influences on the nurse's role in providing palliative care in community hospitals. DESIGN: qualitative exploratory/descriptive study. SETTING: two community hospital sites within Perth and Kinross, Scotland. METHOD: taped semi-structured interviews with four registered nurses and two GPs. Participants' perceptions were sought on the roles of nursing and medical professionals and of factors facilitating and hindering the provision of palliative care within the community hospital setting. FINDINGS: six key themes were identified through thematic analysis of the information: communication, teamwork and relationships, holistic care, resources, culture, professional role. CONCLUSION: the themes were inter-related and gave valuable insight into the multidimensional nature and significance of the nurse's role in palliative care in the community hospital setting.
Keywords
Social SciencesMedicine
Medical Entomology and ZoologyThe Practice of Nursing Research: Conduct, Critique, & Utilization
3,654 Citations1987Nancy Nancy, Burns +1 more
This chapter discusses the research process, methodology, ethics in research, and strategies for using research in practice in the context of nursing practice.
Medical Entomology and ZoologyEssentials of nursing research: Methods, appraisal, and utilization
3,232 Citations1989Denise F. Polit, Bernadette P. Hungler
This study guide is intended to accompany the third edition of "Essentials of Nursing Research", an introduction and refresher to nursing research.
Nursing research : the application of qualitative approaches
1,489 Citations1996Janice M. Morse, Peggy‐Anne Field
The purpose of qualitative research: the role of theory levels of theory types of theory evaluating theory quantitative research selecting an approach methodological threats to validity thinking qualitatively the power of qualitative inquiry.
BMJTerminal cancer care and patients' preference for place of death: a prospective study.
562 Citations1990Joy Townsend, Andrew Frank +5 more
With a limited increase in community care 50% more patients with cancer could be supported to die at home, as they and their carers would prefer.
Foundations of nursing research
399 Citations1987Rose Nieswiadomy
This chapter discusses the development of nursing research, ethical issues in Nursing Research, and evidence-Based Nursing Practice as well as preliminary steps in the research process.
Journal of Advanced NursingNegotiating commitment and involvement in the nurse‐patient relationship
292 Citations1991Janice M. Morse
The relationship that is established between the nurse and the patient is the result of interplay or covert negotiations until a mutually satisfying relationship is reached; one of four types of mutual relationship will emerge: a clinical relationship, a therapeutic relationship, an connected relationship or an over-involved relationship.
PubMedDimensions of the supportive role of the nurse in palliative care.
131 Citations1990Betty Davies, Kathleen Oberle
A model of the supportive role in palliative care was developed, comprised of six interwoven but discrete dimensions: Valuing, Connecting, Empowering, Doing For, Finding Meaning, and Preserving Own Integrity.
Journal of Interprofessional CareA failure of function: Teamwork in primary health care
107 Citations1997Michael West, Brenda Poulton
It is concluded that primary health care teams scored significantly lower than other teams in the sample on all team functioning factors except task orientation, and a restructuring of team functioning was concluded.
Cancer NursingCritical nursing behaviors in care for the dying
72 Citations1991Lesley F. Degner, Christina M. Gow +1 more
A beginning list of seven critical nursing behaviors in care for the dying was identified in a qualitative study using content analysis of transcribed interviews to identify three behaviors not well described in the nursing literature.
Journal of Advanced NursingPrimary health care team workshop: team members'perspectives
44 Citations1996S. Robert De Long
It was found that members perceived each other's roles only in the light of their interactions with each other, and the team-building intervention had some positive effects on team members' perceptions and behaviour.
International Journal of Palliative NursingPalliative care stress in a UK community hospital: evaluation of a stress-reduction programme
44 Citations2004Benjamin Bruneau, George T. H. Ellison
Although the nurses enjoyed the programme and found it helpful, such programmes need to tackle contextual barriers to coping with stress as well as improving the individual coping skills of staff.
PubMedDying from cancer in community hospitals or a hospice: closest lay carers' perceptions.
39 Citations1998David Seamark, Sean Williams +3 more
Improvements in terms of the communication skills of doctors and nurses, specific training for nurses in palliative care, and structured bereavement care could be made without necessarily increasing staffing numbers.
PubMedCommunity hospitals for the new millennium.
35 Citations2001David Seamark, Brent A. Moore +3 more
This survey identified 471 community hospitals in the United Kingdom containing 18,579 beds with 20% of general practitioners having admitting rights and the majority of hospitals provide a comprehensive range of rehabilitation services and consultant outpatient clinics.
Palliative MedicineThe influence of general practitioner community hospitals on the place of death of cancer patients
34 Citations1994C P Thorne, David Seamark +2 more
It appears that community hospitals play a major role in the terminal care of cancer patients and access to such beds is associated with a decrease in cancer deaths occurring in specialist services beds.
European Journal of Cancer CareEducation in palliative care: a qualitative evaluation of the present state and the needs of general practitioners and community nurses
31 Citations1994David Jeffrey
A questionnaire survey was carried out of all general practitioners, community hospital nurses and community nurses working in Worcester Health District in the west of England to assess the present state and future needs of their education in palliative care.
PubMedPalliative terminal cancer care in community hospitals and a hospice: a comparative study.
31 Citations1998David Seamark, Sean Williams +3 more
Differences in care between community hospitals and a hospice have been demonstrated that may reflect either different admission populations to each setting or differences in the way care was delivered.
PubMedPalliative care at home: an audit of cancer deaths in Grampian region.
30 Citations1998D. G. Millar, Drew Carroll +2 more
A number of areas were identified where care could be enhanced by improved teamwork and further education and training in symptom control, as well as in communication, use of services, and information provision.
Nurse EducatorBasic Steps in Planning Nursing Research
29 Citations1980Rosalee C. Yeaworth
These are basic steps in planning nursing research, it will really give you the good idea to be successful.
PubMedDefining the appropriate use of community hospital beds.
16 Citations2001I P Donald, Trish Jay +2 more
TheCHAEP could be used to audit the appropriateness of admission and length of stay in CHs and other health communities would need to review the CHAEP before it could be applied within their context.
International Journal of Palliative NursingNurses' perceptions of palliative care nursing
15 Citations1996Monica Nebauer, Deborah Prior +5 more
BMJContribution of general practitioner hospitals in Scotland.
14 Citations1984James Grant
The results of a survey of 64 Scottish general practitioner hospitals showed that in 1980 these hospitals contained 3.3% of available staffed beds in Scotland; 13.6% of the resident population had access for initial hospital care, and 14.5% of Scottish general practitioners were on their staffs.
International Journal of Palliative NursingViews of nurses, patients and patients’ families regarding palliative nursing care
13 Citations2001Bev Taylor, Nel Glass +2 more
The findings of a 3-phase project that used the qualitative approach of storytelling to examine the degree of congruency between the perceptions of nurses, patients and patients' families respectively, in relation to the nature and effects of palliative nursing care are presented.
Journal of Palliative CareThe Supportive Role of the Staff Nurse in the Hospital Palliative Care Situation
13 Citations1989Kathleen Heslin, Lillian Bramwell
A model of supportive nursing care in the palliative care setting was generated from study findings and presented for testing through further research.
Journal of Palliative CareDying of Non-Malignant Diseases in General Practice
11 Citations1995Linda G. Kurti, Thomas O’Dowd
The results of this study suggest that carers need help with the burden of caring, including emotional support, advice and information regarding social services and financial benefits, and recognition of their caring role.
BMJAcceptability of early discharge, hospital at home schemes
8 Citations1998Michael Montalto, M. Lindsay Grayson
The concern with these studies is that patients seem to have been selected on the basis of their clinical condition and its burden on the hospital rather than on the based that their acute hospital based treatment could be appropriately delivered at home.
International Journal of Palliative NursingThe role of the community hospital in the care of dying people
7 Citations1999Julie Llewellyn, Nici Evans +1 more
It is revealed that community hospitals may be an ideal setting in which to care for terminally ill people who do not require specialized hospice beds.
Nursing StandardDeveloping a palliative care outreach service
4 Citations2004Jenny Sharp, Jane Oldham
The development of a palliative care outreach service by two nurse practitioners into ten community hospitals was designed to improve equity of service delivery in the area and to meet national initiatives aimed at developing palliatives care services.