(Harris, Flowers, Noble, 2011) In a qualitative study by (Brajtman, Higuchi, McPherson, 2006) they looked into the matter related to the challenges the nurses face in palliative care, to explore their experiences in caring for patients with terminal delirium and their families. This qualitative research will emphasize the importance of qualitative interviews as most powerful method for understanding the experiences and meanings related to the topic. This study was conducted in a palliative care unit located in a large Canadian city hospital for 5 nurses working in an interdisciplinary palliative care unit and 4 nurses form palliative home care nursing team located in the same city. Few interview questions have been generated for the nurses to proceed with the qualitative study. Based on the questions results which has been found are like most of the participants said that they experience distress while caring for palliative care patients. They said that if they gather convenient skills and knowledge in the identification and diagnosis they can help to support the patient in better way and family during disturbed conditions. Understanding the unique nursing experience is very much important in the process of providing the nurses with required support to make them strong and help them to provide care in challenging situations. Nurses also identified their team members as most major source of support. They also mentioned that effective teamwork would help them to deal with palliative care patients and their families more efficiently. There is need for proper education and training for the nurses to face challenges with palliative care patients. Lack of education may experience in serious stress for these nurses in care of the dying people and their families. It is important to check that nurses should receive appropriate knowledge, skills and support to care for this patient (Brajtman, Higuchi, McPherson, 2006, pp.6-7). Thus from this study we can understand that proper opportunities should be provided to the nurses so that they can face challenges confidently. The support of organization, teammates and family will enhance the quality of care. The number of sample chosen here is very small. A primary research should contain minimum 20 samples to carry on with a proper research. But here amount is very small which is not very good to conduct a research. A larger sample would have been beneficial to obtain greater depth of data as there was no clear evidence to overcome the challenges. White, et al (2004) found similar trends in his study. He explored with qualitative descriptive study using semi structured interviews with nurses caring for palliative care patients. Here 9 experienced palliative care nurses were interviewed. The participants here explained about their experience and challenges they face regularly. The nurses reported that they have enormous impact on their work and personal lives. The nurses here describe about two types of sufferings, physical and emotional or psychological. Most of the nurses reported here that they try their best to relieve a patients suffering and when they cannot help the patient with such condition they get a feeling of helplessness, distress, frustration and a sense of failure. Some of the nurses also mentioned that they did not want to dwell with those things and thus tried to go back home with a fresh
Theme 2 – Challenges in Palliative Care Three primary research studies will be reviewed here for the relevance to the issue related to the challenges face by nurses in palliative care. Nurses here deals with various challenges in a regular basis. Among them is research by (Brajtman, Higuchi, McPherson, 2006) detailing about the issues of the nurses experiencing in caring for patients in palliative care…
In the Literature Review Grid given under Appendix –III, the study/research type, method used or information available and the results and comments related to the source materials are given for highlighting the reliability of the materials used and its relevance to the study.
The word count is: Signature: Student’s name: Elmira Mah Date: 15/5/2013 Acknowledgements I will like to acknowledge the support and encouragement given to me from a number of people throughout this dissertation process. I will first of all start by thanking God for giving me the strength and good health to sail through this dissertation process.
On the other hand, pressure ulcer refers to an area of unrelieved pressure on a specific area, which results in ischemia, cell death and tissue necrosis (National Institute for Health and Care Excellence, 2013). There are several reasons pressure ulcer is the topic of choice for this paper.
The depth of the subject which involves mainly personal opinions, views on the profession or future career plans and practical difficulties in the profession warrants in-depth interview with the professionals.
Embryonic stem cell research is a relatively new issue within the public policy domain. While researchers have explored the tenets of stem cell opportunities for some time, the research drew the attention of the public only when the first results and outcomes of stem cell experimentations appeared in media releases.
From the dissertation, it is clear that research utilization, a core component of the science of nursing, refers to the use of research to guide practice, and is concerned with the use of research evidence. One of the most important potential benefits of adopting an evidence-based approach to nursing care is improving patient outcomes.
The main factors which shall be judged by this report shall pertain to the equal or unequal access to palliative services and these can be dependent on geography and road infrastructure of an area, age of the patient, whether the patient has a primary diagnosis of cancer versus non cancer, whether the area is one of high social deprivation.
The role of nurses plays a pivotal role in such situations. As bereaved families need moral support and counseling to bear the loss (or major accident/injury) of their loved one, thus advance nursing practitioners have identified a number of helpful actions which might assist and support them.
For our purposes we conducted a literature search using popular medical databases and terms such as ‘acute skills’ ‘learning programmes’ and ‘critical care learning’. Our review highlights on the several important approaches to work based learning
12 pages (3000 words)Dissertation
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