Caring in Palliative Care: A Phenomenological Study of Nurses' Lived Experiences

被引:37
作者
Parola, Vitor [1 ,2 ]
Coelho, Adriana [1 ,2 ]
Sandgren, Anna [3 ,4 ]
Fernandes, Olga [5 ,6 ]
Apostolo, Joao [7 ,8 ]
机构
[1] Univ Porto, Abel Salazar Biomed Sci Inst, Porto, Portugal
[2] Portugal Ctr Evidence Based Practice, Nursing Sch Coimbra, Coimbra, Portugal
[3] Linnaeus Univ, Dept Hlth & Caring Sci, Vaxjo, Sweden
[4] Linnaeus Univ, Ctr Collaborat Palliat Care, Vaxjo, Sweden
[5] Nursing Sch Porto, Porto, Portugal
[6] Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res, Grp Invest NurID, Porto, Portugal
[7] Nursing Sch Coimbra, Coimbra, Portugal
[8] Nursing Sch Coimbra, Hlth Sci Res Unit Nursing, Ctr Excellence, Portugal Ctr Evidence Based Practice,A Joanna Bri, Coimbra, Portugal
关键词
end-of-life care; palliative care; phenomenology; professional burnout; qualitative research; BURNOUT; CHALLENGES; SETTINGS;
D O I
10.1097/NJH.0000000000000428
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Providing palliative care involves serious challenges for nurses, such as end-of-life decisions, contact with people's suffering and dying, and increased risk of burnout. However, studies have revealed that the burnout level of health professionals working in palliative care is lower than that of health professionals working in other settings. This study aimed to describe the lived experiences of nurses caring in a palliative care unit. A phenomenological descriptive study was undertaken. Nine nurses were recruited from a palliative care unit in Portugal. Data were collected using individual interviews and analyzed following the method of Giorgi. Five themes reflect the essence of the lived experience: (1) experience centered on the relationship with the other (ie, the patient and the family), (2) experience centered on the relationship with one's own self, (3) exhausting experience, (4) rewarding experience, and (5) the team as a pillar. These findings can be valuable for understanding the challenges and strategies experienced by nurses caring in palliative care and for designing interventions that focus on reducing the risk of burnout among nursesnot only those working in palliative care but also those working in other contexts who experience regular contact with suffering and death.
引用
收藏
页码:180 / 186
页数:7
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