The role of a nurse in patient-centered approach in palliative care - A literature review
Kyamulabi, Winnie; Nyairo, Magdaline; Kiama, Elizabeth (2021)
Lataukset:
Kyamulabi, Winnie
Nyairo, Magdaline
Kiama, Elizabeth
2021
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2021052510930
https://urn.fi/URN:NBN:fi:amk-2021052510930
Tiivistelmä
The aim of the study was to investigate and discuss patient-centered approach in palliative care. This study explores the benefits of patient centered approach in palliative care, the challenges faced during the implementation and possible solutions to the challenges thereby posing three research questions as i) Importance of patient- centered approach. ii) the challenges nurses face in implementing patient centered palliative care and iii) how these challenges are mitigated?
Qualitative literature review was performed to answer the three above research questions. Research was conducted form different online research databases; PubMed, Google scholar, Science Direct and EBSCO. Inclusion and exclusion criteria were applied in which the published period range was from 2000 to date. The research was globally done, and the language of the articles was restricted to English, peer reviewed with full text and free accessibility. Inductive and deductive process of reading through the texts of the 30 chosen articles was used in content analysis.
Jean Watson theory of human caring was used to demonstrate the nursing practices applied in the caring process by nurses to mediate compassion and develop helping-trusting relationships to ease suffering in palliative patients and their families. The findings revealed the integral role of nursing care process in palliative care and through nursing competencies patient-centeredness is achieved in part by understanding patients experiences with illness as well as understanding patients holistically resulting better health outcomes and patient satisfaction. However, some of the challenges nurses engaging in palliative care face include lack of advanced competencies, insufficient communication skills to effectively address individual needs in the continuum of care and restrictive policies that limit pain medication administration. The general recommendations in mitigating these challenges include continuous training programmes and advocating for policies that support pharmaceutical and non-pharmaceutical interventions.
Qualitative literature review was performed to answer the three above research questions. Research was conducted form different online research databases; PubMed, Google scholar, Science Direct and EBSCO. Inclusion and exclusion criteria were applied in which the published period range was from 2000 to date. The research was globally done, and the language of the articles was restricted to English, peer reviewed with full text and free accessibility. Inductive and deductive process of reading through the texts of the 30 chosen articles was used in content analysis.
Jean Watson theory of human caring was used to demonstrate the nursing practices applied in the caring process by nurses to mediate compassion and develop helping-trusting relationships to ease suffering in palliative patients and their families. The findings revealed the integral role of nursing care process in palliative care and through nursing competencies patient-centeredness is achieved in part by understanding patients experiences with illness as well as understanding patients holistically resulting better health outcomes and patient satisfaction. However, some of the challenges nurses engaging in palliative care face include lack of advanced competencies, insufficient communication skills to effectively address individual needs in the continuum of care and restrictive policies that limit pain medication administration. The general recommendations in mitigating these challenges include continuous training programmes and advocating for policies that support pharmaceutical and non-pharmaceutical interventions.