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Palliative care: community nurses' perceptions of quality.
1School of Nursing, Midwifery and Health Visiting, Univeristy of Manchester, UK. lynn.austin@man.ac.uk
Quality in Health Care : QHC
|September 9, 2000
Summary
Community nurses identified key factors for high-quality palliative care, emphasizing early referrals, adequate time, and strong professional relationships. Achieving patient control and a peaceful death at home were key indicators of success.
Area of Science:
- Nursing
- Palliative Care
- Healthcare Quality
Background:
- Community nurses play a vital role in delivering palliative care.
- Understanding nurses' perceptions is crucial for improving care quality.
Purpose of the Study:
- To identify community nurses' perceptions of quality palliative care provision.
- To explore factors influencing high or poor quality palliative care.
Main Methods:
- Semi-structured interviews using Flanagan's critical incident technique.
- Thematic content analysis of transcribed interviews.
- Involved 62 community nurses from one healthcare trust.
Main Results:
- Key factors for quality care include early referrals, sufficient time, and accessibility of services/equipment.
- Positive relationships with other professionals and informal carers are essential.
- Patient-centered outcomes include retained control, peaceful death at home, and family support.
Conclusions:
- Community nurses can clearly define essential components of high-quality palliative care.
- Identified factors provide a basis for standard setting and audit in palliative care.
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