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Methodological issues in researching palliative care nursing practice.

Joan L Bottorff¹, Mary Kelly, Jennifer Young

¹Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, Canada. Bottorff@nursing.ubc.ca

The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres

|August 12, 2005

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This review highlights limited nursing research in palliative care, particularly regarding patient involvement and intervention effectiveness. Future research should focus on evaluating nursing interventions to improve patient and family outcomes.

Area of Science:

Nursing Research
Palliative Care
End-of-Life Care

Background:

Nursing practice and attitudes in palliative/end-of-life care are crucial for patient well-being.
Research in this specialized field has evolved since the mid-1990s.
Understanding the current state of nursing research is essential for advancing care.

Purpose of the Study:

To review nursing research on palliative/end-of-life care practices since the mid-1990s.
To identify methodological advancements and challenges in this research area.
To propose strategies for enhancing future nursing research in palliative care.

Main Methods:

An integrative review of 121 research reports published between 1995 and 2003.
Inclusion criteria focused on studies with a nurse as the lead author and content related to nursing practice or attitudes in palliative/end-of-life care.

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Database searches were conducted to identify relevant research.

Main Results:

A limited number of studies incorporated patient perspectives.
Methodological limitations were observed in data collection techniques.
There was a notable absence of studies evaluating the effectiveness of palliative care nursing interventions.
An overemphasis on the interdisciplinary nature of palliative care may have overshadowed the examination of specific nursing interventions.

Conclusions:

Nursing research in palliative/end-of-life care faces methodological challenges, including limited patient inclusion and a lack of intervention evaluation.
The focus on interdisciplinary collaboration may inadvertently limit the investigation of nursing's unique contributions.
Future research must prioritize the examination of nursing intervention efficiency and effectiveness to optimize patient and family outcomes in palliative and end-of-life care.