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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Using a quality framework to assess rural palliative care.

Donna Goodridge¹, Wendy Duggleby

¹College of Nursing, University of Saskatchewan, 107 Wiggins Road, Saskatoon, Saskatchewan, Canada S7T 5E5. donna.goodridge@usask.ca

Journal of Palliative Care

|November 5, 2010

Summary

Rural nurses face challenges providing high-quality palliative care, particularly with symptom management and supporting home deaths. Addressing these issues and resource shortages is key to improving care for dying individuals in rural areas.

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Area of Science:

Palliative Care Research
Rural Health Services
Nursing Studies

Background:

Access to high-quality palliative care is limited for rural populations.
Understanding rural nurses' perspectives is crucial for improving end-of-life care.

Purpose of the Study:

To explore opportunities and challenges in providing high-quality palliative care.
To gather insights from nurses in two rural health regions.

Main Methods:

Interpretive descriptive study design.
Conducted focus groups and in-depth interviews.
Involved 44 nurses from rural health regions.

Main Results:

Identified themes: effectiveness/safety, patient-centeredness, efficiency/timeliness.
Patient-centeredness is a strength; symptom management and supporting home deaths are challenges.
Health human resource scarcity significantly impacts palliative care quality.

Conclusions:

Implementing outcome measures for symptom management and home deaths is recommended.
Enhancing rural palliative care quality requires addressing resource limitations.
Focusing on specific care dimensions can improve end-of-life support in rural settings.