Perceptions of a "good death" in acute hospitals

Despite the fact that half of all deaths occur in hospital, there is a lack of literature on general nurses' experiences of caring for end-of-life patients on general hospital wards.

To ascertain general nurses' perceptions and experiences of a good death in an acute hospital setting.

In-depth interviews were conducted with 13 general nurses working in an acute hospital.

Six themes were identified as important in facilitating a good death: good communication/awareness of expected death; time (to care); environment; support; knowledge; symptom management.

Participants felt that failing to communicate a diagnosis of dying adversely affected the quality of death. As such the focus of future end-of-life care education needs to include how general nurses can facilitate communication and handle difficult questions to enable a good death for patients and their families.