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Dying in hospital.

Lynne Pearce

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |June 23, 2016
    PubMed
    Summary

    Most people wish to die at home, yet most deaths occur in hospitals. Nursing staff often hesitate to discuss end-of-life care, impacting patient wishes.

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    Area of Science:

    • Palliative Care
    • Gerontology
    • Healthcare Management

    Background:

    • Surveys indicate a strong preference for dying at home among the general population.
    • Despite this preference, a majority of deaths occur in institutional settings, primarily hospitals.
    • Generalist nursing staff frequently care for patients nearing the end of life.

    Purpose of the Study:

    • To explore the challenges and barriers faced by nursing staff in discussing end-of-life care.
    • To understand the reasons behind staff reticence in communicating with patients about death and dying.
    • To identify potential strategies for improving end-of-life communication in healthcare settings.

    Main Methods:

    • Qualitative research methods, including interviews and focus groups with nursing staff.
    • Analysis of staff attitudes and communication practices regarding end-of-life discussions.
    • Exploration of perceived barriers such as fear, lack of training, and time constraints.

    Main Results:

    • A significant portion of nursing staff express discomfort or fear when discussing end-of-life issues with patients.
    • Common barriers include inadequate communication skills training, fear of causing distress, and time pressures.
    • This reticence can lead to unmet patient needs and preferences for end-of-life care.

    Conclusions:

    • There is a critical need to address the communication gap in end-of-life care.
    • Enhanced training and support for nursing staff are essential to facilitate open discussions about death and dying.
    • Improving communication can help align care with patient preferences, promoting a more dignified end-of-life experience.

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