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Suitable support for anxious hospice patients: what do nurses 'know', 'do' and 'need'? An explanatory mixed method
Danielle Zweers1, Everlien de Graaf2, Saskia Teunissen2
1General Practice - Center of Expertise Palliative Care Utrecht, Julius Center for Healthcare Sciences and Primary Care / Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.
BMJ Supportive & Palliative Care
|July 2, 2017
Summary
Hospice nurses face challenges supporting anxious patients, often lacking time and specific knowledge. Additional training and structured guidelines are needed for effective anxiety management in end-of-life care.
Area of Science:
- Palliative Care
- Nursing Practice
- Mental Health Support
Background:
- Anxiety is common in hospice care patients.
- Effective nursing support is crucial for managing patient anxiety.
- Understanding nurses' perspectives is key to improving care.
Purpose of the Study:
- To explore hospice nurses' knowledge, practices, and needs regarding anxious patients.
- To identify barriers and facilitators in providing anxiety support.
- To inform the development of better interventions for anxiety in hospice care.
Main Methods:
- A mixed-methods study combining online surveys and focus groups.
- Survey data collected from 265 hospice nurses.
- Thematic analysis of focus group discussions with 25 nurses.
Main Results:
- Most nurses felt knowledgeable but cited lack of time and knowledge as barriers.
- Identifying anxiety was difficult due to varied presentations; tools were underutilized.
- Interventions were often intuitive; nurses felt a significant responsibility for managing panic attacks.
Conclusions:
- Hospice nurses experience significant challenges in managing patient anxiety.
- Anxiety management is influenced by individual nurse competencies and preferences.
- Nurses require additional training, guidelines for assessment tools, communication strategies, and decision-making models.
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