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Palliative care nursing in a curative environment: an Australian perspective
Deborah Prior1, Valda Poulton2
1Currently Lecturer, School of Nursing, Australian Catholic University, at the time of writing this paper she was Clinical Lecturer, Mater Misericordia Public Hospital, South Brisbane.
International Journal of Palliative Nursing
|January 12, 2018
Summary
This study highlights the challenges and experiences of nurses establishing palliative care in acute hospitals. Integrating palliative care requires overcoming misconceptions and fostering its role beyond terminal care for better patient transitions.
Area of Science:
- Nursing
- Palliative Care
- Hospital Administration
Background:
- Palliative care integration in acute general hospitals presents unique challenges.
- Hospital staff often perceive palliative care as solely for end-of-life situations, separate from curative care.
- Nurses face difficulties promoting palliative care philosophy within a predominantly curative environment.
Purpose of the Study:
- To describe the experiences of nurses developing palliative care specialty practices in acute hospitals.
- To explore strategies for facilitating smooth curative-palliative transitions for patients, families, and staff.
- To understand the integration of palliative care theory and practice in acute settings.
Main Methods:
- Case study of a palliative care clinical nurse in a private hospital.
- Description of a joint university-hospital clinical lecturer post in Brisbane, Australia.
- Qualitative exploration of patient experiences with life-threatening diseases.
Main Results:
- Nurses encountered challenges in promoting palliative care amidst curative ideologies.
- Misconceptions about palliative care being only for terminal stages were prevalent among staff.
- Developing palliative care practices required addressing the paradoxical environment of acute care settings.
Conclusions:
- Successful integration of palliative care in acute hospitals requires addressing staff perceptions and environmental paradoxes.
- Specialty palliative care roles can facilitate better patient and family transitions.
- Bridging theory and practice through joint appointments enhances understanding and implementation of palliative care.
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