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Published on: February 16, 2011
Barriers to peaceful end-of-life care for older patients with advanced chronic illnesses
Lian Jun Zhao1, Waraporn Kongsuwan2, Tippamas Chinnawong2
1Faculty of Nursing, Prince of Songkla University, Thailand.
Background:
Many older patients with advanced chronic illnesses have not experienced a peaceful end of life in China.
Aim:
To explore the barriers to peaceful end-of-life care for older patients with advanced chronic illnesses from the perspectives of male nurses.
Methods:
A qualitative study was used. Ten male nurses in Guiyang City who met the inclusion criteria participated in individual interviews via telephone with audio recording. The interview transcriptions were analysed by using the content analysis method. Trustworthiness was established by following Lincoln and Guba's criteria.
Findings:
Barriers to peaceful end-of-life care include not prioritising end-of-life care; not respecting the patient's autonomy to die; not having a comfortable caring environment for dying; family caregivers' lack of knowledge and experience in end-of-life care; and traditional and cultural beliefs regarding death and painkillers.
Conclusion:
The findings need to be given due consideration to improve the quality of peaceful end-of-life care for older patients with advanced chronic illnesses.
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