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Summary
Nurses face challenges when dying patients request to omit nursing care for comfort. This study explores nurses’ reactions, strategies, and emotional responses to these patient wishes, offering insights for improved end-of-life care.
Area of Science:
- Nursing Care
- Palliative Care
- Patient Autonomy
Context:
- Difficulties in end-of-life care for nurses.
- Focus on patient's desire to omit nursing actions for well-being.
- Study conducted in an internal medicine clinic at a university hospital.
Purpose:
- To explore nurses' reactions and feelings regarding dying patients' wishes to omit nursing actions.
- To understand the circumstances and specific actions involved.
- To identify influencing factors, nurse strategies, and emotional consequences.
Summary:
- Observed care of 4 dying patients and interviewed 8 nurses using a grounded theory approach.
- Identified circumstances and specific nursing actions patients wished to omit.
- Described factors influencing nurses, their strategies, and emotional impact.
Impact:
- Provides conclusions for enhancing care of dying patients.
- Encourages nurses to reflect on managing patient wishes to omit care.
- Contributes to understanding nurse-patient dynamics in palliative settings.