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Published (Version of record)CC BY-NC-ND V4.0, Open Access
Published (Version of record)CC BY-NC-ND V4.0, Open
Journal article
Registered Nurses' beliefs about end‐of‐life care: A mixed method study
Nursing open, Vol.10(12), pp.7796-7810
12/2023
Appears in Recent Faculty of Health Publications
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Abstract
Aims
To examine registered nurses' (RNs) behavioural, normative and control beliefs about end-of-life care for patients who are diagnosed with advanced and life-limiting illnesses; and to identify the barriers and facilitators they experience when providing end-of-life care.
Design
A sequential explanatory mixed methods study.
Method
An online cross-sectional survey was conducted using the Care for Terminally Ill Patient tool among 1293 RNs working across five hospitals in the Kingdom of Saudi Arabia. Online individual semi-structured interviews with a subgroup of survey respondents were then undertaken. Data were collected between October 2020 to February 2021.
Results
A total of 415 RNs completed the online survey, with 16 of them participating in individual interviews. Over half of the participants expressed the belief that end-of-life care is most efficiently delivered through multidisciplinary team collaboration. The majority of participants also believed that discussing end-of-life care with patients or families leads to feelings of hopelessness. Paradoxically, the study revealed that more than half of the participants held the negative belief that patients at the end of life should optimally receive a combination of both curative and palliative care services. The results showed that nurses' beliefs were significantly associated with their age, religion, ward type, level of education and frequency of providing end-of-life care. Data from the qualitative interviews identified four themes that explored RNs' beliefs and its related factors. The four themes were ‘holistic care’, ‘diversity of beliefs’, ‘dynamics of truth-telling’ and ‘experiences of providing end-of-life care.’
Implications for the Profession and/or Patient Care
Wherever possible, patients at the end-of-life should be cared for in specialist settings by multidisciplinary teams to ensure effective, high-quality care. Where this is not possible, organisations should ensure that teams of multidisciplinary staff, including nurses, receive education and resources to support end-of-life care in non-specialist settings. Hospitals that employ foreign-trained nurses should consider providing targeted education to enhance their cultural competence and reduce the impact of different beliefs on end-of-life care.
Details
- Title
- Registered Nurses' beliefs about end‐of‐life care: A mixed method study
- Creators
- Fares Alshammari - University of Hafr Al-BatinJenny Sim - University of WollongongGemma Mcerlean - University of WollongongSamuel Lapkin - Southern Cross University
- Publication Details
- Nursing open, Vol.10(12), pp.7796-7810
- Publisher
- Wiley
- Grant note
- University of Hafr Al Batin. Grant Number: KSP12020231.
- Identifiers
- 991013143591402368
- Copyright
- © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License. Open access publishing facilitated by University of Wollongong, as part of the Wiley - University of Wollongong agreement via the Council of Australian University Librarians.
- Academic Unit
- Nursing; Faculty of Health
- Language
- English
- Resource Type
- Journal article