Registered Nurses' beliefs about end-of-life care: A mixed method study.

Alshammari, F; Sim, J; Mcerlean, G; Lapkin, S

Registered Nurses' beliefs about end-of-life care: A mixed method study.

Alshammari, F Sim, J

Mcerlean, G Lapkin, S

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Nurs Open, 2023, 10, (12), pp. 7796-7810
Issue Date:: 2023-12

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Field	Value	Language
dc.contributor.author	Alshammari, F
dc.contributor.author	Sim, J https://orcid.org/0000-0001-6863-0541
dc.contributor.author	Mcerlean, G
dc.contributor.author	Lapkin, S
dc.date.accessioned	2024-01-19T05:09:50Z
dc.date.available	2023-09-29
dc.date.available	2024-01-19T05:09:50Z
dc.date.issued	2023-12
dc.identifier.citation	Nurs Open, 2023, 10, (12), pp. 7796-7810
dc.identifier.issn	2054-1058
dc.identifier.issn	2054-1058
dc.identifier.uri	http://hdl.handle.net/10453/174805
dc.description.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.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Nurs Open
dc.relation.isbasedon	10.1002/nop2.2027
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	4204 Midwifery
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Terminally Ill
dc.subject.mesh	Nurses
dc.subject.mesh	Humans
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Nurses
dc.subject.mesh	Terminally Ill
dc.subject.mesh	Humans
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Terminal Care
dc.subject.mesh	Hospice Care
dc.subject.mesh	Terminally Ill
dc.subject.mesh	Nurses
dc.title	Registered Nurses' beliefs about end-of-life care: A mixed method study.
dc.type	Journal Article
utslib.citation.volume	10
utslib.location.activity	United States
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/WHO Collaborating Centre
utslib.copyright.status	open_access	*
dc.date.updated	2024-01-19T05:09:45Z
pubs.issue	12
pubs.publication-status	Published
pubs.volume	10
utslib.citation.issue	12

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.

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http://hdl.handle.net/10453/174805