Nurses’ involvement in end-of-life care of patients after a do not resuscitate decision on general medical units in Saudi Arabia
To describe the essence of the nurses’ lived experience and explore the meaning of their involvement in end-of-life care after a do-not-resuscitate decision has been made. The research design embraced qualitative, exploratory and descriptive approaches utilising aspects of phenomenology. Purposive s...
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| Veröffentlicht in: | Intensive & critical care nursing 2016-04, Vol.33, p.21-29 |
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| container_title | Intensive & critical care nursing |
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| creator | Abu-Ghori, Ibrahim K. Bodrick, Mustafa M.E. Hussain, Rafat Rassool, G. Hussein |
| description | To describe the essence of the nurses’ lived experience and explore the meaning of their involvement in end-of-life care after a do-not-resuscitate decision has been made.
The research design embraced qualitative, exploratory and descriptive approaches utilising aspects of phenomenology. Purposive sampling of twenty-six registered nurses was used. Data was collected using the reflective journaling technique and were analysed using an integrated approach. Field notes were also used as a mean to enrich the description of the findings contextually.
Medical units in Saudi Arabia.
Three main themes emerged: exhausted medical treatment, continuity of nursing care and cultural considerations in nursing care. Related sub-themes were also identified as an extension to the description of the main themes.
The findings affirm that nurses working on medical units continue to maintain a constant level of care for patients and families after the do-not-resuscitate decision. Nurses found that caring for dying patients was a rewarding and worthwhile experience, albeit a challenging and demanding one. The findings suggest that improvement in end-of-life care would be best achieved by collaborative and interdisciplinary practices amongst the health care team members. |
| doi_str_mv | 10.1016/j.iccn.2015.10.002 |
| format | Article |
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The research design embraced qualitative, exploratory and descriptive approaches utilising aspects of phenomenology. Purposive sampling of twenty-six registered nurses was used. Data was collected using the reflective journaling technique and were analysed using an integrated approach. Field notes were also used as a mean to enrich the description of the findings contextually.
Medical units in Saudi Arabia.
Three main themes emerged: exhausted medical treatment, continuity of nursing care and cultural considerations in nursing care. Related sub-themes were also identified as an extension to the description of the main themes.
The findings affirm that nurses working on medical units continue to maintain a constant level of care for patients and families after the do-not-resuscitate decision. Nurses found that caring for dying patients was a rewarding and worthwhile experience, albeit a challenging and demanding one. The findings suggest that improvement in end-of-life care would be best achieved by collaborative and interdisciplinary practices amongst the health care team members.</description><identifier>ISSN: 0964-3397</identifier><identifier>EISSN: 1532-4036</identifier><identifier>DOI: 10.1016/j.iccn.2015.10.002</identifier><identifier>PMID: 26685090</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Caring ; Cooperation ; Data analysis ; Data collection ; Decision making ; Do-not-resuscitate ; Dying ; Dying people ; End of life decisions ; End-of-life care ; Health care ; Humans ; Integrative approach ; Interdisciplinary approach ; Meaning ; Medical treatment ; Methodology ; Muslims ; Nurse's Role - psychology ; Nurse-Patient Relations ; Nurses ; Nurses - psychology ; Nurses’ involvement ; Nurses’ lived experience ; Nursing ; Nursing care ; Palliative care ; Patient care ; Phenomenology ; Qualitative Research ; Quality ; Reflective journaling technique ; Researchers ; Resuscitation Orders - psychology ; Sampling ; Saudi Arabia ; Studies ; Terminal Care - methods ; Terminal Care - psychology</subject><ispartof>Intensive & critical care nursing, 2016-04, Vol.33, p.21-29</ispartof><rights>2015 Elsevier Ltd</rights><rights>Copyright © 2015 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Apr 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-5ea2bd82aa021c10dbb4ac47377520a7ca51b31c12b088cf4191d7a3618dc85d3</citedby><cites>FETCH-LOGICAL-c487t-5ea2bd82aa021c10dbb4ac47377520a7ca51b31c12b088cf4191d7a3618dc85d3</cites><orcidid>0000-0002-1246-9717</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1772867018?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,3536,12826,27903,27904,30978,64361,64363,64365,65309,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26685090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abu-Ghori, Ibrahim K.</creatorcontrib><creatorcontrib>Bodrick, Mustafa M.E.</creatorcontrib><creatorcontrib>Hussain, Rafat</creatorcontrib><creatorcontrib>Rassool, G. Hussein</creatorcontrib><title>Nurses’ involvement in end-of-life care of patients after a do not resuscitate decision on general medical units in Saudi Arabia</title><title>Intensive & critical care nursing</title><addtitle>Intensive Crit Care Nurs</addtitle><description>To describe the essence of the nurses’ lived experience and explore the meaning of their involvement in end-of-life care after a do-not-resuscitate decision has been made.
The research design embraced qualitative, exploratory and descriptive approaches utilising aspects of phenomenology. Purposive sampling of twenty-six registered nurses was used. Data was collected using the reflective journaling technique and were analysed using an integrated approach. Field notes were also used as a mean to enrich the description of the findings contextually.
Medical units in Saudi Arabia.
Three main themes emerged: exhausted medical treatment, continuity of nursing care and cultural considerations in nursing care. Related sub-themes were also identified as an extension to the description of the main themes.
The findings affirm that nurses working on medical units continue to maintain a constant level of care for patients and families after the do-not-resuscitate decision. Nurses found that caring for dying patients was a rewarding and worthwhile experience, albeit a challenging and demanding one. The findings suggest that improvement in end-of-life care would be best achieved by collaborative and interdisciplinary practices amongst the health care team members.</description><subject>Caring</subject><subject>Cooperation</subject><subject>Data analysis</subject><subject>Data collection</subject><subject>Decision making</subject><subject>Do-not-resuscitate</subject><subject>Dying</subject><subject>Dying people</subject><subject>End of life decisions</subject><subject>End-of-life care</subject><subject>Health care</subject><subject>Humans</subject><subject>Integrative approach</subject><subject>Interdisciplinary approach</subject><subject>Meaning</subject><subject>Medical treatment</subject><subject>Methodology</subject><subject>Muslims</subject><subject>Nurse's Role - psychology</subject><subject>Nurse-Patient Relations</subject><subject>Nurses</subject><subject>Nurses - psychology</subject><subject>Nurses’ involvement</subject><subject>Nurses’ lived experience</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Palliative care</subject><subject>Patient care</subject><subject>Phenomenology</subject><subject>Qualitative Research</subject><subject>Quality</subject><subject>Reflective journaling technique</subject><subject>Researchers</subject><subject>Resuscitation Orders - psychology</subject><subject>Sampling</subject><subject>Saudi Arabia</subject><subject>Studies</subject><subject>Terminal Care - methods</subject><subject>Terminal Care - psychology</subject><issn>0964-3397</issn><issn>1532-4036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkcGKFDEQhoMo7uzqC3iQgBcvPVaS7k4avCyLrsKiB_Uc0km1ZOhJxiQ9sDfxLXw9n8S0s3rwoBCoUPXVD_X_hDxhsGXA-he7rbc2bDmwrja2APwe2bBO8KYF0d8nGxj6thFikGfkPOcdAAxCdQ_JGe971cEAG_Lt3ZIy5h9fv1MfjnE-4h5DqX-KwTVxamY_IbUmIY0TPZji6zhTMxVM1FAXaYiFJsxLtr6YgtSh9dnHQOv7jAGTmekenbe1LsHX5Sr-wSzO08tkRm8ekQeTmTM-vqsX5NPrVx-v3jQ376_fXl3eNLZVsjQdGj46xY0BziwDN46tsa0UUnYcjLSmY6OoEz6CUnZq2cCcNKJnylnVOXFBnp90Dyl-WTAXvffZ4jybgHHJmingUnDJ1P9RKVnbSjWIij77C93FJYV6yEpx1Uv4JchPlE0x54STPiS_N-lWM9BrmHqn1zD1Gubaq2HWpad30stYHfyz8ju9Crw8AVhtO3pMuoaAwVa3E9qiXfT_0v8JZXyw1A</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Abu-Ghori, Ibrahim K.</creator><creator>Bodrick, Mustafa M.E.</creator><creator>Hussain, Rafat</creator><creator>Rassool, G. 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Hussein</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nurses’ involvement in end-of-life care of patients after a do not resuscitate decision on general medical units in Saudi Arabia</atitle><jtitle>Intensive & critical care nursing</jtitle><addtitle>Intensive Crit Care Nurs</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>33</volume><spage>21</spage><epage>29</epage><pages>21-29</pages><issn>0964-3397</issn><eissn>1532-4036</eissn><abstract>To describe the essence of the nurses’ lived experience and explore the meaning of their involvement in end-of-life care after a do-not-resuscitate decision has been made.
The research design embraced qualitative, exploratory and descriptive approaches utilising aspects of phenomenology. Purposive sampling of twenty-six registered nurses was used. Data was collected using the reflective journaling technique and were analysed using an integrated approach. Field notes were also used as a mean to enrich the description of the findings contextually.
Medical units in Saudi Arabia.
Three main themes emerged: exhausted medical treatment, continuity of nursing care and cultural considerations in nursing care. Related sub-themes were also identified as an extension to the description of the main themes.
The findings affirm that nurses working on medical units continue to maintain a constant level of care for patients and families after the do-not-resuscitate decision. Nurses found that caring for dying patients was a rewarding and worthwhile experience, albeit a challenging and demanding one. The findings suggest that improvement in end-of-life care would be best achieved by collaborative and interdisciplinary practices amongst the health care team members.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>26685090</pmid><doi>10.1016/j.iccn.2015.10.002</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1246-9717</orcidid></addata></record> |
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| ispartof | Intensive & critical care nursing, 2016-04, Vol.33, p.21-29 |
| issn | 0964-3397 1532-4036 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA); ProQuest Central UK/Ireland |
| subjects | Caring Cooperation Data analysis Data collection Decision making Do-not-resuscitate Dying Dying people End of life decisions End-of-life care Health care Humans Integrative approach Interdisciplinary approach Meaning Medical treatment Methodology Muslims Nurse's Role - psychology Nurse-Patient Relations Nurses Nurses - psychology Nurses’ involvement Nurses’ lived experience Nursing Nursing care Palliative care Patient care Phenomenology Qualitative Research Quality Reflective journaling technique Researchers Resuscitation Orders - psychology Sampling Saudi Arabia Studies Terminal Care - methods Terminal Care - psychology |
| title | Nurses’ involvement in end-of-life care of patients after a do not resuscitate decision on general medical units in Saudi Arabia |
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