Nursing assistants' perceptions and experiences with the emotional impact of providing palliative care: A qualitative interview study in nursing homes

To gain insight into the perceived emotional impact of providing palliative care among nursing assistants in Dutch nursing homes, their strategies in coping with this impact and associated needs. Exploratory qualitative study. In 2022, 17 semistructured interviews with nursing assistants working in...

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Veröffentlicht in:Journal of advanced nursing 2023-10, Vol.79 (10), p.3876-3887
Hauptverfasser: Dijxhoorn, Anne-Floor Q, Heijnen, Yanouk, van der Linden, Yvette M, Leget, Carlo, Raijmakers, Natasja J H, Brom, Linda
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container_start_page 3876
container_title Journal of advanced nursing
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creator Dijxhoorn, Anne-Floor Q
Heijnen, Yanouk
van der Linden, Yvette M
Leget, Carlo
Raijmakers, Natasja J H
Brom, Linda
description To gain insight into the perceived emotional impact of providing palliative care among nursing assistants in Dutch nursing homes, their strategies in coping with this impact and associated needs. Exploratory qualitative study. In 2022, 17 semistructured interviews with nursing assistants working in Dutch nursing homes were conducted. Participants were recruited via personal networks and social media. Interviews were open-coded by three independent researchers following the thematic analysis approach. Three themes emerged regarding the elements that contribute to the emotional impact of providing palliative care in nursing homes: impactful situations (e.g. witnessing suffering and sudden deaths), interactions (e.g. close relationship and receiving gratitude) and reflection on provided care (e.g. feeling fulfilment or feeling inadequate in caring). Nursing assistants used different strategies to cope, including emotional processing activities, their attitude towards death and work and gaining experience. Participants experienced a need for more education in palliative care and organized peer group meetings. Elements that play a role in how the emotional impact of providing palliative care is perceived by nursing assistants can have a positive or negative impact. Nursing assistants should be better supported in coping with the emotional impact of providing palliative care. In nursing homes, nursing assistants are most involved in providing daily care to residents and have a signalling role in recognizing the deteriorating conditions of residents. Despite their prominent role, little is known about the emotional impact of providing palliative care among these professionals. This study shows that although nursing assistants already undertake various activities to reduce the emotional impact, employers should be aware of the unmet needs in this area and the responsibility they have in this regard. The QOREQ checklist was used for reporting. No patient or public contribution.
doi_str_mv 10.1111/jan.15733
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Exploratory qualitative study. In 2022, 17 semistructured interviews with nursing assistants working in Dutch nursing homes were conducted. Participants were recruited via personal networks and social media. Interviews were open-coded by three independent researchers following the thematic analysis approach. Three themes emerged regarding the elements that contribute to the emotional impact of providing palliative care in nursing homes: impactful situations (e.g. witnessing suffering and sudden deaths), interactions (e.g. close relationship and receiving gratitude) and reflection on provided care (e.g. feeling fulfilment or feeling inadequate in caring). Nursing assistants used different strategies to cope, including emotional processing activities, their attitude towards death and work and gaining experience. Participants experienced a need for more education in palliative care and organized peer group meetings. Elements that play a role in how the emotional impact of providing palliative care is perceived by nursing assistants can have a positive or negative impact. Nursing assistants should be better supported in coping with the emotional impact of providing palliative care. In nursing homes, nursing assistants are most involved in providing daily care to residents and have a signalling role in recognizing the deteriorating conditions of residents. Despite their prominent role, little is known about the emotional impact of providing palliative care among these professionals. This study shows that although nursing assistants already undertake various activities to reduce the emotional impact, employers should be aware of the unmet needs in this area and the responsibility they have in this regard. The QOREQ checklist was used for reporting. 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subjects Coping strategies
Emotion recognition
Emotions
Fulfilment
Gratitude
Interviews
Nurse patient relationships
Nursing assistants
Nursing homes
Palliative care
Patients
Social media
Social networks
title Nursing assistants' perceptions and experiences with the emotional impact of providing palliative care: A qualitative interview study in nursing homes
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