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 |
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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 |
format | Article |
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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.
No patient or public contribution.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.15733</identifier><identifier>PMID: 37308976</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Coping strategies ; Emotion recognition ; Emotions ; Fulfilment ; Gratitude ; Interviews ; Nurse patient relationships ; Nursing assistants ; Nursing homes ; Palliative care ; Patients ; Social media ; Social networks</subject><ispartof>Journal of advanced nursing, 2023-10, Vol.79 (10), p.3876-3887</ispartof><rights>2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c348t-58b7655b90d78177179be31bdbb112ad2b4f719d484ce8e6e15459b794b2bd5a3</citedby><cites>FETCH-LOGICAL-c348t-58b7655b90d78177179be31bdbb112ad2b4f719d484ce8e6e15459b794b2bd5a3</cites><orcidid>0000-0002-6310-9914 ; 0000-0002-6647-8141 ; 0000-0002-9003-6124 ; 0000-0002-3000-2520</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930,31004</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37308976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dijxhoorn, Anne-Floor Q</creatorcontrib><creatorcontrib>Heijnen, Yanouk</creatorcontrib><creatorcontrib>van der Linden, Yvette M</creatorcontrib><creatorcontrib>Leget, Carlo</creatorcontrib><creatorcontrib>Raijmakers, Natasja J H</creatorcontrib><creatorcontrib>Brom, Linda</creatorcontrib><title>Nursing assistants' perceptions and experiences with the emotional impact of providing palliative care: A qualitative interview study in nursing homes</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><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.</description><subject>Coping strategies</subject><subject>Emotion recognition</subject><subject>Emotions</subject><subject>Fulfilment</subject><subject>Gratitude</subject><subject>Interviews</subject><subject>Nurse patient relationships</subject><subject>Nursing assistants</subject><subject>Nursing homes</subject><subject>Palliative care</subject><subject>Patients</subject><subject>Social media</subject><subject>Social networks</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNpdkc1u1DAUhS0EotPCghdAllhQFin-jRN2VcVPpQo2sI7s-A7jUeKkvs6UvkifFw8zdNG7ubpHn47O1SHkDWcXvMzHrY0XXBspn5EVl7WuRK2a52TFJGsroZg4IaeIW8a4FEK8JCfSSNa0pl6Rh-9LwhB_U4sYMNuY8T2dIfUw5zBFpDZ6Cn-KEiD2gPQu5A3NG6AwTnvCDjSMs-0zndZ0TtMu-L3dbIch2Bx2QHub4BO9pLeLHUI-aCFmSLsAdxTz4u_LTeMxyGYaAV-RF2s7ILw-7jPy68vnn1ffqpsfX6-vLm-qXqomV7pxptbatcybhhvDTetAcued41xYL5xaG9561ageGqiBa6VbZ1rlhPPayjNyfvAtyW8XwNyNAXsYBhthWrATjdCaSdPygr57gm6nJZX_91StGBeGmUJ9OFB9mhATrLs5hdGm-46zbl9WV8rq_pVV2LdHx8WN4B_J_-3Iv30ykk4</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Dijxhoorn, Anne-Floor Q</creator><creator>Heijnen, Yanouk</creator><creator>van der Linden, Yvette M</creator><creator>Leget, Carlo</creator><creator>Raijmakers, Natasja J H</creator><creator>Brom, Linda</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6310-9914</orcidid><orcidid>https://orcid.org/0000-0002-6647-8141</orcidid><orcidid>https://orcid.org/0000-0002-9003-6124</orcidid><orcidid>https://orcid.org/0000-0002-3000-2520</orcidid></search><sort><creationdate>20231001</creationdate><title>Nursing assistants' perceptions and experiences with the emotional impact of providing palliative care: A qualitative interview study in nursing homes</title><author>Dijxhoorn, Anne-Floor Q ; Heijnen, Yanouk ; van der Linden, Yvette M ; Leget, Carlo ; Raijmakers, Natasja J H ; Brom, Linda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c348t-58b7655b90d78177179be31bdbb112ad2b4f719d484ce8e6e15459b794b2bd5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Coping strategies</topic><topic>Emotion recognition</topic><topic>Emotions</topic><topic>Fulfilment</topic><topic>Gratitude</topic><topic>Interviews</topic><topic>Nurse patient relationships</topic><topic>Nursing assistants</topic><topic>Nursing homes</topic><topic>Palliative care</topic><topic>Patients</topic><topic>Social media</topic><topic>Social networks</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dijxhoorn, Anne-Floor Q</creatorcontrib><creatorcontrib>Heijnen, Yanouk</creatorcontrib><creatorcontrib>van der Linden, Yvette M</creatorcontrib><creatorcontrib>Leget, Carlo</creatorcontrib><creatorcontrib>Raijmakers, Natasja J H</creatorcontrib><creatorcontrib>Brom, Linda</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dijxhoorn, Anne-Floor Q</au><au>Heijnen, Yanouk</au><au>van der Linden, Yvette M</au><au>Leget, Carlo</au><au>Raijmakers, Natasja J H</au><au>Brom, Linda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing assistants' perceptions and experiences with the emotional impact of providing palliative care: A qualitative interview study in nursing homes</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>79</volume><issue>10</issue><spage>3876</spage><epage>3887</epage><pages>3876-3887</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>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.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37308976</pmid><doi>10.1111/jan.15733</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-6310-9914</orcidid><orcidid>https://orcid.org/0000-0002-6647-8141</orcidid><orcidid>https://orcid.org/0000-0002-9003-6124</orcidid><orcidid>https://orcid.org/0000-0002-3000-2520</orcidid><oa>free_for_read</oa></addata></record> |
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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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