Keywords

Comfort, End of Life, Nursing Home Patients, Nursing Home, Health Care Providers

Abstract

Research shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nurses' aides at a central Florida nursing home. A descriptive qualitative design was done utilizing a focus group discussion, individual interviews, and a self-administered questionnaire. The findings indicated that a lack of facility support, inadequate staffing, inadequate end of life care education, family and patient denial of prognosis, as well as decreased primary care physician involvement affect the delivery of comfort care for patients at the end of life in the nursing home. This study supports the need for end of life education to HCPs and the need for adjustments in staffing to meet the complex needs of patients in the nursing home who are at the end of life. A new finding of this study reflects the use of an angel cart to aid in the provision of comfort care for patients at the end of life. Recommendations for future research were made based on study results

Notes

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Graduation Date

2010

Advisor

Rash, Elizabeth

Degree

Doctor of Nursing Practice (D.N.P.)

College

College of Nursing

Department

Nursing

Degree Program

Nursing Practice

Format

application/pdf

Identifier

CFE0003305

URL

http://purl.fcla.edu/fcla/etd/CFE0003305

Language

English

Release Date

August 2010

Length of Campus-only Access

None

Access Status

Doctoral Dissertation (Open Access)

Restricted to the UCF community until August 2010; it will then be open access.

Included in

Nursing Commons

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