Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study

Hospitals have played a leading role in providing palliative care in Taiwan as its care model has developed over the past few decades. However, earlier local studies in Taiwan showed that terminal patients prefer to die at home, highlighting the need to promote community-based palliative care instea...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Chien-Yi Wu, Yu-Hsuan Wu, Yi-Hui Chang, Min-Shiow Tsay, Hung-Cheng Chen, Hui-Ya Hsieh
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	community nurse palliative home care qualitative research Taiwan Medicine R
Acceso en línea:	https://doaj.org/article/7a890468293440de855e9ad8bff2f441
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7a890468293440de855e9ad8bff2f441
record_format	dspace
spelling	oai:doaj.org-article:7a890468293440de855e9ad8bff2f4412021-11-25T17:48:49ZCommunity Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study10.3390/ijerph1822118381660-46011661-7827https://doaj.org/article/7a890468293440de855e9ad8bff2f4412021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11838https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Hospitals have played a leading role in providing palliative care in Taiwan as its care model has developed over the past few decades. However, earlier local studies in Taiwan showed that terminal patients prefer to die at home, highlighting the need to promote community-based palliative care instead of hospital-based care. Along with this shift, how community nurses provide palliative home care merits further exploration. This qualitative descriptive study aims to understand (1) how community nurses implement community-based palliative care, (2) what preparations are needed, and (3) what challenges they may face. Purposive sampling was used for recruiting nurses. We conducted one-on-one, in-depth, semi-structured interviews. Interview recordings were transcribed verbatim and analyzed using thematic analysis. Eight community nurses with a range of experience in palliative home care were interviewed. Four major themes emerged: (1) Opportunities, (2) Qualifications, (3) Support, and (4) Commitments. Psychological preparedness, well-developed professional capabilities, external assistance, and peer support motivate community nurses to offer community-based palliative care. As the requests for palliative home care services increase, community nurses play a critical role in palliative home care. Although the sample size is small and the findings retrieved from a small number of experiences might not be generalized to every region, the study results could inform future experience-sharing and workshop sessions to train more nurses for community-based care, expanding service coverage, and providing optimal palliative care.Chien-Yi WuYu-Hsuan WuYi-Hui ChangMin-Shiow TsayHung-Cheng ChenHui-Ya HsiehMDPI AGarticlecommunity nursepalliative home carequalitative researchTaiwanMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11838, p 11838 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	community nurse palliative home care qualitative research Taiwan Medicine R
spellingShingle	community nurse palliative home care qualitative research Taiwan Medicine R Chien-Yi Wu Yu-Hsuan Wu Yi-Hui Chang Min-Shiow Tsay Hung-Cheng Chen Hui-Ya Hsieh Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study
description	Hospitals have played a leading role in providing palliative care in Taiwan as its care model has developed over the past few decades. However, earlier local studies in Taiwan showed that terminal patients prefer to die at home, highlighting the need to promote community-based palliative care instead of hospital-based care. Along with this shift, how community nurses provide palliative home care merits further exploration. This qualitative descriptive study aims to understand (1) how community nurses implement community-based palliative care, (2) what preparations are needed, and (3) what challenges they may face. Purposive sampling was used for recruiting nurses. We conducted one-on-one, in-depth, semi-structured interviews. Interview recordings were transcribed verbatim and analyzed using thematic analysis. Eight community nurses with a range of experience in palliative home care were interviewed. Four major themes emerged: (1) Opportunities, (2) Qualifications, (3) Support, and (4) Commitments. Psychological preparedness, well-developed professional capabilities, external assistance, and peer support motivate community nurses to offer community-based palliative care. As the requests for palliative home care services increase, community nurses play a critical role in palliative home care. Although the sample size is small and the findings retrieved from a small number of experiences might not be generalized to every region, the study results could inform future experience-sharing and workshop sessions to train more nurses for community-based care, expanding service coverage, and providing optimal palliative care.
format	article
author	Chien-Yi Wu Yu-Hsuan Wu Yi-Hui Chang Min-Shiow Tsay Hung-Cheng Chen Hui-Ya Hsieh
author_facet	Chien-Yi Wu Yu-Hsuan Wu Yi-Hui Chang Min-Shiow Tsay Hung-Cheng Chen Hui-Ya Hsieh
author_sort	Chien-Yi Wu
title	Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study
title_short	Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study
title_full	Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study
title_fullStr	Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study
title_full_unstemmed	Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study
title_sort	community nurses’ preparations for and challenges in providing palliative home care: a qualitative study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/7a890468293440de855e9ad8bff2f441
work_keys_str_mv	AT chienyiwu communitynursespreparationsforandchallengesinprovidingpalliativehomecareaqualitativestudy AT yuhsuanwu communitynursespreparationsforandchallengesinprovidingpalliativehomecareaqualitativestudy AT yihuichang communitynursespreparationsforandchallengesinprovidingpalliativehomecareaqualitativestudy AT minshiowtsay communitynursespreparationsforandchallengesinprovidingpalliativehomecareaqualitativestudy AT hungchengchen communitynursespreparationsforandchallengesinprovidingpalliativehomecareaqualitativestudy AT huiyahsieh communitynursespreparationsforandchallengesinprovidingpalliativehomecareaqualitativestudy
_version_	1718411994467401728

Community Nurses’ Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study

Ejemplares similares