Ethical advocacy in the end‐of‐life nursing care: A concept analysis

Nursing Forum ◽  
2021 ◽  
Author(s):  
Nasim Hatefimoadab ◽  
Mohammad A. Cheraghi ◽  
David C. Benton ◽  
Shahzad Pashaeypoor
Keyword(s):  
End Of Life ◽  
Nursing Care ◽  
Concept Analysis

scholarly journals A conceptual analysis of the meaning of comfort at the end-of-life using the Walker and Avant (2014) Framework

2021 ◽  
Vol 8 (2) ◽  
pp. 91-97
Author(s):  
Yong-Chao Hou ◽  
Fiona Timmins ◽  
Qian Zhou ◽  
Ju-Zi Wang
Keyword(s):  
End Of Life ◽  
Family Caregivers ◽  
Nursing Care ◽  
Conceptual Analysis ◽  
Concept Analysis ◽  
Home Life ◽  
Integrated Intervention ◽  
Cultural Support ◽  
Physical Comfort

Abstract Objective The aim of the authors is to clarify the concept of comfort at the end-of-life in order to support understandings of fundamental nursing care needed at this stage of healthcare. Methods The Walker and Avant framework was applied to develop a deeper understanding of the concept of comfort at the end of life. Results Five defining attributes of comfort in the end-of-life were identified and they are having a peaceful home-life environment, trust and consolation, proximity and social-cultural support, alleviation of suffering, and a process of integrated intervention by nurses. Conclusions At the end-of-life patients commonly experience physical, psychological, social-cultural, and environmental discomfort. Patients’ families also encounter significant challenges. However, their comfort needs are often secondary to that of the patient. Additionally, a lack of clarity exists regarding the holistic meaning of comfort at the end-of-life, which can largely be confined to understandings of physical comfort for the patient, with a limited understanding of addressing family/caregivers’ needs. Therefore, this concept analysis may provide some guidance in this regard and also provides support toward a more integrated understanding of the concept.

scholarly journals Spiritual nursing care: A concept analysis

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Lydia V. Monareng
Keyword(s):  
Nursing Care ◽  
Concept Analysis ◽  
Operational Definition ◽  
The Body ◽  
Empirical Literature ◽  
Spiritual Needs ◽  
Optimal Care ◽  
Health Crisis ◽  
Group Interviews ◽  
Definition Of

Although the concept ‘spiritual nursing care’ has its roots in the history of the nursing profession, many nurses in practice have difficulty integrating the concept into practice. There is an ongoing debate in the empirical literature about its definition, clarity and application in nursing practice. The study aimed to develop an operational definition of the concept and its application in clinical practice. A qualitative study was conducted to explore and describe how professional nurses render spiritual nursing care. A purposive sampling method was used to recruit the sample. Individual and focus group interviews were audio-taped and transcribed verbatim. Trustworthiness was ensured through strategies of truth value, applicability, consistency and neutrality. Data were analysed using the NUD*IST power version 4 software, constant comparison, open, axial and selective coding. Tech’s eight steps of analysis were also used, which led to the emergence of themes, categories and sub-categories. Concept analysis was conducted through a comprehensive literature review and as a result ‘caring presence’ was identified as the core variable from which all the other characteristics of spiritual nursing care arise. An operational definition of spiritual nursing care based on the findings was that humane care is demonstrated by showing caring presence, respect and concern for meeting the needs not only of the body and mind of patients, but also their spiritual needs of hope and meaning in the midst of health crisis, which demand equal attention for optimal care from both religious and nonreligious nurses.

scholarly journals Nursing care at end of life: a UK-based survey of the deaths of people living in care settings for people with intellectual disability

2018 ◽  
Vol 24 (6) ◽  
pp. 366-382 ◽  
Author(s):  
Ruth Northway ◽  
Stuart Todd ◽  
Katherine Hunt ◽  
Paula Hopes ◽  
Rachel Morgan ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
End Of Life ◽  
Nursing Care ◽  
End Of Life Care ◽  
Life Care ◽  
Care Providers ◽  
Nursing Support ◽  
Respiratory Problems ◽  
The Uk ◽  
The Impact

Background People with intellectual disability are believed to be at risk of receiving poor end-of-life care. Nurses, given their advocacy role and duty to provide compassionate end-of-life care, have the potential to change this situation but research regarding this aspect of their role is limited. Aims This paper thus seeks to answer the question ‘How and when are nurses involved in providing care at end of life for people with intellectual disability?’ Methods A total of 38 intellectual disability care providers in the UK providing support to 13,568 people with intellectual disability were surveyed. Data regarding 247 deaths within this population were gathered in two stages and subsequently entered into SPSSX for analysis. Results Findings revealed that the majority of deaths occurred between the ages of 50 and 69 years, the most commonly reported cause of death being respiratory problems. Both community and hospital-based nurses were involved in supporting individuals during their final 3 months of life, and sometimes more than one type of nurse provided support to individuals. Generally nursing care was rated positively, although room for improvement was also identified. Conclusions Nurses are involved in supporting people with intellectual disability at end of life and appropriate education is required to undertake this role. This may require change in curricula and subsequent research to determine the impact of such change on nursing support to this population.

Nursing care of overweight children: A concept analysis

Nursing Forum ◽  
2018 ◽  
Vol 53 (4) ◽  
pp. 448-458
Author(s):  
Larissa Soares Mariz Vilar de Miranda ◽  
Bertha Cruz Enders ◽  
Ana Luisa Brandão de Carvalho Lira ◽  
Carla Campos Muniz Medeiros ◽  
Caroline Evelin Nascimento Kluczyni Vieira ◽  
...  
Keyword(s):  
Nursing Care ◽  
Concept Analysis ◽  
Overweight Children

Rehabilitation and palliative care

2015 ◽  
pp. 777-787
Author(s):  
Donna J. Wilson ◽  
Kathleen Michael
Keyword(s):  
Physical Activity ◽  
Palliative Care ◽  
End Of Life ◽  
Nursing Care ◽  
Human Dignity ◽  
Disease Process ◽  
Life Care ◽  
Level Of Functioning ◽  
Self Confidence ◽  
Tailored Program

This chapter applies the concept of physical activity to palliative care across settings. A physical activity program for each patient should be presented at the time of diagnosis and extend to end-of-life care. Even when it is not possible to cure or reverse a disease process, or to restore a previous level of functioning and independence, a rehabilitative approach to nursing care adds quality to the experience of living until life’s completion. The language of rehabilitation nursing is a language shared with those who practice palliative care. Feelings of self-confidence, independence, hope, human dignity, and autonomy are all influenced by an individually tailored program of rehabilitation.

End-of-Life Nursing Care: A Guide for Best Practice

2013 ◽  
Author(s):  
Joanna De Souza ◽  
Annie Pettifer
Keyword(s):  
End Of Life ◽  
Nursing Care ◽  
Best Practice

P-149 Nurse led hospice beds – improving access to specialist hospice nursing care for all patients at the end of life

2015 ◽  
Vol 5 (Suppl 3) ◽  
pp. A53.2-A54 ◽  
Author(s):  
Carina Saxby ◽  
Jill Ellerington ◽  
Susan Watson ◽  
Sarah Locker
Keyword(s):  
End Of Life ◽  
Nursing Care
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