Evaluating a Dignity Care Intervention for palliative care in the community setting: community nurses’ perspectives

McIlfatrick, S., Connolly, M., Collins, R., Murphy, T., Johnston, B. and Larkin, P. (2017) Evaluating a Dignity Care Intervention for palliative care in the community setting: community nurses’ perspectives. Journal of Clinical Nursing, (doi:10.1111/jocn.13757) (PMID:28178386) (Early Online Publication)

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Abstract

Aim and Objectives: To evaluate a Dignity Care Intervention (DCI) provided by community nurses seeking to address dignity concerns for people with advanced and life limiting conditions Background: Evidence would suggest that dying people fear a loss of dignity and a central focus of palliative care is to assist people to die with dignity. Whilst community nurses have a key role to play in the delivery of palliative care, specific interventions for dignity are lacking. Design: A mixed methods study using online survey and focus group interviews and thematic analysis to examine data. Methods: 24 community nurses implemented the dignity care intervention for people with advanced and life limiting conditions were recruited from four pilot sites across Ireland. Four focus group interviews and on line survey were conducted between March and June 2015 Results: The community nurses found the DCI useful. It helped the nurses to provide holistic end of life care and assisted in the overall assessment of palliative care patients, identifying areas that might not otherwise have been noted. Whilst it was a useful tool for communication they noted that it stimulated some emotionally sensitive conversations for which they felt unprepared. Conclusions: Implementing the DCI in practice was challenging. However, the DCI facilitated holistic assessment and identified patient dignity related concerns that may not have been otherwise identified. Further support is required to overcome barriers and enable dignity conserving care.

Item Type:Articles
Additional Information:This research was funded by a research grant awarded to Professor Sonja McIlfatrick and Professor Philip Larkin by the Irish Hospice Foundation and Irish Cancer Foundation.
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:Johnston, Professor Bridget
Authors: McIlfatrick, S., Connolly, M., Collins, R., Murphy, T., Johnston, B., and Larkin, P.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:Journal of Clinical Nursing
Publisher:Wiley
ISSN:0962-1067
ISSN (Online):1365-2702

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