Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Clinical Experience of Nurses in a Consultative Hospice Palliative Care Service

  • Received : 2023.09.11
  • Accepted : 2024.02.05
  • Published : 2024.03.01
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Abstract

Purpose: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions. Methods: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method. Results: The practical experiences of consultative hospice palliative nurses were categorized into five categories, 10 theme clusters, and 25 themes. The five categories included "being aware of patients' situations at the time of transition to hospice palliative care," "empathizing with patients and their families by putting oneself in the other's shoes," "providing patient and family-centered end-of-life care," "experiencing difficulties in practical tasks," and "striving to improve hospice service quality." Conclusion: This study is significant in that it provides practical data for understanding the experiences of consultative hospice palliative care nurses caring for terminally ill patients. This could enhance our understanding of care solutions that effectively tackle the challenges consultative hospice palliative care nurses encounter while fulfilling their roles.

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References

  1. Lee SW, Lee YS, Ko JA. Team-focused advisory hospice development of palliative care delivery model. Wonju:Health Insurance Review and Assessment Service;2018. 
  2. Ministry of Health and Welfare. Guide to the provision of hospice services. Sejong:Ministry of Health and Welfare;2023. p 13, 14, 20, 25. [cited 2020 Sep 2]. Available from: https://www.mohw.go.kr/board.es?mid=a10413000000&bid=0021&act=view&list_no=375533. 
  3. Park YT, Oh JY, Sin h JY, Sin YJ, Lee DH. A study on the evaluation of the national hospice pilot project providing consultative hospice services in general wards and the application plan for the national health insurance program. Wonju:Health Insurance Review and Assessment Service;2020. 
  4. hospice.go.kr [Internet]. Seoul, Goyang: National Cancer Center, National Hospice Center; 2023 [cited 2020 Sep 2]. Available from: https:// hospice.go.kr:8444/?menuno=48. 
  5. Pan HH, Shih HL, Wu LF, Hung YC, Chu CM, Wang KY. Path modeling of knowledge, attitude and practice toward palliative care consultation service among Taiwanese nursing staff: a cross-sectional study. BMC Palliat Care 2017;16:42. 
  6. Engel PT, Thavayogarajah T, G rlich D, Lenz P. Establishment of a palliative care consultation service (PCCS) in an acute hospital setting. Int J Environ Res Public Health 2020:17;4977. 
  7. Miller SC, Lima JC, Intrator O, Martin E, Bull J, Hanson LC. Palliative care consults in nursing homes and reductions in acute care use and potentially burdensome end-of-life transitions. J Am Geriatr Soc 2016;64:2280-7.  https://doi.org/10.1111/jgs.14469
  8. May P, Garrido MM, Cassel JB, Kelley AS, Meier D, Normand C, et al. Prospective Cohort Study of hospital palliative care teams for inpatients with advanced cancer: earlier consultation is associated with larger cost-saving effect. J Clin Oncol 2015;33:2745-52.  https://doi.org/10.1200/JCO.2014.60.2334
  9. Dyar S, Lesperance M, Shannon R, Sloan J, Colon-Otero G. A nurse practitioner directed intervention improves the quality of life of patients with metastatic cancer: results of a randomized pilot study. J Palliat Med 2012;15:890-5.  https://doi.org/10.1089/jpm.2012.0014
  10. Hu YJ. Development of a protocol for advanced nursing practice in consultation-based hospice and palliative care [master's thesis]. Seoul: Yonsei Univ.;2014. Korean. 
  11. Chou WC, Hung YS, Kao CY, Su PJ, Hsieh CH, Chen JS, et al. Impact of palliative care consultative service on disease awareness for patients with terminal cancer. Support Care Cancer 2013;21:1973-81.  https://doi.org/10.1007/s00520-013-1733-7
  12. Huang LC. Tung HJ. Lin PC. Associations among knowledge, attitudes, and practices toward palliative care consultation service in healthcare staffs: A cross-sectional study. PLoS One 2019;14:e0223754. 
  13. O'Connor NR, Moyer ME, Behta M, Casarett DJ. The impact of inpatient palliative care consultations on 30-day hospital readmissions. J Palliat Med 2015;18:956-61.  https://doi.org/10.1089/jpm.2015.0138
  14. Choi JH. End-of-Life care stress and end-of-life care attitudes of nurses: focusing on nurse's experience of caring for patients receiving consultation-based hospice [master's thesis]. Seoul: Catholic Univ.; 2023. Korean. 
  15. Colaizzi PE. Psychological research as the phenomenologist views it. In: Valle RS, King M, eds. Existential-phenomenological alternatives for psychology. New York:Oxford University Press;1978. p.48-71. 
  16. Guba EG, Lincoln YS. Effective evaluation: improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco:Jossey-Bass;c1981. 
  17. Clipsham L, Islam Z, Faull C. Experiences of hospice inpatient nurses in supporting children before the death of a parent. Int J Palliat Nurs 2015;21:453-9.  https://doi.org/10.12968/ijpn.2015.21.9.453
  18. Kwak SY, Lee BS. The process of adapting to the role of a hospice nurse. J Korean Acad Nurs Adm 2018;24:149-60.  https://doi.org/10.11111/jkana.2018.24.2.149
  19. Huang CC, Chen JY, Chiang HH. The transformation process in nurses caring for dying patients. J Nurs Res 2016;24:109-17.  https://doi.org/10.1097/jnr.0000000000000160
  20. Kwon S, Kim KH. Factors associated with person-centered care among hospice nurses. J Hosp Palliat Care 2022;25:66-75.  https://doi.org/10.14475/jhpc.2022.25.2.66
  21. Kwon S, Kim M, Choi S. Nurses' experiences of providing "sensitive nursing care" for terminally-ill individuals with cancer: a qualitative study. Eur J Oncol Nurs 2020;46:101773. 
  22. Kim HJ, Goh SJ. Understanding the needs of patients in palliative care. KJCC 2014;25:93-112. 
  23. Kim JA, Kim KH, Kang HS, Kim JS. Nursing need and satisfaction of patients in hospice ward. J Hosp Palliat Care 2014;17:248-58.  https://doi.org/10.14475/kjhpc.2014.17.4.248
  24. Pearce MJ, Coan AD, Herndon JE 2nd, Koenig HG, Abernethy AP. Unmet spiritual care needs impact emotional and spiritual well-being in advanced cancer patients. Support Care Cancer 2012;20:2269-76.  https://doi.org/10.1007/s00520-011-1335-1
  25. Ministry of Health and Welfare. Guide to the provision of consultative hospice services [Internet]. Sejong:Ministry of Health and Welfare;2018 p. 3-35. [cited 2020 Sep 2]. Available from: https://hospice.go.kr:8444/index.html?menuno=22. 
  26. Kwon HS. Caring experience at home among hospice nurses: Phenomenological study [dissertation]. Jeonju: Jeonbuk National Univ.; 2023. Korean. 
  27. Ye HN. The experience of hospice nurse on caring for terminal cancer patients in the era of convergence. Journal of Digital Convergence 2020;18;307-15. 
  28. Kim HS, Choi EK, Kim TH, Yun HY, Kim EJ, Hong JJ, et al. Difficulties in end-of-life care and educational needs of intensive care unit nurses: a mixed methods study. J Hosp Palliat Care 2019;22:87-99.  https://doi.org/10.14475/kjhpc.2019.22.2.87
  29. McDarby M, Carpenter BD. Barriers and facilitators to effective inpatient palliative care consultations: a qualitative analysis of interviews with palliative care and nonpalliative care providers. Am J Hosp Palliat Care 2019;36:191-9.  https://doi.org/10.1177/1049909118793635