Exploring the delivery of end-of-life care by community nurses

Author:

Ferguson Elizabeth1,Wiseman Leanne2,Stratton Fiona3,Evans Catherine4,Linton Joanna5,McLeod Laura6,MacArthur Juliet7

Affiliation:

1. District Nurse, Newbattle Medical Practice, Midlothian, Scotland

2. District Nurse, Penicuik Health Centre, Midlothian, Scotland

3. Chief Nurse Midlothian Health and Social Care Partnership, Fairfield House, Dalkeith, Scotland

4. Planning Officer - Older People, Midlothian Health and Social Care Partnership, Fairfield House, Dalkeith, Scotland

5. Student District Nurse, Bonnyrigg Health Centre, Midlothian, Scotland

6. Community Staff Nurse, Newbattle Medical Practice, Midlothian, Scotland

7. Chief Nurse Research and Development, NHS Lothian, Waverley Gate, Waterloo Place, Edinburgh, Scotland

Abstract

This study tested a method to capture feedback from bereaved family members and nurses about palliative and end of life care delivered in the community. Aims: To understand what aspects of care and support were important to bereaved relatives and to explore the experiences of nurses delivering end of life care. Methods: Interviews and focus groups were undertaken with 17 family members, 31 community nurses and 13 community hospital staff. A workshop was held with 6 family members, 13 community nurses and 3 hospital nurses to review findings and make recommendations for improvement. Findings: Four themes were identified: relationships and being treated as a whole person; being able to make choices; getting help when and where it is needed; specialist advice and care, especially at the very end of life. Conclusion: Seeking feedback from relatives was valued both by family members and the staff and has provided an effective model to lead to focussed improvements.

Publisher

Mark Allen Group

Subject

Community and Home Care,General Medicine

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