2024-03-28T16:28:06Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02012368
2023-08-03T05:31:21Z
1642838163960:1642838338003
1642838403551:1642838407795
Visiting Nurses' Perspectives on Practices to Achieve End-of-Life Cancer Patients' Wishes for Death at Home: A Qualitative Study
Teruya, Noriko
Sunagawa, Yoko
Sunagawa, Haru
Toyosato, Takehiko
open access
Creative Commons Attribution-NonCommercial-ShareAlike License 4.0
https://creativecommons.org/licenses/by-nc-sa/4.0/
Dying cancer patient
palliative home care
qualitative research
visiting nurse
Objective: This study aimed to clarify visiting nurses' perspectives on critical practices to ensure they could advocate for patients who prefer to die at home. Methods: Sixteen nurses, working at home-visit nursing agencies in Japan, participated in this study. Data were generated by interviews with the nurses and participant observations from nursing home-visits for six end-of-life cancer patients and were analyzed using content analysis. Results: Five themes emerged: (1) nursing assessment, (2) support for comfortable daily life of the patient and their family, (3) advocating for the patient's views about continuing homecare until death, (4) supporting the patient's preparedness for death, and (5) coordination with other health professionals and related facilities for a comfortable environment for the patient. In addition, the nurses sometimes used humorous responses to death-related work to change the patient's melancholy thoughts. Conclusion: The present study found that the participants advocated for the patient's views about continuing homecare until death while coordinating views between the patient and their family; they further supported the patient's daily life while helping them prepare for death to achieve their wish for death at home. In addition, our study uncovered the visiting nurses' unconscious practical wisdom of using humorous responses to death-related work to alleviate the patients' feelings of hopelessness. To develop practical wisdom for using humor effectively in end-of-life care, nurses need to verbalize unconscious practices, and accumulate empirical knowledge about nursing interventions using humor, including cultural attitudes, through case study analysis.
論文
Medknow Publications
2019
eng
journal article
VoR
http://hdl.handle.net/20.500.12000/45867
http://hdl.handle.net/20.500.12000/45867
https://u-ryukyu.repo.nii.ac.jp/records/2012368
10.4103/apjon.apjon_18_19
2347-5625
2349-6673
Asia‑Pacific Journal of Oncology Nursing
6
4
389
396
https://u-ryukyu.repo.nii.ac.jp/record/2012368/files/AsiaPacJOncolNurs64389-8572045_234840.pdf