Nurses’ challenges in the end-of-life care of patients with COVID-19: A qualitative study

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH PROGRESS IN PALLIATIVE CARE Pub Date : 2023-08-03 DOI:10.1080/09699260.2023.2241785

Hadiseh Monadi Ziarat, M. Mardani-Hamooleh, N. Seyedfatemi, Akram Salamat

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Abstract

The coronavirus disease 2019 (COVID-19) pandemic has brought rapid changes in end-of-life care for nurses and patients. The aim of this study was to explain the Iranian nurses’ perception of challenges in providing end-of-life care for patients with COVID-19. The present study is a qualitative research with content analysis approach. A total of 32 nurses participated in this study. Semi-structural and individual interviews were conducted. Nurses’ narratives indicated that, the challenges of end-of-life care of patients with COVID-19 can be classified in two categories of undesirable care and problems with family support. The category of undesirable care had two subcategories of low quality care and futile care. The category of problems with family support also had two subcategories of lack of family support at the time of hospitalization and lack of a support system for family after the patient's death. The health system, and in particular nursing managers, should strive to formulate clear rules and regulations and design the necessary protocols that are effective in addressing the nurses’ challenges in end-of-life care of COVID-19 patient.

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护士在COVID-19患者临终关怀中的挑战:一项定性研究

2019年冠状病毒病(COVID-19)大流行给护士和患者的临终关怀带来了快速变化。本研究的目的是解释伊朗护士对为COVID-19患者提供临终关怀的挑战的看法。本研究采用内容分析法进行定性研究。共有32名护士参与了本研究。进行了半结构访谈和个别访谈。护士的叙述表明，COVID-19患者临终关怀的挑战可分为两类:不受欢迎的护理和家庭支持问题。不良护理类别分为低质量护理和无效护理两类。家庭支持方面的问题类别还有两个子类别，即住院时缺乏家庭支持和患者死后缺乏家庭支持系统。卫生系统，特别是护理管理者应努力制定明确的规章制度，设计必要的方案，有效应对护士在COVID-19患者临终关怀中的挑战。

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来源期刊

PROGRESS IN PALLIATIVE CARE PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.60

自引率

11.80%

发文量

期刊介绍： Progress in Palliative Care is a peer reviewed, multidisciplinary journal with an international perspective. It provides a central point of reference for all members of the palliative care community: medical consultants, nurses, hospital support teams, home care teams, hospice directors and administrators, pain centre staff, social workers, chaplains, counsellors, information staff, paramedical staff and self-help groups. The emphasis of the journal is on the rapid exchange of information amongst those working in palliative care. Progress in Palliative Care embraces all aspects of the management of the problems of end-stage disease.