Nurses' perceptions of barriers and facilitators and their associations with the quality of end-of-life care

Journal of Clinical Nursing
E O D HussinP Subramanian

Abstract

To examine nurses' perceptions of barriers to and facilitators of end-of-life care, as well as their association with the quality of end-of-life care. Often, dying patients and their families receive their care from general nurses. The quality of end-of-life care in hospital wards is inadequate. A self-administered questionnaire was completed by 553 nurses working in a tertiary teaching hospital in Malaysia. The barrier with the highest mean score was "dealing with distressed family members." The facilitator with the highest mean score was "providing a peaceful and dignified bedside scene for the family once the patient has died." With regard to barrier and facilitator categories, the barrier category with the highest total mean score was patient-related barriers and the facilitator category with the highest total mean score concerned facilitators related to healthcare professionals. In the multivariate analysis, age, patient family-related barriers and healthcare professional-related facilitators significantly predict the quality of end-of-life care. The results of this study suggest that there is an urgent need to overcome barriers related to the patient and family members that hinder the quality of care provided for dying pa...Continue Reading

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Citations

Aug 10, 2021·Australian Health Review : a Publication of the Australian Hospital Association·Rosemary SaundersAshwini Davray

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