Stress in hospice at home nurses: a qualitative study of their experiences of their work and wellbeing

2012 ◽  
Vol 18 (6) ◽  
pp. 283-289 ◽  
Author(s):  
Karen Tunnah ◽  
Angela Jones ◽  
Rosalynde Johnstone
Keyword(s):  
Qualitative Study ◽  
Hospice At Home ◽  
At Home

scholarly journals Family and healthcare professionals’ perceptions of a pilot hospice at home programme for children: a qualitative study

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Maria Brenner ◽  
Michael Connolly ◽  
Des Cawley ◽  
Frances Howlin ◽  
Jay Berry ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Healthcare Professionals ◽  
Hospice At Home ◽  
At Home

Hospice-at-home nurses' experiences of caring for patients

2021 ◽  
Vol 27 (1) ◽  
pp. 30-36
Author(s):  
Catherine Jameson
Keyword(s):  
Qualitative Study ◽  
Coping Skills ◽  
Coping Mechanisms ◽  
Protected Time ◽  
Positive Coping ◽  
Dying Patients ◽  
One To One ◽  
Hospice At Home ◽  
Global Population ◽  
At Home

Background: The demand for hospice-at-home (HH) nurses is increasing due to an ageing global population and many people preferring to die at home. Therefore, the retention of existing HH nurses is vital. Aims: This paper explores HH nurses' experiences of caring for dying patients to discover the factors that enable them to maintain their enthusiasm for their work, and cope with the challenges of working in a patient's home. Methods: This qualitative study consisted of multiple unstructured interviews with 16 HH nurses conducted in England. Findings: The interviews show that HH nurses: use a broad range of coping mechanisms; encounter intense, complex, unpredictable and ethically unclear challenges; identify a need for more support; and love their job. Conclusion: In order for nurses to continue to enjoy their job, extra support to incorporate protected time for debriefing at the end of an HH nurse's shift is needed. Nurses also need training to develop positive coping skills, external supervision on a one-to-one basis as needed, and have their value demonstrated, by their employers and managers recognising and acknowledging them. These factors are likely to facilitate in the retention of employment of HH nurses.

scholarly journals Supporting family carers providing end‐of‐life home care: a qualitative study on the impact of a hospice at home service

2014 ◽  
Vol 24 (1-2) ◽  
pp. 131-140 ◽  
Author(s):  
Barbara A Jack ◽  
Mary R O'Brien ◽  
Joyce Scrutton ◽  
Catherine R Baldry ◽  
Karen E Groves
Keyword(s):  
Qualitative Study ◽  
Home Care ◽  
End Of Life ◽  
Family Carers ◽  
Home Service ◽  
Hospice At Home ◽  
The Impact ◽  
At Home

Stress in hospice at home nurses:a qualitative study

2012 ◽  
Vol 2 (Suppl 1) ◽  
pp. A26.1-A26
Author(s):  
Karen Tunnah ◽  
Ros Johnstone ◽  
Angela Jones
Keyword(s):  
Qualitative Study ◽  
Hospice At Home ◽  
At Home

EXPLORING FACTORS THAT CONTRIBUTE TO JOINING AND REGULARLY PRACTICING IN COGNITIVE TRAINING AMONG HEALTHY OLDER ADULTS: A ONE-YEAR FOLLOW-UP QUALITATIVE STUDY

2020 ◽  
pp. 1-7
Author(s):  
P. Srisuwan ◽  
D. Nakawiro ◽  
S. Chansirikarnjana ◽  
O. Kuha ◽  
S. Kengpanich ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Cognitive Training ◽  
Individual Characteristics ◽  
Community Dwelling ◽  
Notification System ◽  
Healthy Older Adults ◽  
Effective Program ◽  
One Year ◽  
At Home

BACKGROUND: Cognitive interventions have the potential to enhance cognition among healthy older adults. However, little is known of the factors associated with the joining and participating of older people in group-based multicomponent cognitive training (CT). OBJECTIVES: To explore factors that contribute to joining and regularly practicing CT over 1 year among healthy older adults. DESIGN: A qualitative study. SETTING: Geriatric clinic in Bangkok, Thailand. PARTICIPANTS: 40 nondemented community-dwelling older adults INTERVENTION: The CT of executive functions, attention, memory and visuospatial functions (TEAM-V) program was conducted over 5 sessions, with a 2-week interval between each session. MEASUREMENTS: An inductive qualitative approach, based on semi-structure interviews with 40 healthy older adults, was employed. The interviews explored factors of joining CT at baseline, factors of regularly participating in class at 6 months and at home at 1 year. Data were coded and analyzed using and the thematic analysis approach. RESULTS: After analyzing factors concerning joining CT, 3 core themes emerged: (1) individual characteristics with 3 subthemes of “health status”, “time arrangement”, and “financial status”; (2) individual perceptions with 2 subthemes of “perceived susceptibility to dementia” and “perceived severity of dementia” and (3) encouragement from families and friends. After analyzing factors of practicing CT in class, 3 core themes emerged: (1) program with 3 subthemes of “session”, “group facilitators” and “notification before class”; (2) accessibility with 2 subthemes of “distance” and “transportation” and (3) encouragement from families and friends. After analyzing factors of practicing CT at home, 2 core themes emerged: (1) contents of the training program and (2) encouragement from families and friends. CONCLUSIONS: Increased awareness of holistic factors including older adults’ characteristic and perceptions, support from families and friends and accessibility should be emphasized in planning CT. Designing the content of CT that could be applied or adapted in daily living and effective program components such as a notification system could increase practicing.

scholarly journals Understanding what works, why and in what circumstances in hospice at home services for end-of-life care: Applying a realist logic of analysis to a systematically searched literature review

2019 ◽  
Vol 34 (1) ◽  
pp. 16-31 ◽  
Author(s):  
Ferhana Hashem ◽  
Charlotte Brigden ◽  
Patricia Wilson ◽  
Claire Butler
Keyword(s):  
Literature Review ◽  
Normalisation Process Theory ◽  
Care Providers ◽  
Programme Theory ◽  
Diverse Range ◽  
Business Elite ◽  
Funding Model ◽  
What Works ◽  
Hospice At Home ◽  
At Home

Background: We have undertaken a systematically searched literature review using a realist logic of analysis to help synthesise the diverse range of literature available on hospice at home services. Aim: To find out in the existing literature what features of hospice at home models work best, for whom and under what circumstances. Design: A realist logic of analysis was applied to synthesise the evidence focusing on mechanisms by which an intervention worked (or did not work). An initial programme theory was developed using the National Association for Hospice at Home standards, Normalisation Process Theory and through refinement using stakeholder engagement. Data sources: PubMed, Science Direct, AMED, BNI, CINAHL, EMBASE, Health Business Elite, HMIC, Medline, PsychINFO, SCOPUS, Web of Science, DARE, Google Scholar, NHS Evidence, NIHR CRN portfolio database, NIHR journal library of funded studies, including searches on websites of relevant professional bodies (August 2014, June 2017, June 2019). Results: Forty-nine papers were reviewed, of which 34 contributed evidence to at least one of the eight theory areas: marketing and referral, sustainable funding model, service responsiveness and availability, criteria for service admission, knowledge and skills of care providers, integration and coordination, anticipatory care, support directed at carers. Conclusions: Our literature review showed how it was possible to develop a coherent framework and test it against 34 published papers and abstracts. Central to this review was theory building, and as further evidence emerges, our programme theories can be refined and tested against any new empirical evidence.

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