Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study
Abstract Background Acute hospital settings are generally not considered adequate places for end‐of‐life care, but terminally ill patients will continue to die in acute medical wards in the unforeseeable future. Aim The aim of this study was to investigate family caregivers’ experiences of end‐of‐li...
Published in: | Scandinavian Journal of Caring Sciences |
---|---|
Main Authors: | , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Wiley
2021
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1111/scs.13025 https://onlinelibrary.wiley.com/doi/pdf/10.1111/scs.13025 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/scs.13025 |
id |
crwiley:10.1111/scs.13025 |
---|---|
record_format |
openpolar |
spelling |
crwiley:10.1111/scs.13025 2024-06-23T07:54:03+00:00 Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study Robertson, Svala Berglind Hjörleifsdóttir, Elísabet Sigurðardóttir, Þórhalla 2021 http://dx.doi.org/10.1111/scs.13025 https://onlinelibrary.wiley.com/doi/pdf/10.1111/scs.13025 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/scs.13025 en eng Wiley http://creativecommons.org/licenses/by-nc-nd/4.0/ Scandinavian Journal of Caring Sciences volume 36, issue 3, page 686-698 ISSN 0283-9318 1471-6712 journal-article 2021 crwiley https://doi.org/10.1111/scs.13025 2024-06-06T04:24:27Z Abstract Background Acute hospital settings are generally not considered adequate places for end‐of‐life care, but terminally ill patients will continue to die in acute medical wards in the unforeseeable future. Aim The aim of this study was to investigate family caregivers’ experiences of end‐of‐life care in an acute community hospital in Iceland. Methods Fifteen in‐depth qualitative semi‐structured interviews were conducted with participants who had been primary caregivers. The transcribed interviews were analysed using thematic content analysis. Findings Findings indicated that the acute hospital setting is not a suitable environment for end‐of‐life care. Effective communication and management of symptoms characterised by warmth and security give a sense of resilience. Three main themes emerged: (1) Environmental influences on quality of care; (2) Communication in end‐of‐life care; (3) The dying process. Each of the themes encompassed a variety of subthemes. Conclusions Findings suggest that effective communication is the cornerstone of quality of care in the acute hospital environment and essential for establishing a sense of security. The severity of symptoms can deeply affect family caregivers’ well‐being. Acknowledging and appreciating the meaning of respect and dignity at the end‐of‐life from family caregivers’ perspective is vital. Article in Journal/Newspaper Iceland Wiley Online Library Scandinavian Journal of Caring Sciences 36 3 686 698 |
institution |
Open Polar |
collection |
Wiley Online Library |
op_collection_id |
crwiley |
language |
English |
description |
Abstract Background Acute hospital settings are generally not considered adequate places for end‐of‐life care, but terminally ill patients will continue to die in acute medical wards in the unforeseeable future. Aim The aim of this study was to investigate family caregivers’ experiences of end‐of‐life care in an acute community hospital in Iceland. Methods Fifteen in‐depth qualitative semi‐structured interviews were conducted with participants who had been primary caregivers. The transcribed interviews were analysed using thematic content analysis. Findings Findings indicated that the acute hospital setting is not a suitable environment for end‐of‐life care. Effective communication and management of symptoms characterised by warmth and security give a sense of resilience. Three main themes emerged: (1) Environmental influences on quality of care; (2) Communication in end‐of‐life care; (3) The dying process. Each of the themes encompassed a variety of subthemes. Conclusions Findings suggest that effective communication is the cornerstone of quality of care in the acute hospital environment and essential for establishing a sense of security. The severity of symptoms can deeply affect family caregivers’ well‐being. Acknowledging and appreciating the meaning of respect and dignity at the end‐of‐life from family caregivers’ perspective is vital. |
format |
Article in Journal/Newspaper |
author |
Robertson, Svala Berglind Hjörleifsdóttir, Elísabet Sigurðardóttir, Þórhalla |
spellingShingle |
Robertson, Svala Berglind Hjörleifsdóttir, Elísabet Sigurðardóttir, Þórhalla Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study |
author_facet |
Robertson, Svala Berglind Hjörleifsdóttir, Elísabet Sigurðardóttir, Þórhalla |
author_sort |
Robertson, Svala Berglind |
title |
Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study |
title_short |
Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study |
title_full |
Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study |
title_fullStr |
Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study |
title_full_unstemmed |
Family caregivers’ experiences of end‐of‐life care in the acute hospital setting. A qualitative study |
title_sort |
family caregivers’ experiences of end‐of‐life care in the acute hospital setting. a qualitative study |
publisher |
Wiley |
publishDate |
2021 |
url |
http://dx.doi.org/10.1111/scs.13025 https://onlinelibrary.wiley.com/doi/pdf/10.1111/scs.13025 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/scs.13025 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Scandinavian Journal of Caring Sciences volume 36, issue 3, page 686-698 ISSN 0283-9318 1471-6712 |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1111/scs.13025 |
container_title |
Scandinavian Journal of Caring Sciences |
container_volume |
36 |
container_issue |
3 |
container_start_page |
686 |
op_container_end_page |
698 |
_version_ |
1802645988739907584 |