District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands
Objective To explore district nurses’ experiences in providing terminal care to patients and their families until death in a private home setting. Design, setting and subjects Qualitative study. Data derived from focus group discussions with primary nurses in The Faroe Islands. Results Four themes w...
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ftsydanskunivpub:oai:sdu.dk:publications/b5e63b66-141a-44c3-a54a-3264460421fc 2024-09-30T14:34:42+00:00 District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands Johannesen, Elsa J.D. Timm, Helle Róin, Ása 2024 https://portal.findresearcher.sdu.dk/da/publications/b5e63b66-141a-44c3-a54a-3264460421fc https://doi.org/10.1080/02813432.2024.2329207 eng eng https://portal.findresearcher.sdu.dk/da/publications/b5e63b66-141a-44c3-a54a-3264460421fc info:eu-repo/semantics/openAccess Johannesen , E J D , Timm , H & Róin , Á 2024 , ' District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands ' , Scandinavian Journal of Primary Health Care , vol. 42 , no. 3 , pp. 367-377 . https://doi.org/10.1080/02813432.2024.2329207 focus group home death phenomenology small scale society Terminal care Urban Health Services Humans Middle Aged Patient Care Team Palliative Care Male Urban Population Rural Population Nurses Female Adult Attitude of Health Personnel General Practitioners Focus Groups Cooperative Behavior Home Care Services Family Qualitative Research Rural Health Services article 2024 ftsydanskunivpub https://doi.org/10.1080/02813432.2024.2329207 2024-09-12T00:24:50Z Objective To explore district nurses’ experiences in providing terminal care to patients and their families until death in a private home setting. Design, setting and subjects Qualitative study. Data derived from focus group discussions with primary nurses in The Faroe Islands. Results Four themes were identified: ‘Challenges in providing terminal care’, ‘The importance of supporting families’, ‘Collaborative challenges in terminal care’ and ‘Differences between rural districts and urban districts’. The nurses felt that terminal care could be exhausting, but they also felt the task rewarding. Involving the family was experienced as a prerequisite for making home death possible. Good collaboration with the local GPs was crucial, and support from a palliative care team was experienced as helpful. They pointed out that changes of GP and the limited services from the palliative care team were challenging. Structural and economic conditions differed between urban and rural districts, which meant that the rural districts needed to make private arrangements regarding care during night hours, while the urban districts had care services around the clock. Conclusion Our findings underline the complexity of terminal care. The nurses felt exhausted yet rewarded from being able to fulfil a patient’s wish to die at home. Experience and intuition guided their practice. They emphasised that good collaboration with the GPs, the palliative care team and the families was important. Establishing an outgoing function for the palliative care team to support the nurses and the families would increase the scope for home deaths. Working conditions differed between rural and urban districts. Article in Journal/Newspaper Faroe Islands University of Southern Denmark Research Portal Faroe Islands Scandinavian Journal of Primary Health Care 42 3 367 377 |
institution |
Open Polar |
collection |
University of Southern Denmark Research Portal |
op_collection_id |
ftsydanskunivpub |
language |
English |
topic |
focus group home death phenomenology small scale society Terminal care Urban Health Services Humans Middle Aged Patient Care Team Palliative Care Male Urban Population Rural Population Nurses Female Adult Attitude of Health Personnel General Practitioners Focus Groups Cooperative Behavior Home Care Services Family Qualitative Research Rural Health Services |
spellingShingle |
focus group home death phenomenology small scale society Terminal care Urban Health Services Humans Middle Aged Patient Care Team Palliative Care Male Urban Population Rural Population Nurses Female Adult Attitude of Health Personnel General Practitioners Focus Groups Cooperative Behavior Home Care Services Family Qualitative Research Rural Health Services Johannesen, Elsa J.D. Timm, Helle Róin, Ása District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands |
topic_facet |
focus group home death phenomenology small scale society Terminal care Urban Health Services Humans Middle Aged Patient Care Team Palliative Care Male Urban Population Rural Population Nurses Female Adult Attitude of Health Personnel General Practitioners Focus Groups Cooperative Behavior Home Care Services Family Qualitative Research Rural Health Services |
description |
Objective To explore district nurses’ experiences in providing terminal care to patients and their families until death in a private home setting. Design, setting and subjects Qualitative study. Data derived from focus group discussions with primary nurses in The Faroe Islands. Results Four themes were identified: ‘Challenges in providing terminal care’, ‘The importance of supporting families’, ‘Collaborative challenges in terminal care’ and ‘Differences between rural districts and urban districts’. The nurses felt that terminal care could be exhausting, but they also felt the task rewarding. Involving the family was experienced as a prerequisite for making home death possible. Good collaboration with the local GPs was crucial, and support from a palliative care team was experienced as helpful. They pointed out that changes of GP and the limited services from the palliative care team were challenging. Structural and economic conditions differed between urban and rural districts, which meant that the rural districts needed to make private arrangements regarding care during night hours, while the urban districts had care services around the clock. Conclusion Our findings underline the complexity of terminal care. The nurses felt exhausted yet rewarded from being able to fulfil a patient’s wish to die at home. Experience and intuition guided their practice. They emphasised that good collaboration with the GPs, the palliative care team and the families was important. Establishing an outgoing function for the palliative care team to support the nurses and the families would increase the scope for home deaths. Working conditions differed between rural and urban districts. |
format |
Article in Journal/Newspaper |
author |
Johannesen, Elsa J.D. Timm, Helle Róin, Ása |
author_facet |
Johannesen, Elsa J.D. Timm, Helle Róin, Ása |
author_sort |
Johannesen, Elsa J.D. |
title |
District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands |
title_short |
District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands |
title_full |
District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands |
title_fullStr |
District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands |
title_full_unstemmed |
District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands |
title_sort |
district nurses experiences in providing terminal care in rural and more urban districts. a qualitative study from the faroe islands |
publishDate |
2024 |
url |
https://portal.findresearcher.sdu.dk/da/publications/b5e63b66-141a-44c3-a54a-3264460421fc https://doi.org/10.1080/02813432.2024.2329207 |
geographic |
Faroe Islands |
geographic_facet |
Faroe Islands |
genre |
Faroe Islands |
genre_facet |
Faroe Islands |
op_source |
Johannesen , E J D , Timm , H & Róin , Á 2024 , ' District nurses experiences in providing terminal care in rural and more urban districts. A qualitative study from the Faroe Islands ' , Scandinavian Journal of Primary Health Care , vol. 42 , no. 3 , pp. 367-377 . https://doi.org/10.1080/02813432.2024.2329207 |
op_relation |
https://portal.findresearcher.sdu.dk/da/publications/b5e63b66-141a-44c3-a54a-3264460421fc |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1080/02813432.2024.2329207 |
container_title |
Scandinavian Journal of Primary Health Care |
container_volume |
42 |
container_issue |
3 |
container_start_page |
367 |
op_container_end_page |
377 |
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1811638231562715136 |