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Nurses’ Perceptions of Factors Influencing Patient Decision Support for Place of Care at the End of LifeUniversity of Ottawa, Ontario, Canada, maryannmurray{at}rogers.com
The Ottawa Hospital, Ottawa, Ontario, Canada
the University of Ottawa, Ontario, Canada
the University of Ottawa, Ontario, Canada
Ottawa Health Research Institute Ottawa, Ontario, Canada Although patients have more choices about where to receive care as death approaches, they often need help with decision making. This study identified factors that influence nurses’ provision of decision support. A total of 22 nurses, from 3 health networks, participated in semistructured interviews. Overall, nurses held favorable attitudes toward providing decision support for place of care at end of life. Overlap between other professionals’ roles and nurses’ clinical experience affected nurses’ decision support behaviors. Although nurses considered decision support to be part of patient-centered care, they report a lack of skills, confidence, and tools to help them provide it. These findings confirm the need to develop practical postlicensure education strategies and ways to embed patient decision support tools into systems of care.
Key Words: patient decision support • terminal care • place of death • nurse
This version was published on August
1, 2009 American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 4,
254-263 (2009) |
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