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Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation. / Heather Margaret Davies

Swansea University Author: Heather Margaret Davies

Abstract

This thesis describes a study to explore palliative care nurse specialists' understanding and management of suffering and the personal impact of working with patients who are suffering. Background to the Study, Suffering is the individual's response to circumstances that befall them and ar...

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Published: 2007
Institution: Swansea University
Degree level: Doctoral
Degree name: D.N.Sc
URI: https://cronfa.swan.ac.uk/Record/cronfa42437
first_indexed 2018-08-02T18:54:42Z
last_indexed 2019-10-21T16:47:49Z
id cronfa42437
recordtype RisThesis
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spelling 2018-08-20T16:59:11.0131232 v2 42437 2018-08-02 Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation. 66751c6149f3b7d860291798ec640335 NULL Heather Margaret Davies Heather Margaret Davies true true 2018-08-02 This thesis describes a study to explore palliative care nurse specialists' understanding and management of suffering and the personal impact of working with patients who are suffering. Background to the Study, Suffering is the individual's response to circumstances that befall them and arc perceived to have a negative impact. Nurses aim to help patients integrate suffering into their lives, which requires a deep understanding of the patient. Palliative care can be a very difficult area of work. Arguably, what suffering means to palliative care nurses will determine the focus and practical aspects of their care, further it may influence their personal responses. The Methodology, The study was guided by the ideas of hermeneutic phenomenology. Thirty one palliative care clinical nurse specialists working in south and mid Wales were interviewed to determine their understanding and management of suffering and their personal response to working with patients who are suffering. Semi-structured interviews enabled the exploration of their experiences and views. The data was analysed using the principles of phenomenological interpretation. The Findings of the Study, The palliative care nurse specialists had difficulty articulating the concept of suffering but their descriptions, often using clinical scenarios, mirrored the literature. Their understanding of suffering influenced their care management, in particular the nurse-patient relationship. Theoretical perspectives of suffering and person centred care were demonstrated and used to underpin care, although this had been learnt experientially. Development of understanding, knowledge and skills to manage suffering influenced their own responses to working with patients. They had developed a personal philosophy towards their work and positive reappraisal to cope with the stresses that arose. Conclusion, Clear links between understanding suffering, management of the nurse-patient relationship and the personal impact of working with patients who are suffering were demonstrated, as well as the role of experiential learning. Education about suffering and clinical mentorship may enable palliative care nurses develop skills and knowledge in both the care of patients who are suffering and their own ability to cope. E-Thesis Nursing. 31 12 2007 2007-12-31 COLLEGE NANME Nursing COLLEGE CODE Swansea University Doctoral D.N.Sc 2018-08-20T16:59:11.0131232 2018-08-02T16:24:29.2597915 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Heather Margaret Davies NULL 1 0042437-02082018162454.pdf 10798145.pdf 2018-08-02T16:24:54.3470000 Output 21335169 application/pdf E-Thesis true 2018-08-02T16:24:54.3470000 false
title Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
spellingShingle Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
Heather Margaret Davies
title_short Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
title_full Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
title_fullStr Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
title_full_unstemmed Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
title_sort Palliative care nurse specialists' understanding and management of suffering and their individual response to working with patients who are suffering: An investigation.
author_id_str_mv 66751c6149f3b7d860291798ec640335
author_id_fullname_str_mv 66751c6149f3b7d860291798ec640335_***_Heather Margaret Davies
author Heather Margaret Davies
author2 Heather Margaret Davies
format E-Thesis
publishDate 2007
institution Swansea University
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
document_store_str 1
active_str 0
description This thesis describes a study to explore palliative care nurse specialists' understanding and management of suffering and the personal impact of working with patients who are suffering. Background to the Study, Suffering is the individual's response to circumstances that befall them and arc perceived to have a negative impact. Nurses aim to help patients integrate suffering into their lives, which requires a deep understanding of the patient. Palliative care can be a very difficult area of work. Arguably, what suffering means to palliative care nurses will determine the focus and practical aspects of their care, further it may influence their personal responses. The Methodology, The study was guided by the ideas of hermeneutic phenomenology. Thirty one palliative care clinical nurse specialists working in south and mid Wales were interviewed to determine their understanding and management of suffering and their personal response to working with patients who are suffering. Semi-structured interviews enabled the exploration of their experiences and views. The data was analysed using the principles of phenomenological interpretation. The Findings of the Study, The palliative care nurse specialists had difficulty articulating the concept of suffering but their descriptions, often using clinical scenarios, mirrored the literature. Their understanding of suffering influenced their care management, in particular the nurse-patient relationship. Theoretical perspectives of suffering and person centred care were demonstrated and used to underpin care, although this had been learnt experientially. Development of understanding, knowledge and skills to manage suffering influenced their own responses to working with patients. They had developed a personal philosophy towards their work and positive reappraisal to cope with the stresses that arose. Conclusion, Clear links between understanding suffering, management of the nurse-patient relationship and the personal impact of working with patients who are suffering were demonstrated, as well as the role of experiential learning. Education about suffering and clinical mentorship may enable palliative care nurses develop skills and knowledge in both the care of patients who are suffering and their own ability to cope.
published_date 2007-12-31T13:35:02Z
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score 11.048194

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