Barriers to the provision of optimal care to dying patients in hospital: a cross-sectional study of nurses’ perceptions

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Title:	Barriers to the provision of optimal care to dying patients in hospital: a cross-sectional study of nurses’ perceptions
Authors:	Jan Shepherd, Sanson-Fisher Amy Waller Rob
Keywords:	terminal care communication
Issue Date:	26-Aug-2021
Publisher:	Australian Nursing & Midwifery Federation
Abstract:	To examine in a sample of nurses working in acute-care wards, self-reported perceptions of the: 1) patient; family; nurse; doctor; and health system-related barriers to the provision of optimal end-of-life care to people who are dying in hospital; and 2) five barriers which, if removed, would lead to the greatest improvements in hospital-based end-of-life care
Description:	Nurses perceive that doctors continue to treat for too long (79% ranked as a large barrier); families have unrealistic expectations about a patient’s prognosis (73%); junior doctors are unwilling to alter the decision of senior doctors (67%); doctors do not adequately explain the dying process (66%); and doctors have inadequate training in end-of-life care (66%). Nurses indicated that doctors reducing the length of active treatment and families having a more realistic expectation about life-expectancy would lead to the greatest improvement in end-oflife care in hospitals.
URI:	http://localhost:8080/xmlui/handle/123456789/1212
Appears in Collections:	2. Australian Journal of Advanced Nursing

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