The purpose of this study was to understand nurse’s perceptions of administration of pain medication at the end of life in acute care settings. This is a qualitative descriptive study that included 22 nurses from eight different medical surgical units. The nurses were broken down into six focus groups where a clinical nurse specialist conducted a 30-minute group interview session. The nurses identified four issues that effected the use of medication at the end of life as follows: perceived knowledge and skill, conflicting perspectives, resource and education needs and the emotional experience (Howes, 2015). The study concluded that nurses often continue to feel uncomfortable with administrationof pain medications for the above-mentioned reasons. Continued education and 3
4-3 Milestone Three: Annotated Bibliographycommunication on end of life care and medication administration would prove to enhancequality of life for patients and caregivers at the of life. This article has been peer reviewed and is a reliable resource for this research project. This study has some limitations mentioned a main concern being that it was conducted bya single clinical nurse specialist creating potential for bias. Another being that the research was completed at only one facility. This article supports the purposed PICO(T) question in that it reflects on the importance of education and communication regarding nurses as end of life caregiver and their feelings on administration medication at the end of life. Noh, H., Guo, Y., Halli-Tierney, A., & Granda Anderson, K. (2016). Hospice Staff Perceptions ofInformation Needs Among Patients and Families During Admission Visits. The Gerontolgist, 56(Suppl_3), 431-431. Doi: 10.1093/geront/gnw162.1718The purpose of this study was to investigate the informational needs of terminal patients and caregivers from the hospice admissions staff perspective. This was a qualitative studythat included sixteen hospice team members from four different hospice agencies. Research data was obtained through open-ended interviews pertaining to communication with patients and families. The study founded five informational needs regarding initial encounters with patients and families. These needs included disease progression, changesin dietary, hydration and medication requirements, use of comfort medications, life 4
4-3 Milestone Three: Annotated Bibliographysustaining treatment and use of other services offered under hospice care. This study found that patients and families lack knowledge and understanding of life care. Hospice staff also expressed lack of education in the earlier stages of the patient’s disease process,education should start with the patient’s primary care provider. This article is an excellent resource for research pertaining to end of life care and hospice services. It is peer reviewed. However, there were limitations to this research, only hospice staff were interviewed creating a bias, patient and caregiver views of what informational needs are important were not included in the study.
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- Summer '17
- Palliative medicine