2.50
Hdl Handle:
http://hdl.handle.net/10755/165639
Category:
Abstract
Type:
Presentation
Title:
Patient Control and End-of-Life Care
Author(s):
Volker, Deborah
Author Details:
Deborah Volker, MA/AM, Assistant Professor, University of Texas-Austin, School of Nursing, Austin, Texas, USA, email: dvolker@mail.nur.utexas.edu
Abstract:
Collectively, the lay public and healthcare professionals share an interest in improving care of the dying and promoting dignified dying. Although maintaining a sense of control and comfort appear to be important components to patients in end-of-life (EOL) care, empirical evidence for what constitutes dignified dying as a patient-defined outcome is lacking. Oncology advanced practice nurses (APNs) have the theoretical and research-based knowledge and skills to provide insight into individualized care requirements and needs of the dying. Hence, the advanced practice nursing perspective on strategies to facilitate patient control and comfort at EOL adds an invaluable viewpoint to this challenging component of cancer patient care. The purpose of this descriptive, qualitative study is to 1) explore the nature of what patients with advanced cancer want regarding personal control and comfort at EOL, and 2) explore strategies oncology APNs use to assist those patients to achieve personal control and comfort at EOL. The conceptual orientation of this study is grounded in the theoretical concept of personal control and Lewis' conceptual typology of control. A purposive, statewide sample of 8-12 oncology APNs and 8-12 of their patients with advanced cancer is being recruited. The study design is based on Denzin's model of interpretive interactionism, a postpositivist research method that blends the schools of hermeneutics, symbolic interactionism, ethnography, and naturalistic inquiry. Interviews of nurses and patients will be analyzed using Denzin's interpretive process for data analysis. Standards for maintaining trustworthiness in qualitative research will be implemented. Study findings will be presented in the poster display. As the group of professionals who provide the most sustained care at the end of life, nurses must be prepared to assist patients to achieve a dignified death that is respectful of patient values and preferences. Findings from this study will provide insight into patient preferences and nurse strategies for control and comfort at EOL, and can be used to improve clinical care for patients with advanced cancer. Findings may also provide guidance for future research to design and test interventions designed to identify and promote patient preferences for EOL care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePatient Control and End-of-Life Careen_GB
dc.contributor.authorVolker, Deborahen_US
dc.author.detailsDeborah Volker, MA/AM, Assistant Professor, University of Texas-Austin, School of Nursing, Austin, Texas, USA, email: dvolker@mail.nur.utexas.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165639-
dc.description.abstractCollectively, the lay public and healthcare professionals share an interest in improving care of the dying and promoting dignified dying. Although maintaining a sense of control and comfort appear to be important components to patients in end-of-life (EOL) care, empirical evidence for what constitutes dignified dying as a patient-defined outcome is lacking. Oncology advanced practice nurses (APNs) have the theoretical and research-based knowledge and skills to provide insight into individualized care requirements and needs of the dying. Hence, the advanced practice nursing perspective on strategies to facilitate patient control and comfort at EOL adds an invaluable viewpoint to this challenging component of cancer patient care. The purpose of this descriptive, qualitative study is to 1) explore the nature of what patients with advanced cancer want regarding personal control and comfort at EOL, and 2) explore strategies oncology APNs use to assist those patients to achieve personal control and comfort at EOL. The conceptual orientation of this study is grounded in the theoretical concept of personal control and Lewis' conceptual typology of control. A purposive, statewide sample of 8-12 oncology APNs and 8-12 of their patients with advanced cancer is being recruited. The study design is based on Denzin's model of interpretive interactionism, a postpositivist research method that blends the schools of hermeneutics, symbolic interactionism, ethnography, and naturalistic inquiry. Interviews of nurses and patients will be analyzed using Denzin's interpretive process for data analysis. Standards for maintaining trustworthiness in qualitative research will be implemented. Study findings will be presented in the poster display. As the group of professionals who provide the most sustained care at the end of life, nurses must be prepared to assist patients to achieve a dignified death that is respectful of patient values and preferences. Findings from this study will provide insight into patient preferences and nurse strategies for control and comfort at EOL, and can be used to improve clinical care for patients with advanced cancer. Findings may also provide guidance for future research to design and test interventions designed to identify and promote patient preferences for EOL care.en_GB
dc.date.available2011-10-27T12:22:18Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:22:18Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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