The Personal Transition of Emergency Room Nurses When the Focus of Care Changes From Curative to End-of-Life

2.50
Hdl Handle:
http://hdl.handle.net/10755/308689
Category:
Abstract
Type:
Presentation
Title:
The Personal Transition of Emergency Room Nurses When the Focus of Care Changes From Curative to End-of-Life
Author(s):
Rolland, Roberta
Lead Author STTI Affiliation:
N/A
Author Details:
Roberta Rolland, MS, RN, FNP, rollandr@upstate.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

With the advances in technology and medicine, we are seeing more aggressive efforts and extreme measures to treat the gravely ill and severely injured. When curative efforts are exhausted and the focus of care changes to end-of-life; the nurse’s focus must change as well. Curative efforts involve intense concentration, fast paced and predominately clinically focused (Badger, 2005).  End-of-life care involves a calmer pace using interpersonal skills and is predominately psychosocially focused (O’Brien, 2002).

Rural health care professionals face obstacles including limited resources and isolation that may add to the challenges of two extremes of care back to back. For this reason, rural characteristics outlined by Lee and Winters (2006) was explored as well. 

Nursing as Caring theory was used to guide the research (Boykin & Schoenhofer, 2001).  Urban (n=4) and rural (n=6) emergency room nurses were interviewed using a grounded theory approach. MAXQDA 10 computer program was used with the qualitative data analysis. Analysis is currently underway.

Education and resources are important to help yield a smoother and more productive transition process (Meleis, 2010). Results of this study may be helpful with developing education and resources to help nurses transition when the focus of care changes to end-of-life.

Badger, J. (2005). A descriptive study of coping strategies used by medical intensive care unit nurses during transitions from cure- to comfort-oriented care, Heart & Lung. 34(1), 63-68. doi: 10.1016/j.hrtlng.2004.08.005

Boykin, A., & Schoenhofer, S.O. (2001). Nursing as Caring: A Model for Transforming Practice. Sudbury, MA; Jones and Bartlett Publishers.

Lee, H. L., & Winters, C. A. (2006). Rural nursing: Concepts, theory, and practice (2nd Ed).New York: Springer Publishing Company.

Meleis, A.I. (2010). Transitions theory: Middle-range and situational-specific theories in nursing research and practice. New York: Springer Publishing Company.

O’Brien, N. (2002). Nursing care at the end of life. Sacramento,: CME Resource.

Keywords:
end-of-life; rural; transition
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Personal Transition of Emergency Room Nurses When the Focus of Care Changes From Curative to End-of-Lifeen_GB
dc.contributor.authorRolland, Robertaen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsRoberta Rolland, MS, RN, FNP, rollandr@upstate.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308689-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>With the advances in technology and medicine, we are seeing more aggressive efforts and extreme measures to treat the gravely ill and severely injured. When curative efforts are exhausted and the focus of care changes to end-of-life; the nurse’s focus must change as well. Curative efforts involve intense concentration, fast paced and predominately clinically focused (Badger, 2005).  End-of-life care involves a calmer pace using interpersonal skills and is predominately psychosocially focused (O’Brien, 2002). <p>Rural health care professionals face obstacles including limited resources and isolation that may add to the challenges of two extremes of care back to back. For this reason, rural characteristics outlined by Lee and Winters (2006) was explored as well.  <p>Nursing as Caring theory was used to guide the research (Boykin & Schoenhofer, 2001).  Urban (n=4) and rural (n=6) emergency room nurses were interviewed using a grounded theory approach. MAXQDA 10 computer program was used with the qualitative data analysis. Analysis is currently underway. <p>Education and resources are important to help yield a smoother and more productive transition process (Meleis, 2010). Results of this study may be helpful with developing education and resources to help nurses transition when the focus of care changes to end-of-life. <p>Badger, J. (2005). A descriptive study of coping strategies used by medical intensive care unit nurses during transitions from cure- to comfort-oriented care, <i>Heart & Lung. 34</i>(1), 63-68. doi: 10.1016/j.hrtlng.2004.08.005 <p>Boykin, A., & Schoenhofer, S.O. (2001). <i>Nursing as Caring: A Model for Transforming Practice.</i> Sudbury, MA; Jones and Bartlett Publishers. <p>Lee, H. L., & Winters, C. A. (2006). <i>Rural nursing: Concepts, theory, and practice (2<sup>nd</sup> Ed).</i>New York: Springer Publishing Company. <p>Meleis, A.I. (2010). <i>Transitions theory: Middle-range and situational-specific theories in nursing research and practice. </i>New York: Springer Publishing Company. <p>O’Brien, N. (2002<i>). Nursing care at the end of life</i>. Sacramento,: CME Resource.en_GB
dc.subjectend-of-lifeen_GB
dc.subjectruralen_GB
dc.subjecttransitionen_GB
dc.date.available2013-12-19T17:34:47Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:34:47Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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