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Title: [Primary care nurses' difficulties in advance care planning processes: A qualitative study].
Other Titles: Dificultades de las enfermeras de atención primaria en los procesos de planificación anticipada de las decisiones: un estudio cualitativo.
Authors: Granero-Moya, Nani
Frías-Osuna, Antonio
Barrio-Cantalejo, Inés M
Ramos-Morcillo, Antonio Jesús
Keywords: Advance care planning;Bioethics;Bioética;Cuidados al final de la vida;End of life care;Enfermeras de atención primaria;Investigación cualitativa;Planificación anticipada de las decisiones;Primary care nurses;Qualitative research
metadata.dc.subject.mesh: Adult
Advance Care Planning
Middle Aged
Primary Care Nursing
Qualitative Research
Issue Date: 12-Apr-2016
Abstract: To know the primary care nurses' difficulties to promote advance care planning process with patients in the end of life. Phenomenological qualitative methodology. Health Management Area North of Jaén. Primary care nurses. Purposive sampling. Fourteen in-depth interviews were conducted until the speeches saturation. Content analysis in four steps: transcription, coding, obtaining results and conclusions verification. Supported whit the software Nvivo 8. Triangulation of results between researchers. Professionals' difficulties: Lack of knowledge about the topic, lack of communication skills, lack of experience and presence of negative emotions. In the health institution lack of time and interference with other professionals is a barrier. Also the patient's attitude and the family are identified as an obstacle because few people speak about the end of life. Finally, our society prevents open discussion about issues related to death. Professional learning about advanced care planning, training in communication skills and emotional education are necessary. Health managers should consider the fact that early interventions for planning health decisions require training, time and continued attention. If a cultural change does not happen, an evasive way to face the end of life will persist.
metadata.dc.identifier.doi: 10.1016/j.aprim.2016.01.008
Appears in Collections:Producción 2020

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