Providing comfort to patients in their palliative care trajectory: experiences of female nurses working in an acute setting

Abstract

This study aims to explore the lived experience of nurses who provide comfort to palliative care patients in an acute setting in a small urban hospital in the west of Ireland. A qualitative approach using Gadamerian hermeneutic phenomenology was chosen for the study and data were collected using open interviewing. The main findings revealed four major themes (with sub-themes) that describe the lived experience of providing comfort to palliative care patients in an acute setting: time needed to provide comfort, emotional cost to the nurse in providing comfort, a holistic approach in the provision of comfort, and the role of education and the expert team in providing comfort. The study findings will contribute to a greater understanding of the difficulties and challenges that general non-specialized nurses in the acute setting have to understand and apply the philosophy of palliative care to patients in an acute care setting. The findings should also contribute to a broader appreciation between specialized and non-specialized nurses who are responsible for the delivery of holistic, individual person-centred care to patients requiring palliative care.