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THE EXPERIENCES OF HEALTH CARE PROVIDERS PROVIDING COMFORT FOR NURSING HOME PATIENTS AT THE END OF LIFE
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| Title | THE EXPERIENCES OF HEALTH CARE PROVIDERS PROVIDING COMFORT FOR NURSING HOME PATIENTS AT THE END OF LIFE |
| Author | Baker, Herma
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| Keywords | Comfort
End of Life
Nursing Home Patients
Nursing Home
Health Care Providers
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| Abstract | Research shows that healthcare providers (HCPs) are not adequately prepared to provide comfort care for patients who are at the end of life. Since the 1990s, numerous legislative, research, and clinical initiatives have addressed concerns about improving care at the end of life. The purpose of this study was to describe the experiences of HCPs providing comfort for patients in the nursing home who are at the end of life. This study focused on physicians, nurse practitioners, nurses and nursesà  à  aides at a central Florida nursing home. A descriptive qualitative design was done utilizing a focus group discussion, individual interviews, and a self-administered questionnaire. The findings indicated that a lack of facility support, inadequate staffing, inadequate end of life care education, family and patient denial of prognosis, as well as decreased primary care physician involvement affect the delivery of comfort care for patients at the end of life in the nursing home. This study supports the need for end of life education to HCPs and the need for adjustments in staffing to meet the complex needs of patients in the nursing home who are at the end of life. A new finding of this study reflects the use of an angel cart to aid in the provision of comfort care for patients at the end of life. Recommendations for future research were made based on study results |
| Adviser | Rash, Elizabeth
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| Publisher | University of Central Florida |
| Degree | D.N.P.
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| Degree Discipline | School of Nursing
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| Degree Grantor | Health and Public Affairs
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| Degree Program | Nursing Practice DNP
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| Graduation Date | 2010-01-01 |
| Type | Doctoral dissertation
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| Access Level | Public - Allow Worldwide Access
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| Release Date | 2010-08-18 |
| Repository | University Archives
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| Repository Collection | Electronic Theses and Dissertations
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| Identifier | CFE0003305 |
| Access Link | http://purl.fcla.edu/fcla/etd/CFE0003305 |
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