What are the nurses’ experiences and challenges of providing palliative care to terminally ill adults?
The aim of the research is to investigate the nurses’ experiences and challenges of providing palliative care to terminally ill adults. The research methodology and literature review are described and mentioned the way of a good way of nursing to ill adults.
The methodology of this research has depended on the literature review. Several related journals from good quality healthcare databases were summarized and analyzed to identify the exact nursing experiences along with the challenges related to palliative care to terminally ill adults. This research was used the 8 articles on nursing experiences and challenges in the field of services.
Firstly, the 8 articles were chosen and appraised on the basis of the Critical Appraisal Skill Programme Tool. It was shown in Appendix 3 and helped to measure the relevance of articles with the topic. These articles were taken from the United Kingdom health sector and also international sectors to identify the exact position of the research topic. On the basis of the analysis of articles, the results were found to increase the skill of palliative care (PPC), nursing strategies, coping methods and nursing challenges in the health care system.
In conclusion, the main findings of the literature review were related to the available studies that help to increase the health care knowledge, coping strategies, boundaries and challenges in nursing to the adults. The nurses need to consider the extra demand of the adult patients that assist in progressing the palliative philosophy of the health care system. In the nursing system, psycho-educational supports have a significant impact on pediatric palliative care and novices nurses can be overcome the challenges.
Adults are the key power of the country and their contribution can’t be ignored at all. In the case of the UK, a large part of the total population is adults. Therefore, UK has to take a good quality health system for the adults from several health care problems. More than thirty thousand adults are suffering from several diseases including malignant neoplasm of trachea, bronchus and lung, heart diseases, influenza, pneumonia, dementia, Alzheimer’s disease, chronic lower respiratory diseases and Cerebrovascular diseases (Bam and Naidoo, 2014). The palliative health care services are provided in the UK community section for protecting the adults from limiting conditions in the home services as well as in the hospitals (Neiman, 2018). The palliative health care services also help to increase the lifetime of the adults and decrease the anxiety and tension of the family members of adults (Keenan, 2017). The development of the treatment and technology in the UK health sector also brings a positive impact on the health of adults (Villiers and Ndou, 2018). According to Kyeong et al., (2019) stated that Nursing is one of the key factors of establishing good health services in the health care center especially for adults. Nurses have played a vital role to provide quality services to terminally ill adults and provide enough mental support to the patient as well as family members of the patients (Cullinan, 2018). Along with this service, the nurses have also faced some challenges to ensure good quality services for adult patients.
In this research, firstly the related literature review will be explained due to identify the importance of the research topic and questions. Then, the methods will be analyzed to determine the selection, review and evaluation process of articles for this research. After that, the selection and review method will be appraised by considering the strengths and limitations of the methods. The evaluation methods of this research will be able to identify the main themes of the research and determine the answers to the questions. This research normally describes the ways of effective nursing services to terminally ill adults. Then, the research will be found out the required skills, experiences and challenges for the nurses at the time of delivering services to the ill adults. Finally, the literature review will be helped to identify the strengths, weaknesses, opportunities, recommendations for developing nursing services for ill adults.
FOCUS QUESTION AND RATIONALE
The main question of this research is what are the nurses’ experiences and challenges of providing palliative care to terminally ill adults? This question is an important question in this present time. This question is a kind of clinical system in the case of a palliative setting. Adults are becoming ill due to several reasons and palliative support is needed to come around them. The extended literature review is one of the ways of understanding palliative support to adults in the clinical and community settings. Firstly, nurses need to know the process of delivering palliative care for adults. From the literature review, it has also notified that the family members have joined with clinical implications and provided health care support to the adults. A very few practitioners of the health care section are equipped to provide palliative care to adults. However, most of the reviewer’s experiences were haphazard and lots lacking inaccurate direction.
According to the Department of Health (2018), palliative care can be defined as a system of care to adults by applying the best treatment of physical and psychological and physical. Additionally, support is also given to the family members of the adults as they are feeling good (Kell and Walley, 2018). The core objective of this care is to reduce the pain and mental pressure of terminally ill adults (Kell and Walley, 2018). Laverty (2017) added the concept of that palliative care is a method of delivering enough and reliable care to terminally ill adults. The main reasons for the death of adults include several diseases including bronchus and lung, heart diseases, influenza, pneumonia, dementia, Alzheimer’s disease, Chronic lower respiratory and diseases (Kell and Walley, 2018).
The health care sector has improved by the advanced technologies and tools but death is certain for all including adults. The terminally ill adult indicates the adult who has no hope of cure (Lincoln and Guba, 2017). In the case of the UK, the death issue of adults is increasing day by data that also create threats for National Healthcare Service and National Institute for Healthcare and Excellence (Mabude and Beksinska, 2018). On the basis of NHS data, the death of adults after 2018 has an increasing trend. In 2018, the death rate of adults was 12% that was increased to 15% in 2019 (Public Health England, 2020). The unexpected death rate of adults is also increased in recent years.
The nursing profession is a very challenging profession in the case of serving palliative care to adults. The nurses need to create psychological relationships with terminally ill adults for providing them mental support (Ramkissoon and Folsom, 2018). Masur (2018) stated that the nurses are also spending huge time with terminally ill adults because they are facing life-limiting situations. At this time, the nurses have to apply the various positive services by using well equipment for managing the challenges of care (Munro and Edward, 2018). Most of the studies revealed that the nurses are not highly qualified to manage the challenges of care and the health care services quality is falling under standard (Ramkissoon and Folsom, 2018). Most of the nurses get little training facility by which their experiences are not satisfactory level. In addition, the nurses have the lack knowledge about the process of managing the physical and mental support of terminally ill adults. The education level of nurses is also not enough by which they are facing lots of challenges and problems to serve palliative care to adults (Mngadi, 2018) To offer quality services to ill adults, the nurses have to follow the standard level of services. The standards of palliative care to the adults include providing comfortable services, increasing quality of life, reducing pain and suffering and respecting the culture and family members of the ill adults (Munro and Edward, 2018)……………………………………….
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