RT Journal Article
T1 [Primary care nurses' difficulties in advance care planning processes: A qualitative study].
T2 Dificultades de las enfermeras de atención primaria en los procesos de planificación anticipada de las decisiones: un estudio cualitativo.
A1 Granero-Moya, Nani
A1 Frías-Osuna, Antonio
A1 Barrio-Cantalejo, Inés M
A1 Ramos-Morcillo, Antonio Jesús
K1 Advance care planning
K1 Bioethics
K1 Bioética
K1 Cuidados al final de la vida
K1 End of life care
K1 Enfermeras de atención primaria
K1 Investigación cualitativa
K1 Planificación anticipada de las decisiones
K1 Primary care nurses
K1 Qualitative research
AB 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.
YR 2016
FD 2016-04-12
LK http://hdl.handle.net/10668/9998
UL http://hdl.handle.net/10668/9998
LA es
DS RISalud
RD Apr 12, 2025