End Of Life Decisions

Great Essays
The concept of dying well within the hospital setting is often one of considerable contention and results in a frequent practice based issue. End of life decisions often present themselves within the hospital and it is one of the most prevalent settings for this issue. When these end of life decisions occurs, the patient should feel a sense of control and autonomy over their care.
The research question that will be assessed in this paper is how do healthcare professionals describe dying well for patients when facing end of life in a hospital setting? The purpose for conducting this review is to allow for an improved understanding into the influences that surround dying well. When these influences are better comprehended, it allows for interventions
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When I first initially began the literature search, I had hoped to focus my focus on the preconceived notions that surrounded the concept of death and how patient’s families viewed end of life care. My research question originally was: how would patient’s families describe a good death when facing end of life decisions? However, as I continued to consider this topic and assessed the literature, my interest shifted to understanding how nurses would describe patients dying well. I felt that a focus on these factors could increase understanding on these misperceptions that surround dying. When I originally began the literature search, I looked for articles that used the terms “good death” “end of life decisions” “end of life care” and motivations that impacted end of life decisions. The results of my search for a “good death” ended up being more strongly correlated with quantitative and mixed methodologies and did not fit my search question. The search words then began to include “dying well” “death” “hospital” and “healthcare providers” which yielded more appropriate articles. Many articles …show more content…
(2014) discussed the concept of the perceptions of death within the acute hospital setting. This setting, particularly in acute care is an increasing difficult area to provide quality end of life care for patients. It is challenging as in the hospital tends to be a focus on curative method and truly does not implement palliative type systems. Also, there was discussion that depending on which area of the hospital the death occurs in, there can be variability on how well the quality of end of life care is. Areas of the hospital which are less familiar with death tend not provide the care required in these situations. The routine of the hospital was found to impact and disrupt the dying process. The research article established that discussions of the topic of death earlier so families are not caught off guard with and results in better feelings that end of life care was provided. A qualitative methodology was appropriate for this article since it was considering the experiences of healthcare professionals with relation to dying in an acute hospital setting. There was no implicit discussion of research design was used, however it appears to be grounded theory since it used a constant comparative analysis. Focus group discussions, audio recordings and semi-structured interviews were used for the data collection process. The participants consisted of a total of twenty-five healthcare providers and patient’s families. The

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