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035 a| (Sirsi) o910852249;

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049 a| EREE;

100 1 a| Shepard, Joy A.,e| author.?| UNAUTHORIZED;

245 10 a| Hospice nurses' experience of caring for the elderly with wounds at the end-of-life /c| by Joy A. Shepard.;

264 1 a| [Greenville, N.C.] :b| [East Carolina University],c| 2015.;

300 a| 179 pages :b| illustrations (some color);

336 a| textb| txt2| rdacontent;

337 a| computerb| c2| rdamedia;

338 a| online resourceb| cr2| rdacarrier;

347 a| text fileb| PDFc| 1.00Mb2| rda;

490 1 a| ECU College of Nursing thesis;

538 a| System requirements: Adobe Reader.;

538 a| Mode of access: World Wide Web.;

502 b| Ph.D.c| East Carolina Universityd| 2015.;

500 a| Presented to the faculty of the College of Nursing.;

500 a| Advisor: Janice A. Neil.;

500 a| Title from PDF t.p. (viewed June 08, 2015).;

520 3 a| Background: The goal of hospice care is to maximize quality of life and provide peace, comfort, and dignity to patients with terminal illness. Older dying patients pose unique challenges to meeting this essential goal, especially in the care of wounds. Wound care in dying patients can be complex, expensive, and threaten quality of life. With the huge demographic shift towards older people, hospice nurses need to adequately address the comfort needs of dying elderly patients with wounds. Yet, little is known about how the phenomenon of wound care is experienced in hospice nursing practice. Problem: A review of the literature illustrated a paucity of studies concerning the experiences of hospice nurses caring for dying patients with wounds. In order for hospice nurses to give holistic care, a greater understanding of their wound care experiences, as well as psychological, social, and spiritual factors related to their wound care experiences, is needed. Aim of the Study: The purpose of this study was to gain an understanding of the experiences of hospice nurses in caring for elderly patients with wounds at the end-of-life, a phenomenon not well known. Methodology: Through the use of semi-structured interviews, this exploratory qualitative descriptive study examined the experiences of 13 hospice nurses in caring for elderly patients with wounds at the EOL. Findings: The rich descriptive data generated from this study provide a beginning understanding of hospice nurses' experiences with wounds at the end-of-life. Content analysis of participant interview data revealed five themes that provide valuable new insights into hospice nurses' experiences concerning wound care in clinical practice: Difficult to Achieve Comfort; Healing is Unrealistic; Coping with Conflict; Hospice Wound Knowledge Deficit, and Positive Affirmation. The findings have the potential to inform hospice nurse practice and to suggest areas for future research.;

504 a| Includes bibliographical references.;

650 2 a| Wounds and Injuriesx| nursing.=| ^A921967;

650 2 a| Terminal Carex| psychology.=| ^A919829;

650 2 a| Hospice Carex| methods.=| ^A931603;

650 2 a| Hospice Carex| psychology.=| ^A932652;

650 2 a| Hospice and Palliative Care Nursing.=| ^A1195300;

653 a| Nursing;

653 a| Gerontology;

653 a| Health sciences;

700 1 a| Neil, Janice A.,e| degree supervisor.?| UNAUTHORIZED;

710 2 a| East Carolina University.b| College of Nursing.=| ^A1134029;

830 0 a| ECU College of Nursing thesis.?| UNAUTHORIZED;

856 40 z| Access via ScholarShipu| http://hdl.handle.net/10342/4873;

949 a| Click on web addressw| ASISh| JOYNER101;

949 a| Click on web addressw| ASISh| HSL111;

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999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 3766653-2001l| HSLELECm| HSLr| Ys| Yt| HEETDu| 6/8/2015x| ETDz| HERESOURCE;

Hospice nurses' experience of caring for the elderly with wounds at the end-of-life / by Joy A. Shepard.

Author/creator	Shepard, Joy A. author.
Other author	Neil, Janice A., degree supervisor.
Other author	East Carolina University. College of Nursing.
Format	Theses and dissertations
Publication	[Greenville, N.C.] : [East Carolina University], 2015.
Description	179 pages : illustrations (some color)
Supplemental Content	Access via ScholarShip
Subjects	Wounds and Injuries--nursing. Terminal Care--psychology. Hospice Care--methods. Hospice Care--psychology. Hospice and Palliative Care Nursing.

Series	ECU College of Nursing thesis ECU College of Nursing thesis. UNAUTHORIZED
Summary	Background: The goal of hospice care is to maximize quality of life and provide peace, comfort, and dignity to patients with terminal illness. Older dying patients pose unique challenges to meeting this essential goal, especially in the care of wounds. Wound care in dying patients can be complex, expensive, and threaten quality of life. With the huge demographic shift towards older people, hospice nurses need to adequately address the comfort needs of dying elderly patients with wounds. Yet, little is known about how the phenomenon of wound care is experienced in hospice nursing practice. Problem: A review of the literature illustrated a paucity of studies concerning the experiences of hospice nurses caring for dying patients with wounds. In order for hospice nurses to give holistic care, a greater understanding of their wound care experiences, as well as psychological, social, and spiritual factors related to their wound care experiences, is needed. Aim of the Study: The purpose of this study was to gain an understanding of the experiences of hospice nurses in caring for elderly patients with wounds at the end-of-life, a phenomenon not well known. Methodology: Through the use of semi-structured interviews, this exploratory qualitative descriptive study examined the experiences of 13 hospice nurses in caring for elderly patients with wounds at the EOL. Findings: The rich descriptive data generated from this study provide a beginning understanding of hospice nurses' experiences with wounds at the end-of-life. Content analysis of participant interview data revealed five themes that provide valuable new insights into hospice nurses' experiences concerning wound care in clinical practice: Difficult to Achieve Comfort; Healing is Unrealistic; Coping with Conflict; Hospice Wound Knowledge Deficit, and Positive Affirmation. The findings have the potential to inform hospice nurse practice and to suggest areas for future research.
General note	Presented to the faculty of the College of Nursing.
General note	Advisor: Janice A. Neil.
General note	Title from PDF t.p. (viewed June 08, 2015).
Dissertation note	Ph.D. East Carolina University 2015.
Bibliography note	Includes bibliographical references.
Technical details	System requirements: Adobe Reader.
Technical details	Mode of access: World Wide Web.

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Hospice nurses' experience of caring for the elderly with wounds at the end-of-life / by Joy A. Shepard.

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