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dc.contributor.authorde Vries, Kayen
dc.contributor.authorPlaskota, Mareken
dc.date.accessioned2018-10-29T10:23:33Z
dc.date.available2018-10-29T10:23:33Z
dc.date.issued2016-06-21
dc.identifier.citationde Vries, K. and Plaskota, M. (2017) Ethical dilemmas faced by hospice nurses when administering palliative sedation to patients with terminal cancer. Palliative & Supportive Care, 15 (2), pp. 148–157en
dc.identifier.urihttp://hdl.handle.net/2086/16862
dc.description.abstractObjective: Palliative sedation is a method of symptom management frequently used in hospices to treat uncontrolled symptoms at the end of life. There is a substantial body of literature on this subject; however, there has been little research into the experiences of hospice nurses when administering palliative sedation in an attempt to manage the terminal restlessness experienced by cancer patients. Method: Semistructured interviews were conducted with a purposive sample of seven hospice nurses who had cared for at least one patient who had undergone palliative sedation within the past year in a hospice in the south of England in the United Kingdom. A phenomenological approach and Colaizzi’s stages of analysis were employed to develop themes from the data. Results: Facilitating a “peaceful death” was the primary goal of the nurses, where through the administration of palliative sedation they sought to enable and support patients to be “comfortable,” “relaxed,” and “calm” at the terminal stage of their illness. Ethical dilemmas related to decision making were a factor in achieving this. These were: medication decisions, “juggling the drugs,” “causing the death,” sedating young people, the family “requesting” sedation, and believing that hospice is a place where death is hastened. Significance of results: Hospice nurses in the U.K. frequently encounter ethical and emotional dilemmaswhen administering palliative sedation. Making such decisions about using palliative sedation causes general discomfort for them. Undertaking this aspect of care requires confidence and competence on the part of nurses, and working within a supportive hospice team is of fundamental importance in supporting this practice.en
dc.publisherCambridge University Pressen
dc.subjectTerminal restlessnessen
dc.subjectPalliative sedationen
dc.subjectEthical dilemmasen
dc.subjectPeaceful deathen
dc.titleEthical dilemmas faced by hospice nurses when administering palliative sedation to patients with terminal cancer.en
dc.typeArticleen
dc.identifier.doihttps://dx.doi.org/10.1017/S1478951516000419
dc.peerreviewedYesen
dc.funderN/Aen
dc.projectidN/Aen
dc.cclicenceCC-BY-NCen
dc.date.acceptance2016-05-12en
dc.exception.reasonnot at DMU when output publisheden
dc.researchinstituteInstitute of Health, Health Policy and Social Careen
dc.exception.ref2021codes254aen


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