St Francis Hospice
http://hdl.handle.net/10147/221204
2024-03-26T14:50:13ZAn exploration of specialist palliative care nurses’ experiences of providing care to hospice inpatients from minority ethnic groups—implication for religious and spiritual care
http://hdl.handle.net/10147/600468
An exploration of specialist palliative care nurses’ experiences of providing care to hospice inpatients from minority ethnic groups—implication for religious and spiritual care
Henry, Andrea; Timmins, Fiona
The aim of this research study was to gain an understanding of nurses’ experiences of
providing care to patients from minority ethnic groups within the specialist palliative care inpatient
unit of an Irish hospice. Five nurses working in a hospice inpatient unit with experience in providing
care to patients from minority ethnic groups were interviewed using a hermeneutic phenomenological
approach. Analysis of the data resulted in the emergence of two distinct constructs, “encountering
a landscape of diversity” and “negotiating this landscape”, each one comprising three themes.
Findings relating to religion and supporting patients’ religious needs were dominant in four of
the six emergent themes—death and dying, acceptance, feeling their way, and being resourceful.
The findings presented in this paper highlight the personal and professional challenges facing nurses
when providing care in the context of religious diversity. In addition, participants’ descriptions
of their endeavours to negotiate the challenges in the context of these differences are identified.
By applying these findings in practice, healthcare professionals hold the potential to positively impact
the quality-of-life of patients, their families, and their experiences of hospice care in Ireland.
2016-02-01T00:00:00ZAn exploration of the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities.
http://hdl.handle.net/10147/221208
An exploration of the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities.
Ryan, Karen; McEvoy, John; Guerin, Suzanne; Dodd, Philip
Research suggests that shortcomings exist in the provision of palliative care to people with intellectual disabilities. This mixed-methods study aimed to describe the experience, confidence and attitudes of staff to the provision of palliative care to people with intellectual disabilities. The sample was drawn from the population of one Health Service Executive area in Ireland. Staff from intellectual disability and palliative care services completed surveys and participated in focus group discussions. Three hundred and eighty-nine questionnaires were distributed and 16 focus groups were held. Fifty-nine per cent of palliative care staff and 67% of intellectual disability services staff had cared for someone with intellectual disability who had died but level of experience was low. Both palliative care and intellectual disability services staff lacked confidence in their ability to provide palliative care. Staff were challenged by perceived 'differences' and 'difficulties' in the provision of care. They endorsed a partnership approach to care but focus group discussions revealed that a shared desire to cooperate was insufficient to guarantee effective collaboration.
2010-09-01T00:00:00ZReview of cancer pain management in patients receiving maintenance methadone therapy.
http://hdl.handle.net/10147/221207
Review of cancer pain management in patients receiving maintenance methadone therapy.
Rowley, Dominic; McLean, Sarah; O'Gorman, Aisling; Ryan, Karen; McQuillan, Regina
Methadone is commonly used in the treatment of heroin addiction. Patients with a history of opioid misuse or on methadone maintenance therapy (MMT) with cancer often have difficult to manage pain. We studied 12 patients referred to the palliative care service with cancer pain who were on MMT. All had difficult to control pain, and a third required 5 or more analgesic agents. Two patients had documented ''drug-seeking'' behavior. Methadone was used subcutaneously as an analgesic agent in 1 patient. We explore why patients on MMT have difficult to manage pain, the optimal management of their pain, and the increasing role of methadone as an analgesic agent in cancer pain.
2011-05-01T00:00:00Z