Date of Award
2006
Degree Type
Thesis
Degree Name
Master of Science in Nursing
Program
Nursing
Supervisor
Dr. Catherine Ward-Griffin
Abstract
During the past two decades, social, political and economic reform has been a driving force of healthcare change. Healthcare restructuring, typified by shortened lengths of hospital stays and reduced number of acute care beds has shifted care from hospital to home (Frankman, 1998; LeClerc, Wells, Craig & Wilson, 2002). Included in this transition to home-based care is the downloading of the delivery of palliative care (Cartier, 2003). Although a number of studies have explored home-based palliative care, little is known about the contextual factors within this care setting and how they may constitute the nurse-client relationship. This qualitative secondary analysis was an analytic expansion (Thorne, 1998) of data generated from 19 in-depth interviews with three community nurses who participated in a previous ethnographie, longitudinal study of client-caregiver-nurse relationships in home-based palliative care for seniors (Ward Griffin & McWilliam, 2004). Study findings revealed three evolving phases within the nurse-client relationship: approaching, being there and withdrawing. Movement from one phase of the relationship to another occurred within the context of various intrinsic and extrinsic factors of home-based palliative care. In light of the unrelenting growth in home-based palliative care, these findings have significant implications for nursing educators, palliative care program planners and community nursing agency personnel.
Recommended Citation
Krestick, M. Elizabeth, "EXPLORING NURSE-CLIENT RELATIONSHIPS IN HOME-BASED PALLIATIVE CARE FOR SENIORS: NURSES’ PERCEPTIONS" (2006). Digitized Theses. 5097.
https://ir.lib.uwo.ca/digitizedtheses/5097