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Open Access Methodological Issues in Researching Palliative Care Nursing Practice Questions méthodologiques en matière de recherche portant sur la pratique infirmière en soins palliatifs

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Abstract:

The purpose of this integrative review was to describe the research conducted by nurses since the mid-1990s on nursing practice in the context of palliative/end-of-life care, identify promising methodological developments as well as methodological challenges, and propose strategies to support the development of this field of nursing research. A search of databases resulted in 121 research reports published between 1995 and 2003. Studies were included if the lead author was a nurse and the focus was nursing practice or nurses' attitudes about providing palliative or end-of-life care. Relatively few studies included patients, there were limitations in the data-collection methods used, and there was a lack of studies evaluating palliative care nursing. An emphasis on the interdisciplinary nature of palliative care may be hindering nurses from examining the effectiveness of nursing interventions. Increased attention should be given to examining the efficiency and effectiveness of nursing interventions to ensure the best outcomes for patients and their families.

French
Cette étude intégrative a comme but de décrire les recherches dirigées par des infirmières et des infirmiers depuis le milieu des années 90 dans le domaine des soins palliatifs et des soins de fin de vie. Elle vise également à identifier les progrès et les défis méthodologiques tout en proposant des stratégies pour appuyer le développement de la recherche en sciences infirmières. Une étude des bases de données a révélé la publication de 121 rapports de recherche entre 1995 et 2003. Nous avons inclu des études dont l'auteur principal était une infirmière ou un infirmier, dont le centre d'intérêt était soit la pratique infirmière, soit les attitudes du personnel infirmier à l'égard des soins palliatifs et de fin de vie. Nous avons constaté qu'un nombre relativement réduit d'études ont inclu des patients, que les méthodes utilisées dans la collecte des données présentaient certaines lacunes et qu'il y avait peu d'études destinées à évaluer les soins infirmiers palliatifs. L'accent mis sur l'approche interdisciplinaire en soins palliatifs peut empêcher les infirmières et les infirmiers d'examiner l'efficacité des inter-ventions infirmières. Cet aspect, ainsi que le rendement, doivent faire l'objet d'une plus grande attention afin de garantir les meilleurs résultats pour les patients et leurs familles.

Keywords: END-OF-LIFE CARE; INTEGRATIVE REVIEW; NURSING RESEARCH; PALLIATIVE CARE NURSING; RESEARCH METHODS

Document Type: Research Article

Publication date: 2005-06-01

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