An exploration of Nurses' role in End of Life decision making - a phenomenological enquiry.

Abstract

Aim: The aim of this research proposal is to explore the perceptions of Nurses regarding their participation and role in end of life decision making, as well as any barriers to this care. Background: Nurses are seen to be the profession who spend the greatest amount of time with patients to ensure their physical, psychological and spiritual needs are met. However, international literature has identified that nurses feel excluded in the decision making process regarding end of life care. For example: the decision to withdraw nutrition and hydration and completing DNACPR orders. Instead, advocacy arose as the most common role of Nurses' in EOL decisions, as barriers such as hierarchical processes, poor communication and lack of time impeded their ability to participate further. Methodology: This proposal will utilize an exploratory, phenomenological approach using semi-structured interviews with 8-12 registered Nurses from a general, medical ward in the East of Scotland. This will allow for deep explorations of the thoughts, feelings and perceptions of nurses regarding their role in decision making. The data will then be analysed and presented through thematic analysis. Conclusion: The aim of this study is not to criticize or affect national policies on end of life care. Instead, it will allow insight into current EOL Nursing practice with an aim to encourage reflection among Nurses to ensure they provide evidence based, person centred care that will allow patients to have a voice to be heard in decisions regarding their final care.