Lived experiences of private duty nurses in caring for terminally III geriatric patients

Abstract

This study explores the lived experiences of private duty nurses caring for terminally ill geriatric patients. The aim is to understand the nurses' experiences in greater depth, including the challenges and rewards they face. Additionally, the researchers want to identify factors that influence the quality of care provided. The population of older adults is growing, and there is a corresponding increase in the demand for geriatric nursing care. Private duty nurses play a vital role in providing care for terminally ill elderly patients in their homes. However, little research has been done to explore the experiences of these nurses. The research employed a qualitative approach, using in-depth interviews with private duty nurses. Participants were female registered nurses (RNs) between the ages of 25-60 with a Bachelor of Science in Nursing (BSN) degree and at least two years of experience caring for terminally ill geriatric patients who were conscious and bedridden. Thematic analysis was used to identify emerging themes from the interview data. Thematic analysis revealed three main themes. Challenges of caring for terminally ill geriatric patients: Nurses described emotional challenges, such as dealing with the patients' and families' grief, as well as physical challenges, such as providing hands-on care for immobile patients. Rewards of caring for terminally ill geriatric patients: Nurses also reported feeling a sense of accomplishment from providing comfort and support to patients and their families at the end of life. Factors influencing the quality of care: Nurses identified factors such as strong communication skills, collaboration with other healthcare providers, and access to adequate resources as essential for providing quality care. This study contributes to a better understanding of the lived experiences of private duty nurses caring for terminally ill geriatric patients. The findings can inform the development of educational programs and support systems to better equip nurses for this role and improve the quality of care provided to terminally ill elderly patient.