Palliative Care

Paper Summary:

This paper proposes a study to compare nurses' and patients' attitudes and beliefs about palliative care nursing and decision-making processes. The paper relates that the study will also explore contradictory beliefs about palliative care held between nurses' and primary care providers. The paper further relates that the researcher intends to explore whether there are prominent differences between nurses' and patients' perceptions of palliative care and which factors influence perceptions about palliative care among nurses, patients' and doctors. In addition, the research will also analyze what role doctors' preferences have in palliative care treatments offered to patients and which criteria are used to determine patients' choices and involvement in palliative care decision-making in a hospital or other long-term care environment.

Outline:
Abstract
Introduction
Background to Study
Significance of the Study
Literature Review
Overview of Palliative Care Studies
Method
Theoretical Framework
Participants
Design, Setting, Instruments
Ethical Implications
Dissemination of Results
Work Plan
Budget

From the Paper:

"Carmel, Werner & Ziedenberg (2004) note that often decisions about palliative care are deferred to doctor's and nurses, and relate to their preferences more so than that of the patient, especially in cases of elderly patients or patients with poor health prognosis. Solomon et. al (1993) conducted a study involving over 600 physicians and 700 nurses working in five hospitals, finding that significant differences existed between the needs for palliative care and preferences between doctors, nurses and even patients (Carmel, Werner & Ziedenberg, 2004). Most notably, there is evidence suggesting more attention need be paid on "prognoses or patients' preferences" instead of the attitudes and beliefs of the healthcare providers involved in care (Carmel, Werner & Ziedenberg, 2004, p. 27)."

Sample of Sources Used:

• Carmel, S., Werner, P. & Ziedenberg, H. (2004). Nurses' and social workers' attitudes and beliefs about and involvement in life-sustaining treatment decisions. Health and Social Work, 29(1): 27.
• Coulton, C.J. (1990). Research in patient and family decision-making regarding life sustaining and long-term care. Social Work in Health Care, 15(1): 63-78.
• Csikai, E.L. (1999). The role and experience in determining social workers' attitudes toward euthanasia and assisted suicide. Social Work in Health Care, 30(1): 75-95.
• DeMarrais, K. & Lapan, S.D. (2004). Foundations for research: Methods of inquiry in education and the social sciences. Mahwah: Lawrence Erlbaum Associates.
• Shoefield, R.F., & Amodeo, M. (1999). Interdisciplinary teams in health care and human services settings. Health & Social Work, 24(1): 210-19.

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• Research Paper # 86768 : "Palliative Care in a Hospital Setting"
• Essay # 95694 : "Palliative Care"

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