Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22557
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dc.contributor.authorHill, Hazelen_UK
dc.contributor.authorEvans, Josieen_UK
dc.contributor.authorForbat, Lizen_UK
dc.date.accessioned2018-05-15T23:40:18Z-
dc.date.available2018-05-15T23:40:18Z-
dc.date.issued2015-11en_UK
dc.identifier.other60en_UK
dc.identifier.urihttp://hdl.handle.net/1893/22557-
dc.description.abstractBackground: Psychosocial support is considered a central component of nursing care but it remains unclear as to exactly how this is implemented in practice. The aim of this study was to provide a descriptive exploration of how psychosocial needs (PNs) of patients in a hospice ward are expressed and met, in order to develop an understanding of the provision of psychosocial support in practice.  Methods: An embedded mixed-methods study was conducted in one hospice ward. Data collection included observations of patients’ expressions of PNs and nurses’ responses to those expressed PNs, shift hand-overs and multi-disciplinary meetings. Interviews about the observed care were conducted with the patients and nurses and nursing documentation pertaining to psychosocial care was collated. Descriptive statistical techniques were applied to quantitative data in order to explore and support the qualitative observational, interview and documentary data.  Results: During the 8-month period of observation, 227 encounters within 38 episodes of care were observed among 38 nurses and 47 patients. Within these encounters, 330 PNs were expressed. Nurses were observed immediately responding to expressed PNs in one of four ways: dealing (44.2 %), deferring (14.8 %), diverting (10.3 %) and ducking (30.7 %). However, it is rare that one type of PN was clearly expressed on its own: many were expressed at the same time and usually while the patient was interacting with the nurse for another reason, thus making the provision of psychosocial support challenging. The nurses’ response patterns varied little according to type of need.  Conclusions: The provision of psychosocial support is very complex and PNs are not always easily recognised. This study has allowed an exploration of the actual PNs of patients in a hospice setting, the way in which they were expressed, and how nurses responded to them. The nurses faced the challenge of responding to PNs whilst carrying out the other duties of their shift, and the fact that nurses can provide psychosocial support as an inherent component of practice was verified. The data included in this paper, and the discussions around the observed care, provides nurses everywhere with an example against which to compare their own practice.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationHill H, Evans J & Forbat L (2015) Nurses respond to patients' psychosocial needs by dealing, ducking, diverting and deferring: An observational study of a hospice ward. BMC Nursing, 14 (1), Art. No.: 60. https://doi.org/10.1186/s12912-015-0112-8en_UK
dc.rights© 2015 Hill et al. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectHospice nursingen_UK
dc.subjectPsychosocialen_UK
dc.subjectObservationen_UK
dc.subjectPalliativeen_UK
dc.titleNurses respond to patients' psychosocial needs by dealing, ducking, diverting and deferring: An observational study of a hospice warden_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12912-015-0112-8en_UK
dc.citation.jtitleBMC Nursingen_UK
dc.citation.issn1472-6955en_UK
dc.citation.volume14en_UK
dc.citation.issue1en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailh.c.hill@stir.ac.uken_UK
dc.citation.date17/11/2015en_UK
dc.contributor.affiliationHS UG Regulated - Stirling - LEGACYen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.identifier.scopusid2-s2.0-84946945345en_UK
dc.identifier.wtid898219en_UK
dc.contributor.orcid0000-0002-7423-1480en_UK
dc.contributor.orcid0000-0001-6672-7876en_UK
dc.contributor.orcid0000-0002-7218-5775en_UK
dc.date.accepted2015-11-09en_UK
dcterms.dateAccepted2015-11-09en_UK
dc.date.filedepositdate2015-11-30en_UK
dc.subject.tagCancer and Palliative Careen_UK
dc.subject.tagNursingen_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorHill, Hazel|0000-0002-7423-1480en_UK
local.rioxx.authorEvans, Josie|0000-0001-6672-7876en_UK
local.rioxx.authorForbat, Liz|0000-0002-7218-5775en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2015-11-30en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2015-11-30|en_UK
local.rioxx.filenameHill et al_BMC Nursing_2015.pdfen_UK
local.rioxx.filecount1en_UK
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