Dissertation/Thesis Abstract

Gifts and grievances: A hermeneutic phenomenological exploration of the lived experience of being a home hospice nurse
by Williams, Justin Byron, Ph.D., University of Phoenix, 2015, 262; 3691998
Abstract (Summary)

In hospice care, most patients die in the private home setting. Of interest are the hospice nurses who care for the patient in the private home setting: the home hospice nurse. Home hospice nursing is not without specific challenges in this unique setting. Recent research purports the need for self-care and investigation into current working conditions among nurses in all fields. This has been in reaction to increasing reports of high turnover rates and burnout, hospice nursing notwithstanding. As a nursing shortage looms, it is vital to retain satisfied, healthy nurses, especially in such stressfully charged areas as home hospice nursing. The purpose of this qualitative hermeneutic phenomenological study was to investigate the lived experience of being a hospice nurse within the unique context of home hospice nursing. Further, in alignment with the guiding framework of the Neuman Systems Model (NSM), this study aimed to illuminate perceptions of stressors, experiences of stressor reactions, and ways home hospice nurses manage stressors. Thirteen home hospice nurses were interviewed and provided rich, detailed descriptions about their lived experiences. Following data analysis using van Manen’s stages and NVivo software, four themes emerged: (1) The calling, (2) The reward of connecting, (3) Dealing with challenges, and (4) Managing daily stress. Based on data analysis, it was concluded that home hospice nurses found gifts in their daily experiences, including self-discovery of meaning, fulfillment, and rewards in caring for patients and families at the end of life. However, the unique challenges home hospice nurses face, or grievances, are deserving of enhanced attention from hospice organizations.

Indexing (document details)
Advisor: Treschuk, Judith
Commitee:
School: University of Phoenix
School Location: United States -- Arizona
Source: DAI-B 76/08(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Nursing, Occupational psychology, Health care management
Keywords: Coping, Home hospice nurse, Hospice, Managing stress, Stress
Publication Number: 3691998
ISBN: 9781321670554
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