title: The nurse as coach in care of the dying.
abstract: Nurses' inability to articulate many aspects of their work leads to its invisibility, a problem compounded in home-based palliative care where the nurse's work is rarely seen by others. A staff development exercise was undertaken which aimed to assist specialist palliative care nurses to articulate their relationships with patients to members of the inter-disciplinary team. The process was specifically aimed at understanding patients' and families' refusals to receive psycho-social care from other team members. It explores, through four narrative vignettes, the tension between nursing and non-nursing roles when patients refuse non-nurse care. At the centre of this tension are the issues inherent in nursing roles which frequently sit at the boundaries of other health practitioners.
authors.affiliation: Palliative Care Centre, Palliative Care & School of Postgraduate Nursing, University of Melbourne.
authors.forename: S K
authors.initials: SK
authors.lastname: Aranda
authors.forename: J
authors.initials: J
authors.lastname: Kelso
mesh_terms: D000328:Adult; D005260:Female; D006699:Home Care Services; D006801:Humans; D007587:Job Description; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D013041:Specialties, Nursing / Q000193:education / Q000458:organization & administration*; D013727:Terminal Care / Q000379:methods* / Q000523:psychology*