title: "Changing lanes": facilitating the transition from curative to palliative care.
abstract: Little empirical work has been conducted assessing the perspectives of nurses regarding the barriers, facilitators, and strategies associated with achieving quality patient care at the end of life. A grounded theory study was conducted examining nursing behaviours and social processes inherent in the provision of quality end-of-life care from the perspective of generalist nurses (n = 10) working in an acute care setting. An inductively derived preliminary model, "creating a haven for safe passage", was developed based on the findings from this study and has been published elsewhere (1). This article provides a detailed description of one of the subprocesses of the model regarding the transition from curative to palliative care--the subprocess of "facilitating and maintaining a lane change". The various strategies which nurses used to effect a lane change, as well as the facilitators and barriers they encountered in this process, are presented. The consequences associated with both successful and unsuccessful lane changes are reported.
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
authors.forename: Genevieve N
authors.initials: GN
authors.lastname: Thompson
authors.forename: Susan E
authors.initials: SE
authors.lastname: McClement
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Daeninck
mesh_terms: D000208:Acute Disease / Q000451:nursing; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D032722:Advance Care Planning; D000368:Aged; D001291:Attitude of Health Personnel; D003142:Communication; D005190:Family / Q000523:psychology; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008350:Manitoba; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010166:Palliative Care / Q000458:organization & administration / Q000523:psychology; D010344:Patient Advocacy; D010353:Patient Education as Topic; D011368:Professional-Family Relations; D011787:Quality of Health Care; D011795:Surveys and Questionnaires