title: Stress in hospice at home nurses:  a qualitative study of their experiences of their work and wellbeing.
abstract: The literature has evaluated studies of hospice nurses and stress but very few studies have focused on community hospice nurses. This study explored hospice at home nurses' experiences of caring for palliative and dying patients. Hospice at home nurses working in the community across North West Wales were interviewed and a grounded theory approach was used to categorise the data into the following themes: job satisfaction, stressors, coping strategies, and support. Recommendations arising from the study include encouraging the use of clinical supervision, attendance at multidisciplinary meetings, and the provision of stress-awareness training, and raising awareness of the role of hospice at home nurses in primary care. Implementation of these recommendations might be beneficial for staff wellbeing. Further work would identify whether such recommendations can help to prevent sickness and promote staff retention.
authors.affiliation: Betsi Cadwalader University Health Board, Palliative Care Department, Bodfan Eryri Hospital, Caernarfon, Gwynedd, Wales.
authors.forename: Karen
authors.initials: K
authors.lastname: Tunnah
authors.forename: Angela
authors.initials: A
authors.lastname: Jones
authors.forename: Rosalynde
authors.initials: R
authors.lastname: Johnstone
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D005260:Female; D006738:Hospices; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D036301:Qualitative Research; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology* / Q000209:etiology*; D014852:Wales / Q000453:epidemiology