title: Rural nursing and quality end-of-life care: palliative care ... palliative approach ... or somewhere in-between?
abstract: Secondary analysis of data from 2 studies examining palliative care in rural areas was conducted with the aim to better understand how a nursing palliative approach influences quality outcomes at end-of-life. Nurses' ways of being that brought connection and comfort at end-of-life included paying attention to time, privacy, and family support. The rural context with its geography, relationships, and unique resources influenced nurses' abilities to enact a palliative approach. Findings demonstrate that urban-centric models of palliative care do not fit well in rural nursing practice and highlight the importance of understanding the rural context.
authors.affiliation: School of Nursing, University of British Columbia, British Columbia, Canada. barb.pesut@ubc.ca
authors.forename: Barbara
authors.initials: B
authors.lastname: Pesut
authors.forename: Barbara
authors.initials: B
authors.lastname: McLeod
authors.forename: Rachelle
authors.initials: R
authors.lastname: Hole
authors.forename: Miranda
authors.initials: M
authors.lastname: Dalhuisen
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002170:Canada; D017028:Caregivers / Q000706:statistics & numerical data / Q000600:supply & distribution; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009732:Nursing Care / Q000379:methods / Q000523:psychology*; D010166:Palliative Care; D011368:Professional-Family Relations; D036301:Qualitative Research; D011787:Quality of Health Care; D019035:Rural Health Services; D013727:Terminal Care