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Oceanic Palliative Care Conference 2023
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Nurses’ experience of patients having end-of-life dreams and visions (ELDVs) in an acute care setting

Rapid Fire Presentation

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Presentation Description

Institution: University of Technology - Sydney - New South Wales, Australia

Background

End-of-life dreams and visions (ELDVs) are a common accompaniment to the dying process. International studies have shown that 69-84% of dying patients report having dreams or visions primarily of deceased loved ones and that these experiences are a source of comfort for not only the dying person but also their families.  60-90% of healthcare professionals in palliative care settings and residential aged care facilities report either witnessing or being told of an ELDV in the preceding 5 years.   

In Australia, more than 50% of end-of-life care occurs in an acute care hospital and this care is provided by doctors and nurses who may not have received any education, either undergraduate or post-graduate, regarding holistic end-of-life care. It seems likely that acute care nurses may therefore be less likely to identify and provide support for ELDVs than those working in palliative care and residential aged care settings.

Aim 

 This study aims to:

  •  estimate the proportion of acute care nurses who have been told of an ELDV by a patient or family member;
  • assess the attitudes and beliefs of acute care nurses regarding ELDVs;
  • assess how acute care nurses respond to ELDVs;
  • assess educational needs regarding ELDVs. 

Methods

The study is in progress using an explanatory sequential mixed methods design. Participants are medical and surgical nurses at a single hospital in Sydney. Phase one is using a cross-sectional survey to provide summary descriptive and inferential statistics and is due to be completed in June 2023. Phase two will involve in-depth semi-structured interviews to be completed in the second half of 2023.

Results

As of 17th March, the survey had recruited 30 of 164 (18%) medical/surgical nurses at the hospital. Final results from the survey will be presented at the conference, together with emerging themes from the interviews.

Presenters

Authors

Authors

Mrs Alison Hession - Faculty of Health, University of Technology Sydney , Dr Tim Luckett - University of Technology - Faculty of Health , Dr Michael Barbato - Department of Palliative Care - Port Kembla Hospital

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