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Opinions of Nurses Working in the Palliative Care Unit on the Subject of Consultation Liaison Psychiatry: A Qualitative Study

Year 2024, Volume: 27 Issue: 4, 342 - 349, 06.12.2024
https://doi.org/10.17049/jnursology.1418611

Abstract

Objective: This research was conducted to examine the opinions of nurses working in the palliative care unit about consultation liaison psychiatry.
Methods: The research, which was conducted in accordance with the phenomenological design, which is one of the qualitative research designs, was conducted between May and July 2022 with 11 nurses working in the palliative unit of a hospital located in a province in the west of Turkey. "Semi-Structured Interview Form" was used to collect data. Interviews with participants were audio recorded. The analysis of the research data was evaluated using the descriptive analysis method.
Results: Three themes were reached in this qualitative research conducted with nurses working in the palliative care unit. These are feelings/thoughts about working in the palliative unit, difficulties experienced in the palliative care unit, and thoughts about consultation-liaison psychiatry.
Conclusion: As a result of the research, it was determined that nurses working in the palliative care unit felt helpless and close to death, but they felt productive and useful because they helped patients, they thought that the palliative care unit was the place where nursing care was best provided, and they experienced professional satisfaction. Nurses state that working conditions are difficult. It was determined that nurses did not have sufficient knowledge about consultation-liaison psychiatry. There is a need for the development of consultation and liaison psychiatry to improve the physical and mental health levels of nurses, patients and their relatives.

References

  • 1. Fitch, MI, Fliedner, MC, O’Connor, M. Nursing perspectives on palliative care. APM. 2015;4(3):150-155. https://doi.org/10.3978/j.issn.2224-5820.2015.07.04
  • 2. International Society of Nurses in Cancer Care (ISNCC), 2015. https://isncc.org/?page=Position_Statements
  • 3. WHO. (2020). World Health Organization. Available at: https://www.who.int/ Erişim tarihi: 20.06.2023.
  • 4. Haavisto, E, Soikkeli‐Jalonen, A, Tonteri, M, Hupli, M. Nurses’ required end‐of‐life care competence in health centres inpatient ward – a qualitative descriptive study. Scand J Caring Sci. 2021;35(2):577-585. https://doi.org/10.1111/scs.12874
  • 5. May, S, Gabb, F, Ignatyev, Y, Ehrlich-Repp, J, Stahlhut, K, Heinze, M, et al. Mental and physical well-being and burden in palliative care nursing: a cross-setting mixed-methods study. Int J Environ Res Public Health. 2022;19(10):6240. https://doi.org/10.3390/ijerph19106240
  • 6. Kocaman, N. Consultation liaison nurse and psychosocial care in the general hospital. Türkiye Klinikleri J Int Med Sci. 2006;2(47):97-107. https://www.researchgate.net/publication/237475092
  • 7. Kocaman, N. What is psychiatirc consultation liaison nursing and the role? Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2005;8(3):107-118. https://dergipark.org.tr/tr/pub/ataunihem/issue/2631/33853
  • 8. Ekinci, M, Okanlı, A. Consultation liaison psychiatric nursing. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2001;4(2):75-80. https://dergipark.org.tr/tr/pub/ataunihem/issue/2620/33723
  • 9. Yıldırım, S, Şimşek, E, Geridönmez, K, Basma, Ş, Vurak, Ü. Examination of knowledge and practices of nurses about consultation liaison psychiatry nursing. Journal of Psychiatric Nursing. 2019;10(2):96-102. https://doi.org/10.14744/phd.2019.21548
  • 10. Yıldırım, A, Şimşek, H. Qualitative Research Methods in Social Sciences. Seçkin Yayıncılık, Ankara; 2018.
  • 11. Sheperis, CJ, Young, JS, Daniels, H. Counseling research: quantitative, and mixed methods. In: New Jersey: Pearson Education; 2010.
  • 12. Creswell, JW. Qualitative research methods. (M. Butun ve S. B. Demir Cev. Ed.). Ankara: Siyasal Kitabevi; 2016.
  • 13. Tong, A, Sainsbury, P, Craig, J. Consolidated criteria for reporting qualitative research (coreq): a 32-item checklist for ınterviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. https://doi.org/10.1093/intqhc/mzm042
  • 14. Akın, E, Yıldırım, D, Özçi̇ftçi̇, S, Tokem, Y. First clinical practice experiences of nursing first class students in palliative care. KOU Sag Bil Derg. 2020;6(1):1-6. https://doi.org/10.30934/kusbed.568973
  • 15. Alıncak, G, Acavut, G, Soyaslan, BD, Zengi̇n, H. Nurses' views on palliative care and death: A qualitative study. SBÜHD 2022;4(2):69-76. https://doi.org/10.48071/sbuhemsirelik.1125775
  • 16. Akdeni̇z Kudubeş, A, Bektaş, M. The predict of palliative care knowledge and practice in the palliative care difficulties of nursing students: descriptive research. J Tradit Complem Med. 2021;4(3):385-393. https://doi.org/10.5336/jtracom.2020-80776
  • 17. Karaca Si̇vri̇kaya, S, Eri̇şen, M. Examination of burnout and work-related tension levels of health workers. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2019;22(2):121-129. https://dergipark.org.tr/tr/pub/ataunihem/issue/46381/480760
  • 18. Kara, B. The unconscious patient with intensive care nurses communication- interaction concerning approach. Tez. İnönü Üniversitesi Sağlık Bilimleri Enstitüsü; 2014.
  • 19. Menekli̇, T. Problems experienced by healthcare professionals caring for palliatıve care patients and solution suggestions. J Pro Health Res. 2023;5(1):81-88. https://doi.org/10.57224/jhpr.1073872
  • 20. Lee, W, DiGiacomo, M, Draper, B, Agar, MR, Currow, DC. A focus group study of palliative physician and consultation-liaison psychiatrist perceptions of dealing with depression in the dying. Journal of Palliative Care. 2022;37(4):535-544. https://doi.org/10.1177/08258597221121453
  • 21. Köktürk Dalcalı, B. Spiritual care and nursing in palliative care units. Sakarya Üniversitesi Holistik Sağlık Dergisi. 2019;2(2):29-37. https://dergipark.org.tr/tr/pub/sauhsd/issue/50266/555769
  • 22. Kavşur, Z, Sevi̇mli̇, E. The comparison palliative care services of turkey with some developed countries. USBAD 2020;2(4):715-730. https://doi.org/10.47994/usbad.780187
  • 23. Akgün Kostak, M, Akan, M. Palliative care for children in terminal period. Turk J Oncol. 2011;26(4):182-193. https://www.onkoloji.dergisi.org/abstract.php?lang=en&id=797

Palyatif Bakım Biriminde Çalışan Hemşirelerin Konsültasyon Liyezon Psikiyatri Konusundaki Görüşleri: Nitel Bir Çalışma

Year 2024, Volume: 27 Issue: 4, 342 - 349, 06.12.2024
https://doi.org/10.17049/jnursology.1418611

Abstract

Amaç: Bu araştırma, palyatif bakım biriminde çalışan hemşirelerin konsültasyon liyezon psikiyatri konusundaki görüşlerini incelemek amacıyla yapılmıştır.
Yöntemler: Nitel araştırma desenlerinden olan fenomenolojik desene uygun olarak yapılan araştırma Mayıs- Temmuz 2022 tarihleri arasında Türkiye'nin batısındaki bir ilde yer alan hastanenin palyatif biriminde çalışan 11 hemşire ile yapılmıştır. Verilerin toplanmasında “Yarı Yapılandırılmış Görüşme Formu” kullanılmıştır. Katılımcılar ile yapılan görüşmeler ses kaydına alınmıştır. Araştırma verilerinin analizi, betimsel analiz yöntemi ile değerlendirilmiştir.
Bulgular: Palyatif bakım biriminde çalışan hemşirelerle yürütülmüş olan niteliksel olan bu araştırmada üç temaya ulaşılmıştır. Bunlar palyatif biriminde çalışmaya ilişkin duygular/düşünceler, palyatif bakım ünitesinde yaşanan güçlükler ve konsültasyon liyezon psikiyatrisi konusundaki düşünceler şeklindedir.
Sonuç: Araştırma sonucunda, palyatif bakım biriminde çalışan hemşirelerin çaresizlik, ölüme yakın hissettikleri ancak hastalara yardımcı oldukları için kendilerini verimli, işe yarar hissettikleri, palyatif bakım biriminin hemşirelik bakımının en iyi yapıldığı yer olduğunu düşündükleri ve mesleki doyum yaşadıkları belirlenmiştir. Hemşireler çalışma koşullarının zor olduğunu ifade etmektedirler. Hemşirelerin konsültasyon liyezon psikiyatrisi konusunda yeterli bilgiye sahip olmadıkları saptanmıştır. Hemşirelerin, hasta ve yakınlarının fiziksel ve ruhsal sağlık düzeylerini geliştirmek için konsültasyon ve liyezon psikiyatrisinin gelişmesine ihtiyaç duyulmaktadır.

References

  • 1. Fitch, MI, Fliedner, MC, O’Connor, M. Nursing perspectives on palliative care. APM. 2015;4(3):150-155. https://doi.org/10.3978/j.issn.2224-5820.2015.07.04
  • 2. International Society of Nurses in Cancer Care (ISNCC), 2015. https://isncc.org/?page=Position_Statements
  • 3. WHO. (2020). World Health Organization. Available at: https://www.who.int/ Erişim tarihi: 20.06.2023.
  • 4. Haavisto, E, Soikkeli‐Jalonen, A, Tonteri, M, Hupli, M. Nurses’ required end‐of‐life care competence in health centres inpatient ward – a qualitative descriptive study. Scand J Caring Sci. 2021;35(2):577-585. https://doi.org/10.1111/scs.12874
  • 5. May, S, Gabb, F, Ignatyev, Y, Ehrlich-Repp, J, Stahlhut, K, Heinze, M, et al. Mental and physical well-being and burden in palliative care nursing: a cross-setting mixed-methods study. Int J Environ Res Public Health. 2022;19(10):6240. https://doi.org/10.3390/ijerph19106240
  • 6. Kocaman, N. Consultation liaison nurse and psychosocial care in the general hospital. Türkiye Klinikleri J Int Med Sci. 2006;2(47):97-107. https://www.researchgate.net/publication/237475092
  • 7. Kocaman, N. What is psychiatirc consultation liaison nursing and the role? Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2005;8(3):107-118. https://dergipark.org.tr/tr/pub/ataunihem/issue/2631/33853
  • 8. Ekinci, M, Okanlı, A. Consultation liaison psychiatric nursing. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2001;4(2):75-80. https://dergipark.org.tr/tr/pub/ataunihem/issue/2620/33723
  • 9. Yıldırım, S, Şimşek, E, Geridönmez, K, Basma, Ş, Vurak, Ü. Examination of knowledge and practices of nurses about consultation liaison psychiatry nursing. Journal of Psychiatric Nursing. 2019;10(2):96-102. https://doi.org/10.14744/phd.2019.21548
  • 10. Yıldırım, A, Şimşek, H. Qualitative Research Methods in Social Sciences. Seçkin Yayıncılık, Ankara; 2018.
  • 11. Sheperis, CJ, Young, JS, Daniels, H. Counseling research: quantitative, and mixed methods. In: New Jersey: Pearson Education; 2010.
  • 12. Creswell, JW. Qualitative research methods. (M. Butun ve S. B. Demir Cev. Ed.). Ankara: Siyasal Kitabevi; 2016.
  • 13. Tong, A, Sainsbury, P, Craig, J. Consolidated criteria for reporting qualitative research (coreq): a 32-item checklist for ınterviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357. https://doi.org/10.1093/intqhc/mzm042
  • 14. Akın, E, Yıldırım, D, Özçi̇ftçi̇, S, Tokem, Y. First clinical practice experiences of nursing first class students in palliative care. KOU Sag Bil Derg. 2020;6(1):1-6. https://doi.org/10.30934/kusbed.568973
  • 15. Alıncak, G, Acavut, G, Soyaslan, BD, Zengi̇n, H. Nurses' views on palliative care and death: A qualitative study. SBÜHD 2022;4(2):69-76. https://doi.org/10.48071/sbuhemsirelik.1125775
  • 16. Akdeni̇z Kudubeş, A, Bektaş, M. The predict of palliative care knowledge and practice in the palliative care difficulties of nursing students: descriptive research. J Tradit Complem Med. 2021;4(3):385-393. https://doi.org/10.5336/jtracom.2020-80776
  • 17. Karaca Si̇vri̇kaya, S, Eri̇şen, M. Examination of burnout and work-related tension levels of health workers. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2019;22(2):121-129. https://dergipark.org.tr/tr/pub/ataunihem/issue/46381/480760
  • 18. Kara, B. The unconscious patient with intensive care nurses communication- interaction concerning approach. Tez. İnönü Üniversitesi Sağlık Bilimleri Enstitüsü; 2014.
  • 19. Menekli̇, T. Problems experienced by healthcare professionals caring for palliatıve care patients and solution suggestions. J Pro Health Res. 2023;5(1):81-88. https://doi.org/10.57224/jhpr.1073872
  • 20. Lee, W, DiGiacomo, M, Draper, B, Agar, MR, Currow, DC. A focus group study of palliative physician and consultation-liaison psychiatrist perceptions of dealing with depression in the dying. Journal of Palliative Care. 2022;37(4):535-544. https://doi.org/10.1177/08258597221121453
  • 21. Köktürk Dalcalı, B. Spiritual care and nursing in palliative care units. Sakarya Üniversitesi Holistik Sağlık Dergisi. 2019;2(2):29-37. https://dergipark.org.tr/tr/pub/sauhsd/issue/50266/555769
  • 22. Kavşur, Z, Sevi̇mli̇, E. The comparison palliative care services of turkey with some developed countries. USBAD 2020;2(4):715-730. https://doi.org/10.47994/usbad.780187
  • 23. Akgün Kostak, M, Akan, M. Palliative care for children in terminal period. Turk J Oncol. 2011;26(4):182-193. https://www.onkoloji.dergisi.org/abstract.php?lang=en&id=797
There are 23 citations in total.

Details

Primary Language Turkish
Subjects Mental Health Nursing
Journal Section Research Articles
Authors

Mehtap Kızılkaya 0000-0002-4000-8926

Sema Toker 0000-0003-4873-871X

Özge Yılmaz 0009-0003-2924-9571

Early Pub Date November 20, 2024
Publication Date December 6, 2024
Submission Date January 15, 2024
Acceptance Date October 27, 2024
Published in Issue Year 2024 Volume: 27 Issue: 4

Cite

AMA Kızılkaya M, Toker S, Yılmaz Ö. Palyatif Bakım Biriminde Çalışan Hemşirelerin Konsültasyon Liyezon Psikiyatri Konusundaki Görüşleri: Nitel Bir Çalışma. Journal of Nursology. December 2024;27(4):342-349. doi:10.17049/jnursology.1418611

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