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Nurs Ethics. 2015 Jun;22(4):479-92. doi: 10.1177/0969733014538889. Epub 2014 Jun 29.

District nurse advocacy for choice to live and die at home in rural Australia: a scoping study.

Author information

1
La Trobe University, Australia fmreed@students.latrobe.edu.au.
2
La Trobe University, Australia.

Abstract

BACKGROUND:

Choice to live and die at home is supported by palliative care policy; however, health resources and access disparity impact on this choice in rural Australia. Rural end-of-life home care is provided by district nurses, but little is known about their role in advocacy for choice in care.

OBJECTIVES:

The study was conducted to review the scope of the empirical literature available to answer the research question: What circumstances influence district nurse advocacy for rural client choice to live and die at home?, and identify gaps in the knowledge.

METHOD:

Interpretive scoping methodology was used to search online databases, identify suitable studies and select, chart, analyse and describe the findings.

RESULTS:

34 international studies revealed themes of 'the nursing relationship', 'environment', 'communication', 'support' and 'the holistic client centred district nursing role.

DISCUSSION:

Under-resourcing, medicalisation and emotional relational burden could affect advocacy in rural areas.

CONCLUSION:

It is not known how district nurses overcome these circumstances to advocate for choice in end-of-life care. Research designed to increase understanding of how rural district nurses advocate successfully for client goals will enable improvements to be made in the quality of end-of-life care offered.

KEYWORDS:

Advocacy; community; district nursing; end-of-life; holistic; palliative

PMID:
24981253
DOI:
10.1177/0969733014538889
[Indexed for MEDLINE]

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