ArticleBMC medical education2017
Doctors' learning experiences in end-of-life care - a focus group study from nursing homes.
Article in BMC medical education, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes: a cluster randomised trial.Age and ageing · 2022Trial
- Physicians' perspectives of palliative care quality in nursing homes: a cross-sectional study.Scandinavian journal of primary health care · 2027Article
- Physicians' Perceptions of the Quality of Palliative Care and of the Importance of Collaboration in Interdisciplinary Teams in Norwegian Nursing Homes.Journal of multidisciplinary healthcare · 2025Article
- The doctor's presence created a safe space - a mixed methods study of students' learning outcomes from an elective course in palliative medicine.BMC medical education · 2024Article
- Physicians' understandings and experience of advance care planning in Norwegian nursing homes: a qualitative study.BMC palliative care · 2024Article
- How Internal Medicine Residents Deal with Death and Dying: a Qualitative Study of Transformational Learning and Growth.Journal of general internal medicine · 2022Article
- Internal medicine residents' perceptions and experiences in palliative care: a qualitative study in the United Arab Emirates.BMC palliative care · 2022Article
- Transformative Learning in Graduate Medical Education: A Scoping Review.Journal of graduate medical education · 2021Article
- Challenges and facilitators in delivering optimal care at the End of Life for older patients: a scoping review on the clinicians' perspective.Aging clinical and experimental research · 2021Article
- A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France.BMC palliative care · 2020Article
- Hope in Hospitalized Patients with Terminal Cancer.International journal of environmental research and public health · 2019Article
- Significance of advance care planning in nursing homes: views from patients with cognitive impairment, their next of kin, health personnel, and managers.Clinical interventions in aging · 2019Article
- Palliative care culture in nursing homes: the relatives' perspective.Journal of research in nursing : JRN · 2018Article
- Advance Care Planning in Nursing Homes - Improving the Communication Among Patient, Family, and Staff: Results From a Cluster Randomized Controlled Trial (COSMOS).Frontiers in psychology · 2018Article
- What do Japanese residents learn from treating dying patients? The implications for training in end-of-life care.BMC medical education · 2017Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDoctors often find dialogues about death difficult. In Norway, 45% of deaths take place in nursing homes. Newly qualified medical doctors serve as house officers in nursing homes during internship. Little is known about how nursing homes can become useful sites for learning about end-of-life care. The aim of this study was to explore newly qualified doctors' learning experiences with end-of-life care in nursing homes, especially focusing on dialogues about death.
methodsHouse officers in nursing homes (n = 16) participated in three focus group interviews. Interviews were audiotaped and transcribed verbatim. Data were analysed with systematic text condensation. Lave & Wenger's theory about situated learning was used to support interpretations, focusing on how the newly qualified doctors gained knowledge of end-of-life care through participation in the nursing home's community of practice.
resultsNewly qualified doctors explained how nursing home staff's attitudes taught them how calmness and acceptance could be more appropriate than heroic action when death was imminent. Shifting focus from disease treatment to symptom relief was demanding, yet participants comprehended situations where death could even be welcomed. Through challenging dialogues dealing with family members' hope and trust, they learnt how to adjust words and decisions according to family and patient's life story. Interdisciplinary role models helped them balance uncertainty and competence in the intermediate position of being in charge while also needing surveillance.
conclusionsThere is a considerable potential for training doctors in EOL care in nursing homes, which can be developed and integrated in medical education. This practice based learning arena offers newly qualified doctors close interaction with patients, relatives and nurses, teaching them to perform difficult dialogues, individualize medical decisions and balance their professional role in an interdisciplinary setting.
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