ArticleAsia-Pacific journal of oncology nursing
Visiting Nurses' Perspectives on Practices to Achieve End-of-Life Cancer Patients' Wishes for Death at Home: A Qualitative Study.
Article in Asia-Pacific journal of oncology nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The Core Competencies of Nurses Providing Home-based Palliative Care to Patients with Incurable Diseases: A Scoping Review.International journal of community based nursing and midwifery · 2026Article
- Nursing care to patients who have the home as the preferred place of death: a scoping review.BMC health services research · 2024Article
- Nursing activities for health promotion in palliative home care: an integrative review.Palliative care and social practice · 2024Review
- Home care nurses facilitating planned home deaths. A focused ethnography.BMC palliative care · 2023Article
- Community Nurses' Preparations for and Challenges in Providing Palliative Home Care: A Qualitative Study.International journal of environmental research and public health · 2021Article
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Authors and funding
4 authors.
Funding
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Abstract
objectiveThis study aimed to clarify visiting nurses' perspectives on critical practices to ensure they could advocate for patients who prefer to die at home.
methodsSixteen nurses, working at home-visit nursing agencies in Japan, participated in this study. Data were generated by interviews with the nurses and participant observations from nursing home-visits for six end-of-life cancer patients and were analyzed using content analysis.
resultsFive themes emerged: (1) nursing assessment, (2) support for comfortable daily life of the patient and their family, (3) advocating for the patient's views about continuing homecare until death, (4) supporting the patient's preparedness for death, and (5) coordination with other health professionals and related facilities for a comfortable environment for the patient. In addition, the nurses sometimes used humorous responses to death-related work to change the patient's melancholy thoughts.
conclusionThe present study found that the participants advocated for the patient's views about continuing homecare until death while coordinating views between the patient and their family; they further supported the patient's daily life while helping them prepare for death to achieve their wish for death at home. In addition, our study uncovered the visiting nurses' unconscious practical wisdom of using humorous responses to death-related work to alleviate the patients' feelings of hopelessness. To develop practical wisdom for using humor effectively in end-of-life care, nurses need to verbalize unconscious practices, and accumulate empirical knowledge about nursing interventions using humor, including cultural attitudes, through case study analysis.
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