Pam D McGrath1, Hamish A Holewa. 1. School of Nursing and Health, Central Queensland University, Brisbane, Australia. pam_mcgrath@bigpond.com
Abstract
PURPOSE/ OBJECTIVES: To present a model for end-of-life care in adult hematology that has been developed from nursing insights. DATA SOURCES: Insights obtained from 25 nursing interviews during a two-year, qualitative, Australian National Health and Medical Research Council research study. DATA SYNTHESIS: The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture. CONCLUSIONS: The authors have used the findings of their national research study to develop a useful, working model to assist with the integration of palliative care into adult hematology. IMPLICATIONS FOR NURSING: The model develops a new language for understanding and fostering the integration of palliative care and hematology.
PURPOSE/ OBJECTIVES: To present a model for end-of-life care in adult hematology that has been developed from nursing insights. DATA SOURCES: Insights obtained from 25 nursing interviews during a two-year, qualitative, Australian National Health and Medical Research Council research study. DATA SYNTHESIS: The nursing insights indicate that an understanding of end-of-life care in hematology needs to be set in a trilogy of overlapping models (labeled functional, evolving, and refractory) that address the complexity of issues associated with professional and hospital culture. CONCLUSIONS: The authors have used the findings of their national research study to develop a useful, working model to assist with the integration of palliative care into adult hematology. IMPLICATIONS FOR NURSING: The model develops a new language for understanding and fostering the integration of palliative care and hematology.