Keywords

acute care, attitudes, barriers and facilitators, critical care, death and dying, ED, education, emergency department, end-of-life care, EOLC, experiences, knowledge, medical, nursing, palliative care, terminal care

 

Authors

  1. Omoya, Oluwatomilayo (Tomi) PhD, RN, GradDip(Emergency Nursing), BN(Hons), MCENA
  2. De Bellis, Anita PhD Flin, MN Flin, BN(Man) Flin, RN, DipN SACAE
  3. Breaden, Katrina PhD, MN, BAppSc(Nursing), RN, GradCertEd(Higher Education)

Abstract

There have been significant advancements in the fields of medicine, demography, and pathology. These disciplines have contributed to the classification and control of death and dying. People are now living longer with numerous comorbidities, and there is a significant aging population. Consequently, there have been increases in the numbers of people who present to emergency departments across Australia seeking access to care at the end of life. Emergency department staff must have the knowledge and skills required to provide end-of-life care in a setting that traditionally contradicts the goals of comfort care. With the increase in demand for end-of-life care in emergency departments, a gap exists in the experiences of how staff provide such care in this setting. As a result of this gap, it is important to understand the lived experiences of emergency department doctors and nurses who provide end-of-life care. The aim of this research is to understand the lived experiences of emergency department doctors and nurses concerning death, dying, and end-of-life care provision. Data were analyzed using Diekelmann's 7-step analysis to support Gadamer's phenomenological approach. Results indicate that challenges exist in the decision-making process of end-of-life care in emergency departments.