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Rural Nursing and Quality End-of-Life Care: Palliative Care ... Palliative Approach ... or Somewhere In-Between?

Pesut, Barbara PhD, RN; McLeod, Barbara MSN, BSN, RN; Hole, Rachelle PhD, MSW; Dalhuisen, Miranda BSN, RN

doi: 10.1097/ANS.0b013e31826b8687
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Secondary analysis of data from 2 studies examining palliative care in rural areas was conducted with the aim to better understand how a nursing palliative approach influences quality outcomes at end-of-life. Nurses' ways of being that brought connection and comfort at end-of-life included paying attention to time, privacy, and family support. The rural context with its geography, relationships, and unique resources influenced nurses' abilities to enact a palliative approach. Findings demonstrate that urban-centric models of palliative care do not fit well in rural nursing practice and highlight the importance of understanding the rural context.

School of Nursing (Dr Pesut), and School of Social Work, Centre for Inclusion and Citizenship (Dr Hole), University of British Columbia (Ms Dalhuisen), Kelowna; and Fraser Health Authority, Surrey (Ms McLeod), British Columbia, Canada.

Correspondence: Barbara Pesut PhD, RN, School of Nursing, Health Ethics and Diversity, Room 287, ASC II, 3333 University Way, Kelowna, British Columbia, Canada V1V 1V7 (barb.pesut@ubc.ca).

This work was made possible through funding from the Faculty of Health and Social Development at the University of British Columbia. Dr Pesut is supported by a Canada Research Chair. This work was done in association with iPANEL, a Michael Smith Foundation for Health Research team initiative.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2012 Lippincott Williams & Wilkins, Inc.