B130

An exploration of palliative care nurse specialists understanding of suffering

Heather Davies

University of the West of England, Bristol, UK

Background

Suffering is the individual's response to circumstances that befall them and are perceived to have a negative impact. Nurses aim to help patients integrate suffering into their lives, which requires a deep understanding of the patient. Arguably, what suffering means to palliative care nurses will determine the focus and practical aspects of their care.

Method

The study was guided by the ideas of hermeneutic phenomenology. Thirty one palliative care clinical nurse specialists working in south and mid Wales were interviewed to determine their understanding of suffering. Interviews enabled the exploration of their experiences and views. The data was analysed using the principles of phenomenological interpretation.

Results

The palliative care nurse specialists had difficulty articulating the concept of suffering but their descriptions, often using clinical scenarios, mirrored the literature. Their understanding of suffering influenced their care management.

Conclusion

Education about suffering may enable palliative care nurses develop skills and knowledge in the care of patients who are suffering and help in identification of suffering in practice.