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Tiredness of life in older persons : a qualitative study on nurses’ experiences of being confronted with this growing phenomenon

Liesbeth Van Humbeeck (UGent) , Let Dillen (UGent) , Ruth Piers (UGent) and Nele Van Den Noortgate (UGent)
(2020) GERONTOLOGIST. 60(4). p.735-744
Author
Organization
Abstract
Background and Objectives: With worldwide aging it is imperative to understand nurses' perceptions of tiredness of life (ToL) and their ways of dealing with an increasingly common phenomenon. Most research on ToL relates to older individuals' experiences. This study aimed to gain insight into nurses' (a) perceptions of, (b) attitude(s) toward, and (c) ways of dealing with ToL in older patients. Research Design and Methods: Qualitative study with elements of constructivist grounded theory. Data were collected by means of semi-structured interviews between February 2016 and June 2017 with a purposive sample of 25 nurses working in home care and nursing homes. Results: A careful consideration indicative of an oscillation between 3 levels (e.g., behavioral, cognitive, and affective) is present. The confrontation with persons having ToL instigates a cognitive process of searching to understand the state a person is in, which on its turn ensues in an emotional balancing between courage and powerlessness and a behavioral approach of action or dialogue. Discussion and Implications: Our findings indicate that nurses aim to provide good care, sensitive to the older person's needs, but this process is not without ambiguity. This study provides nurse managers with valuable guidance to (a) support nursing staff in dealing with ToL, and (b) advance opportunities for emotionally sensitive care and (individual- and team-based) reflection. Finally, this study offers suggestions for education programs to incorporate ToL in curricula.
Keywords
Grounded theory, Belgium, Nursing home, Home care services, Existential suffering, SUICIDAL IDEATION, SAMPLE-SIZE, PEOPLE, DEATH, CARE, WISHES, DIE, VULNERABILITY, PREVALENCE, EMOTIONS

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MLA
Van Humbeeck, Liesbeth, et al. “Tiredness of Life in Older Persons : A Qualitative Study on Nurses’ Experiences of Being Confronted with This Growing Phenomenon.” GERONTOLOGIST, vol. 60, no. 4, 2020, pp. 735–44, doi:10.1093/geront/gnz088.
APA
Van Humbeeck, L., Dillen, L., Piers, R., & Van Den Noortgate, N. (2020). Tiredness of life in older persons : a qualitative study on nurses’ experiences of being confronted with this growing phenomenon. GERONTOLOGIST, 60(4), 735–744. https://doi.org/10.1093/geront/gnz088
Chicago author-date
Van Humbeeck, Liesbeth, Let Dillen, Ruth Piers, and Nele Van Den Noortgate. 2020. “Tiredness of Life in Older Persons : A Qualitative Study on Nurses’ Experiences of Being Confronted with This Growing Phenomenon.” GERONTOLOGIST 60 (4): 735–44. https://doi.org/10.1093/geront/gnz088.
Chicago author-date (all authors)
Van Humbeeck, Liesbeth, Let Dillen, Ruth Piers, and Nele Van Den Noortgate. 2020. “Tiredness of Life in Older Persons : A Qualitative Study on Nurses’ Experiences of Being Confronted with This Growing Phenomenon.” GERONTOLOGIST 60 (4): 735–744. doi:10.1093/geront/gnz088.
Vancouver
1.
Van Humbeeck L, Dillen L, Piers R, Van Den Noortgate N. Tiredness of life in older persons : a qualitative study on nurses’ experiences of being confronted with this growing phenomenon. GERONTOLOGIST. 2020;60(4):735–44.
IEEE
[1]
L. Van Humbeeck, L. Dillen, R. Piers, and N. Van Den Noortgate, “Tiredness of life in older persons : a qualitative study on nurses’ experiences of being confronted with this growing phenomenon,” GERONTOLOGIST, vol. 60, no. 4, pp. 735–744, 2020.
@article{8621091,
  abstract     = {Background and Objectives: With worldwide aging it is imperative to understand nurses' perceptions of tiredness of life (ToL) and their ways of dealing with an increasingly common phenomenon. Most research on ToL relates to older individuals' experiences. This study aimed to gain insight into nurses' (a) perceptions of, (b) attitude(s) toward, and (c) ways of dealing with ToL in older patients.

Research Design and Methods: Qualitative study with elements of constructivist grounded theory. Data were collected by means of semi-structured interviews between February 2016 and June 2017 with a purposive sample of 25 nurses working in home care and nursing homes.

Results: A careful consideration indicative of an oscillation between 3 levels (e.g., behavioral, cognitive, and affective) is present. The confrontation with persons having ToL instigates a cognitive process of searching to understand the state a person is in, which on its turn ensues in an emotional balancing between courage and powerlessness and a behavioral approach of action or dialogue.

Discussion and Implications: Our findings indicate that nurses aim to provide good care, sensitive to the older person's needs, but this process is not without ambiguity. This study provides nurse managers with valuable guidance to (a) support nursing staff in dealing with ToL, and (b) advance opportunities for emotionally sensitive care and (individual- and team-based) reflection. Finally, this study offers suggestions for education programs to incorporate ToL in curricula.},
  author       = {Van Humbeeck, Liesbeth and Dillen, Let and Piers, Ruth and Van Den Noortgate, Nele},
  issn         = {0016-9013},
  journal      = {GERONTOLOGIST},
  keywords     = {Grounded theory,Belgium,Nursing home,Home care services,Existential suffering,SUICIDAL IDEATION,SAMPLE-SIZE,PEOPLE,DEATH,CARE,WISHES,DIE,VULNERABILITY,PREVALENCE,EMOTIONS},
  language     = {eng},
  number       = {4},
  pages        = {735--744},
  title        = {Tiredness of life in older persons : a qualitative study on nurses’ experiences of being confronted with this growing phenomenon},
  url          = {http://dx.doi.org/10.1093/geront/gnz088},
  volume       = {60},
  year         = {2020},
}

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