Nurses experiences in the care of end stage patients

Caring for dying patient is one of the painful events and a tough experience for nurses. Care of dying patient according to his/her cultural norms is one of the principles of nurse’s professionalism. Therefore identifying and explaining the daily experiences of nurses in cultural care of dying patients would help in determining caring standards. Due to the lack of such studies, the aim of this study was to explain the nurses’ experiences in the care of dying patients. This study is a qualitative investigation with content analysis method. Eighteen nurses working in teaching hospitals of Tehran were selected by purposeful sampling method from 2010 to 2011. Data were collected through semi-structured face to face interviews. Content of the interviews were transcribed and analyzed by content analysis. The findings were classified into two themes of cultural exposure and cultural skills. Understanding of family presence and family bereavement were two sub-themes of cultural exposure. Cultural skills consist of 3 sub-themes i.e., preparation for telling bad news, facilitating facing death and solacing family members. Regarding our results, in order to meet patients and their families expectations in a respectful manner, nurses awareness of cultural norms of the dying patient and his/her family seems to be necessary. It would be an important step in reforming and improving nursing performance and professional development.