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dc.contributor.authorAgom, David
dc.contributor.authorSixsmith, Judith
dc.contributor.authorOminyi, Jude
dc.contributor.authorOnyeka, Tonia
dc.contributor.authorAgom, Joy C.
dc.date.accessioned2022-08-09T10:58:43Z
dc.date.available2022-08-05T00:00:00Z
dc.date.available2022-08-09T10:58:43Z
dc.date.issued2022-08-05
dc.identifier.citationAgom DA, Sixsmith J, Ominyi J, Onyeka TC, Agom JC (2022) 'Placing care: the impact of the physical environment on experiences of providing and utilizing palliative care', Journal of Nursing Research, 30 (5) e237en_US
dc.identifier.issn1682-3141
dc.identifier.pmid35939794
dc.identifier.doi10.1097/jnr.0000000000000508
dc.identifier.urihttp://hdl.handle.net/10547/625501
dc.description.abstractEnvironmental design in palliative and end-of-life care is known to improve care outcomes, service-user satisfaction, and the continuation of service uptake. No study in the literature has investigated the influence of the environment on palliative and end-of-life care in Nigeria or other African contexts. This study was designed to explore the impact of the physical environment (i.e., place and people) on staff and service users and how these influence the experiences of providing and using palliative and end-of-life care in a Nigerian hospital context. Ethnographic methodology was employed because this approach facilitates understanding of environmental realities. This study is part of a larger ethnographic research project developed to uncover aspects of organizational complexities related to the provision and use of palliative and end-of-life care in the Nigerian context. Three hundred fifty hours of participant observation was achieved, and semistructured interviews were used to gather data from 26 participants, including 10 patients, 11 members of a palliative care team, and five hospital managers. Informal chats and photographic capture were additional methods used in data collection. Thematic analysis was conducted to identify and analyze patterns within the collected data. Physical space, equipment, and placing staff were the three primary themes identified. The physical environment was untidy, and the ward layout prevented privacy, dignity, or comfort for patients and families. The equipment was old and inadequate, and the context of care was worsened by insufficient staffing and neglect of the environmental needs of the staff. Hospital design for palliative and end-of-life care in Nigeria is "autoinhibitory" (a negative feedback mechanism whereby hospital design detracts rather than promote quality of care), and a physical environment that supports the provision and utilization of care must be implemented to promote palliative and end-of-life care success. Urgent policy action is needed to improve environmental and staffing conditions to advance palliative and end-of-life care in Nigeria.en_US
dc.language.isoenen_US
dc.publisherLippincott, Williams & Wilkinsen_US
dc.relation.urlhttps://journals.lww.com/jnr-twna/Fulltext/9900/Placing_Care__The_Impact_of_the_Physical.23.aspxen_US
dc.rightsYellow - can archive pre-print (ie pre-refereeing)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectpalliative careen_US
dc.subjectSubject Categories::B701 Palliative Care Nursingen_US
dc.titlePlacing care: the impact of the physical environment on experiences of providing and utilizing palliative careen_US
dc.typeArticleen_US
dc.identifier.eissn1948-965X
dc.contributor.departmentUniversity of Bedfordshireen_US
dc.contributor.departmentUniversity of Dundeeen_US
dc.contributor.departmentUniversity of Nigeriaen_US
dc.contributor.departmentRegent College, Londonen_US
dc.identifier.journalJournal of Nursing Researchen_US
dc.date.updated2022-08-09T10:54:06Z
dc.description.notegold open access
dc.description.fundingThe Tertiary Education Trust Fund and the Ebonyi State University provided for financial assistance for this study
dc.description.fundingThe Tertiary Education Trust Fund and the Ebonyi State University provided for financial assistance for this study


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