An Investigation of Nurses' Role in Ensuring Dignity and Comfort in End-of-Life Care in Zamfara State Healthcare Facilities
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Background of the Study: End-of-life care is not only about medical management but also about ensuring that the patient’s dignity and comfort are maintained in their final days. This holistic approach to care involves respecting the wishes of the patient and their family, alleviating suffering, and ensuring that the patient feels cared for both physically and emotionally (Ogunlade et al., 2023). In Zamfara State, where healthcare resources can be scarce, nurses often play a crucial role in providing such comprehensive end-of-life care.
Nurses are responsible for providing comfort to terminally ill patients by managing pain, alleviating symptoms, and offering emotional and psychological support (Aliyu & Shehu, 2024). They also have an essential role in ensuring that the patient's dignity is preserved, which involves maintaining privacy, offering choices regarding care, and providing culturally sensitive care (Ogundele et al., 2025). However, there are challenges that nurses in Zamfara State face in ensuring dignity and comfort, such as insufficient resources, lack of specialized training in palliative care, and socio-cultural barriers.
This study aims to investigate the role of nurses in ensuring dignity and comfort in end-of-life care in Zamfara State healthcare facilities and identify the barriers and strategies for improving care in this setting.
Statement of the Problem: The growing need for quality end-of-life care in Zamfara State is not being fully met due to limited resources and gaps in nurse training. Despite the importance of maintaining dignity and comfort for patients in the final stages of life, there is little research on how nurses ensure these aspects of care in Zamfara State. This study will explore the role of nurses in addressing these needs and highlight the challenges and solutions for improving care.
Objectives of the Study:
- To investigate the role of nurses in ensuring dignity and comfort in end-of-life care in Zamfara State healthcare facilities.
- To identify the challenges faced by nurses in providing dignity and comfort in end-of-life care.
- To recommend strategies for improving dignity and comfort in end-of-life care in Zamfara State.
Research Questions:
- How do nurses ensure dignity and comfort for terminally ill patients in Zamfara State healthcare facilities?
- What challenges do nurses face in ensuring dignity and comfort in end-of-life care in Zamfara State?
- What strategies can be implemented to improve dignity and comfort in end-of-life care in Zamfara State?
Research Hypotheses:
- Nurses who receive specialized training in palliative and end-of-life care are more effective in ensuring dignity and comfort for terminally ill patients.
- Limited resources and cultural beliefs significantly hinder nurses' ability to provide dignified and comfortable end-of-life care in Zamfara State.
- Nurse-led interventions, such as patient-centered care plans, improve the dignity and comfort of terminally ill patients in Zamfara State.
Scope and Limitations of the Study: This study will focus on nurses working in healthcare facilities in Zamfara State and their role in ensuring dignity and comfort for terminally ill patients. Limitations include potential biases in self-reported data and difficulty accessing sensitive information due to cultural norms.
Definitions of Terms:
- End-of-life care: Care provided to individuals in the final stages of their life, focused on symptom management, comfort, and emotional support.
- Dignity: The quality of being worthy of honor and respect, maintained through privacy, autonomy, and compassionate care.
- Comfort: The state of physical and emotional ease, often managed through pain relief, symptom control, and psychosocial support during the end-of-life process.
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