# Engaging in Action Research with Nurses: Overcoming Challenges and Gaining Positive Insights into End-of-Life Care

## TL;DR

This study explores how nurses can improve end-of-life care for high-need patients through action research and case studies.

## Contribution

The study introduces a successful strategy combining action research and case studies to enhance nurses' support for end-of-life cancer patients.

## Key findings

- Monthly group work and practical training improved nurses' ability to support high-need inpatients.
- The intervention led to proactive skill development and better understanding of patient needs.
- An innovative care-delivery system was developed, enhancing team performance on the ward.

## Abstract

The aim of this study was to qualitatively describe, from a practitioner’s perspective, the process by which nurses struggle to support a patient with end-of-life cancer with frequent nurse calls and gain positive insights through two methodologies: AR and the case study method. The participants were four ward nurses who supported a patient receiving end-of-life cancer in his 80s. The participants engaged in monthly group work and practical training sessions, which included facilitators, to reflect on and develop care plans. Based on these activities, care was provided to the patient. After the intervention period, the patient’s course and practice was documented and analysed qualitatively. The intervention significantly improved the nurses’ ability to support inpatients with many needs through careful observation, enhancement, and practical skill improvement. This process resulted in a better understanding of patient needs, proactive skill development, enhanced team performance, and an innovative care-delivery system that resonated throughout the ward. This study demonstrated a successful strategy for nurses to improve support for high-need inpatients, emphasising the importance of attentive care, proactive skill improvement, and a team-based approach to healthcare innovation.