“Improving Palliative Care: Insights from Patient and Nurse Perspectives on Care, Environment, and Support”

Authors

  • Gulshara Aimbetova Ass.prof. of the Department of “Public Health” Kazakh National Medical University, Almaty, Kazakhstan
  • Anar Tursynbekova Ass.prof. of the Department of “Public Health” Kazakh National Medical University, Almaty, Kazakhstan
  • Magripa Bapayeva PhD doctor, Head of the Department of Communication Skills and Clinical Psychology, Kazakh National Medical University, Almaty, Kazakhstan
  • Balday Issenova Ass.prof. of the Department of “Public Health” Kazakh National Medical University, Almaty, Kazakhstan
  • Alisher Bekmuratov Ass.prof. of the Department of “Public Health” Kazakh National Medical University, Almaty, Kazakhstan
  • Saule Nukusheva Ass.prof. of the Department of “Public Health” Kazakh National Medical University, Almaty, Kazakhstan
  • Kamka Omarova Master of Science in Public Health, Director of the State Enterprise on the Right of Economic Management “City Polyclinic No. 5” Almaty, Kazakhstan
  • Zhanara Zhiyenbayeva Master of Science in Public Health ,Director of the State Municipal Enterprise on the Right of Economic Management “City Polyclinic No. 8” of the Public Health Department of Almaty, Almaty, Kazakhstan
  • Aliya Atabayeva PhD, teacher in Public health department NJSC Semey Medical University, Kazakhstan
  • Kamila Akhmetova Senior Lecturer at the Department of Public Health and Management of the NAO MUA NJSC «Astana Medical University», Astana, Kazakhstan

DOI:

https://doi.org/10.3329/bjms.v24i2.81717

Keywords:

palliative care, thematic analysis, nurse-patient interaction, work stress, emotional resilience, compensation, clinic environment, nurse satisfaction.

Abstract

Introduction Palliative care is a specialized area of healthcare focused on alleviating symptoms and improving the quality of life for patients with serious, life-threatening illnesses. This study explores the experiences of patients and nurses in a palliative care clinic, with the aim of identifying key factors influencing care quality and nurse satisfaction, such as the clinic environment, nurse-patient interactions, emotional stressors, and work conditions. Methods A qualitative design using thematic analysis was employed to examine feedback from 15 patients and 15 nurses working in a palliative care setting. Semi-structured interviews were conducted to gather insights into the participants’ experiences, which were analyzed using Braun and Clarke’s six-step process for thematic analysis. Results Thematic analysis revealed several key themes: (1) Clinic Environment and Accessibility, with mixed feedback on the remote location’s impact on family visits; (2) Nurse-Patient Interaction, highlighting concerns about nurse etiquette but affirming professional competence; (3) Work Stress and Emotional Demands on Nurses, including stress from patient non-compliance and emotional resilience; (4) Nurse Motivation and Career Satisfaction, where nurses expressed pride in their work despite the emotional challenges; (5) Recommendations for Improving Work Conditions, including calls for better compensation and support; and (6) Nurse- Patient Relationship and Care Quality, emphasizing the importance of empathy in improving patient outcomes. Conclusion The findings underscore the importance of addressing both environmental factors and interpersonal dynamics to enhance the quality of palliative care. Key recommendations include improving nurse training in communication, offering better emotional and financial support for staff, and fostering strong nurse-patient relationships. These strategies are crucial for improving both the care experience for patients and job satisfaction for nurses in palliative care settings.

Bangladesh Journal of Medical Science Vol. 24 No. 02 April’25 Page : 505-513                  

Downloads

Abstract
89
PDF
101

Downloads

Published

2025-05-17

How to Cite

Aimbetova, G., Tursynbekova, A., Bapayeva, M., Issenova, B., Bekmuratov, A., Nukusheva, S., … Akhmetova, K. (2025). “Improving Palliative Care: Insights from Patient and Nurse Perspectives on Care, Environment, and Support”. Bangladesh Journal of Medical Science, 24(2), 505–513 . https://doi.org/10.3329/bjms.v24i2.81717

Issue

Vol. 24 No. 2 (2025)

Section

Original Articles

License

Copyright (c) 2025 Gulshara Aimbetova, Anar Tursynbekova, Magripa Bapayeva, Balday Issenova, Alisher Bekmuratov, Saule Nukusheva, Kamka Omarova, Zhanara Zhiyenbayeva, Aliya Atabayeva, Kamila Akhmetova

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.