Monday, September 22, 2014

THEORIST BACKGROUND STUDY OF PEACEFUL END OF LIFE THEORY

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Cornelia Ruland graduated from the Case Western in Cleveland Ohio University in 1998. Shirly Moore recieved diploma in Nursing from Youngstown Hospital Association of Nursing in 1969 and her Bachelor degree in Nursing in 1974 from Kent University. She later returned to school in Case Western Reserve University and recieved a Master's degree in Psychiatric Nursing and Mental Health in 1990 and PhD in Nursing in 1998.

The Peaceful End of Life Theory originated in a Doctorial Theory course as an assignment to derived the middle range theory from a knowledgeable source of the student choice. Ruland was a student and Moore was a faculty. Ruland choose peaceful ending of life as her topic so she just completed a significant project in Norway with the group of nurses who had at least 5 years of experience in the surgical gastroenterologic unit, where half of thier subjects were cancer patients to develop a clinical practice standard of care and Moore resisted in redifining the theory. This theory is an example of the Middle Range Theory. It was develop using the standard of practice as a source in development by the doctorial nursing student was studying knowledge in ethics. The lack of clear directions for quality nursing care of terminally ill patients had been Ruland's drive to create such theory. She stated in her acticle that the main focus of her proposed theory does not lie on the process of dying itself but, as the title of the theory goes, relies more on "contributing to peaceful and meaningful livingin the time that remaind for the patients and thier significant others". Both Ruland and Moore not only focused on meeting physical comfort but also tackled on providing emotional social, emotional, psychological and financial relief. They have finally derived on 16 Outcome Criteria of the Standard of Peaceful End of Life, which has given birth to more than a hundred process criteria to meet the outcome.

Reference :
www.youtube.com/watch?V=XN6NX6_TVE Peacful EOL Kelly Kilcrease

Roland.C.M. & Moore S (1998 )Theory Construction Based on Standards of Care. A Proposed Theory of the Peaceful end of Life. Nursing Outlook 1998 (46 ) 4: 169-171

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