Perceived stress in end-of-life care: a qualitative study of Iranian nurses' experiences

Int J Palliat Nurs. 2025 Jan 2;31(1):30-38. doi: 10.12968/ijpn.2025.31.1.30.

Abstract

Background: Nurses experience high levels of stress while providing end-of-life care, which puts them under emotional pressure, stress and conflict. Therefore, this study aimed to explain the experiences of nurses during the provision of end-of-life care in Iran.

Methods: A qualitative descriptive study conducted using a conventional content analysis approach in Gorgan in 2023. A total of 11 nurses participated in this study, who were selected purposefully with maximum variation. Data were collected using semi-structured interviews and analysed using the five-step conventional content analysis method of Graneheim and Lundman (2004).

Results: From the data analysis, three categories and seven subcategories emerged. The categories include: 'caring nature', 'structural challenges of the care system' and 'communication challenges'.

Conclusion: Generally speaking, different types of stresses influence the performance of nurses that are involved in end-of-life care. By identifying some of these stressors, nurses, nursing managers and health policymakers can adopt supportive strategies to reduce the perceived stress and, consequently, improve the quality of end-of-life care by reducing the consequences of stress, such as burnout, moral distress and high job turnover.

Keywords: end of life; health policy; palliative care; qualitative research; stress.

MeSH terms

  • Adult
  • Burnout, Professional / psychology
  • Female
  • Humans
  • Interviews as Topic
  • Iran
  • Male
  • Middle Aged
  • Nursing Staff, Hospital* / psychology
  • Occupational Stress*
  • Qualitative Research
  • Stress, Psychological*
  • Terminal Care* / psychology