McConigley R, Kristjanson L, Morgan A
Albany Hospice, Western Australia.
Int J Palliat Nurs. 2000 Feb;6(2):80-90. doi: 10.12968/ijpn.2000.6.2.8948.
This article presents the findings of a study of rural palliative care nurses in Western Australia. The number of rural centres in Western Australia offering palliative care services is increasing; however, at present there is little empirical data available about the roles of the nurses involved. This study was undertaken to begin to correct this deficit. The study examined basic social processes associated with the role of rural palliative care nurses, and identifies issues that affect the nurses' professional practice. A modified grounded theory approach was used to form a conceptual framework that describes rural palliative care nursing. Theoretical sampling techniques were used to identify the six palliative care nurses working in rural Western Australia who participated in the study. Data were generated using in-depth interview and participant observation techniques. Constant comparative analysis of the data was employed to allow concepts to emerge from the data. The central theme that developed is the all-consuming nature of the rural palliative care nurse's role. Three subthemes relating to multiple roles, expectations of nurses, and coping strategies are also discussed. This research explored issues that rural palliative care nurses feel are relevant to their professional practice, and it describes the basic social processes inherent in the rural palliative care nurse's role. Recommendations for nursing research, education, administration and clinical practice are presented.
本文介绍了一项针对西澳大利亚农村姑息治疗护士的研究结果。西澳大利亚提供姑息治疗服务的农村中心数量正在增加；然而，目前关于相关护士角色的实证数据很少。开展这项研究是为了开始纠正这一不足。该研究考察了与农村姑息治疗护士角色相关的基本社会过程，并确定了影响护士专业实践的问题。采用了一种改进的扎根理论方法来构建一个描述农村姑息治疗护理的概念框架。理论抽样技术被用于确定参与该研究的六位在西澳大利亚农村工作的姑息治疗护士。数据通过深度访谈和参与观察技术收集。对数据进行持续比较分析，以使概念从数据中浮现出来。形成的核心主题是农村姑息治疗护士角色的全身心投入性质。还讨论了与多种角色、对护士的期望以及应对策略相关的三个子主题。本研究探讨了农村姑息治疗护士认为与其专业实践相关的问题，并描述了农村姑息治疗护士角色中固有的基本社会过程。文中还提出了对护理研究、教育、管理和临床实践的建议。
