White Kate, Wilkes Lesley, Cooper Karen, Barbato Michael
School of Nursing and Public Health, Edith Cowan University, Pearson Street, Churchlands WA 6018 Australia.
Int J Palliat Nurs. 2004 Sep;10(9):438-44. doi: 10.12968/ijpn.2004.10.9.16049.
to describe the impact of unrelieved patient suffering on nurses working with palliative care patients.
This was a qualitative descriptive design using semi-structured interviews.
nine experienced palliative care nurses were interviewed.
nurses acknowledged that the term 'suffering' generally was not used in the workplace. The nurses identified that only a small group of patients died with suffering that could be classified as 'unrelieved' but that the impact of these patients' suffering on themselves was enormous. Nurses describe the impact in terms of perceptions of suffering (difficult situation), feelings (helplessness, distress, feelings of failure), bearing the burden (alcohol consumption, headaches) and effects on their relationship with family. The nurses identified several factors that increased the personal impact of unrelieved patient suffering. The most important strategy for ameliorating the impact of unrelieved patient suffering was informal support from work colleagues.
the nurses' stories indicate that the personal impact of unrelieved patient suffering could be reduced through acknowledgement of this suffering and better formal and informal support mechanisms.
描述未缓解的患者痛苦对从事姑息治疗患者护理工作的护士的影响。
这是一项采用半结构化访谈的定性描述性设计。
对9名经验丰富的姑息治疗护士进行了访谈。
护士们承认，“痛苦”一词在工作场所一般不被使用。护士们指出，只有一小部分患者在痛苦中离世，这种痛苦可被归类为“未缓解的”，但这些患者的痛苦对护士自身的影响巨大。护士们从对痛苦的认知（艰难处境）、感受（无助、痛苦、失败感）、承受负担（饮酒、头痛）以及对其与家人关系的影响等方面描述了这种影响。护士们确定了几个增加未缓解的患者痛苦对个人影响的因素。减轻未缓解的患者痛苦影响的最重要策略是来自同事的非正式支持。
护士们的故事表明，通过承认这种痛苦以及更好的正式和非正式支持机制，可以减少未缓解的患者痛苦对个人的影响。
