Brajtman Susan, Higuchi Kathryn, McPherson Christine
School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada.
Int J Palliat Nurs. 2006 Apr;12(4):150-6. doi: 10.12968/ijpn.2006.12.4.21010.
To explore palliative care unit and home care nurses' experiences of caring for patients with terminal delirium.
A qualitative exploratory design using individual interviews.
Participants included five nurses working in an interdisciplinary palliative care unit located in a large Canadian city hospital, and four nurses from a palliative home care nursing team located in the same city.
Nurses in both sites experienced multiple challenges caring for delirious patients. Additional education on delirium and collaborative teamwork were viewed as key factors in enhancing their ability to care for and support this patient and family population. Four core themes reflected the participants' perceptions and experiences: experiencing distress; the importance of presence; valuing the team; and the need to know more.
Findings suggest the need for interdisciplinary educational initiatives focused on the identification and management of terminal delirium, and targeted to the specific context in which nurses practise.
探讨姑息治疗病房和家庭护理护士照顾终末期谵妄患者的经验。
采用个人访谈的定性探索性设计。
参与者包括在加拿大一家大型城市医院的跨学科姑息治疗病房工作的五名护士，以及来自同一城市的姑息家庭护理团队的四名护士。
两个地点的护士在照顾谵妄患者时都遇到了多重挑战。关于谵妄的额外教育和团队协作被视为提高他们照顾和支持这类患者及家庭能力的关键因素。四个核心主题反映了参与者的认知和经验：经历痛苦；陪伴的重要性；重视团队；以及需要了解更多。
研究结果表明，需要开展跨学科教育项目，重点关注终末期谵妄的识别和管理，并针对护士工作的具体环境。
