Thacker Karen S
Alvernia College, 400 St Bernardine Street, Reading, PA 19607, USA.
Nurs Ethics. 2008 Mar;15(2):174-85. doi: 10.1177/0969733007086015.
Nursing professionals are in key positions to support end-of-life decisions and to advocate for patients and families across all health care settings. Advocacy has been identified as the common thread of quality end-of-life nursing care. The purpose of this comparative descriptive study was to reveal acute care nurses' perceptions of advocacy behaviors in end-of-life nursing practice. The 317 participating nurses reported frequent contact with dying patients despite modest exposure to end-of-life education. This study did not confirm an overall difference in advocacy behaviors among novice, experienced and expert nurses; however, it offered insight into the supports and barriers nurses at different skill levels experienced in their practice of advocacy.
护理专业人员在支持临终决策以及在所有医疗环境中为患者和家属提供支持方面处于关键地位。倡导已被确定为优质临终护理的共同主线。这项比较性描述性研究的目的是揭示急症护理护士对临终护理实践中倡导行为的看法。尽管接受的临终护理教育有限,但317名参与研究的护士报告称经常接触濒死患者。本研究未证实新手、经验丰富和专家级护士在倡导行为方面存在总体差异;然而,它深入了解了不同技能水平的护士在倡导实践中所经历的支持和障碍。