O'Connor Margaret, Chapman Ysanne
Vivian Bullwinkel Chair of Palliative Care, School of Nursing and Midwifery, Monash University, Peninsula Campus, McMahons Road, Frankston, Victoria, Australia.
Collegian. 2008;15(4):151-7. doi: 10.1016/j.colegn.2008.06.002.
This study describes the role of acute hospital palliative care nurse consultants and makes recommendations about future directions for the role development of this role. While the palliative care nurse consultant role is accepted in the acute setting there is little evidence or literature about what contributes to the success of this role. A three-phase study was undertaken to describe the role of palliative care nurse consultants in acute hospitals in Melbourne, Australia. The first phase of the three-phase study, involving in-depth qualitative interviews with the palliative care nurse consultants, is reported in this article. Using open-ended semi-structured questions, 10 palliative care nurse consultants were interviewed using open-ended questions about aspects of their role and the interviews were thematically analysed. Four main themes were identified that clarified the role; being the internal link; being the lynch pin; being responsive and being challenged. The palliative care nurse consultants were the first point of introduction to palliative care and thus they saw a significant role in introducing the concept of palliative care to those requiring palliative care, their families and others. They are an important link between the settings of care required by people accessing palliative care-acute, in-patient palliative care and community care. The palliative care nurse consultants saw themselves in leadership positions that in some ways defy boundaries, because of the inherent complexity and diversity of the role. The palliative care nurse consultants' role appears to be pivotal in providing expert advice to staff and people requiring palliative care, and connecting palliative care services both within the hospital and to external services.
本研究描述了急性医院姑息治疗护士顾问的角色，并就该角色的未来发展方向提出了建议。虽然姑息治疗护士顾问的角色在急性护理环境中已被认可，但关于促成该角色成功的因素，几乎没有证据或文献。我们开展了一项分三个阶段的研究，以描述澳大利亚墨尔本急性医院中姑息治疗护士顾问的角色。本文报告了该三阶段研究的第一阶段，即对姑息治疗护士顾问进行深入的定性访谈。我们使用开放式半结构化问题，对10名姑息治疗护士顾问就其角色的各个方面进行了访谈，并对访谈进行了主题分析。确定了四个主要主题来阐明该角色：作为内部联系；作为关键人物；做出响应以及面临挑战。姑息治疗护士顾问是姑息治疗的首个引入点，因此他们在向需要姑息治疗的患者、其家人及其他人介绍姑息治疗概念方面发挥了重要作用。他们是接受姑息治疗的人群所需护理环境（急性护理、住院姑息治疗和社区护理）之间的重要纽带。姑息治疗护士顾问认为自己处于某种程度上跨越界限的领导地位，因为该角色具有内在的复杂性和多样性。姑息治疗护士顾问的角色在向工作人员和需要姑息治疗的人提供专业建议，以及在医院内部和与外部服务之间连接姑息治疗服务方面似乎至关重要。
