Senior Lorna, Hubbard Gill
NHS Western Isles.
Br J Community Nurs. 2010 Jun;15(6):284-91. doi: 10.12968/bjcn.2010.15.5.48370.
The Scottish Government promotes equity in palliative care delivery in Living and Dying Well (Scottish Government, 2008). Ten nurses, working in the community in Western Isles, participated in focus groups to discuss how palliative care needs of islanders may best be met. Analysis used Framework (Ritchie et al, 2003) and identified needs of the family unit, teamwork, specialist skills and rural issues as the main themes. Nurses feared burgeoning caseloads and expressed a need for time to share and develop knowledge and skills. They described a collaborative model of care in keeping with that recommended by Scottish Partnership for Palliative Care (2006). Further research could seek the views of island patients and families requiring long-term palliative care.
苏格兰政府在《活得好，死得安》（苏格兰政府，2008年）中推动临终关怀服务的公平性。十位在西部群岛社区工作的护士参加了焦点小组，讨论如何最好地满足岛民的临终关怀需求。分析采用了框架法（里奇等人，2003年），并确定家庭单元需求、团队合作、专业技能和农村问题为主要主题。护士们担心工作量不断增加，并表示需要时间来分享和提升知识与技能。他们描述了一种与苏格兰临终关怀伙伴关系（2006年）推荐的模式相一致的协作式护理模式。进一步的研究可以征求需要长期临终关怀的岛民患者及其家人的意见。
