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医护人员对悲伤父母进行丧亲后续干预的经验。

Health care personnel's experiences of a bereavement follow-up intervention for grieving parents.

作者信息

Liisa Aho Anna, Marja-Terttu Tarkka, Päivi Åstedt-Kurki, Marja Kaunonen

机构信息

Department of Nursing Science, University of Tampere, Pirkanmaa Hospital District, Tampere University Hospital (TAYS), Tampere, Finland.

出版信息

Scand J Caring Sci. 2011 Jun;25(2):373-82. doi: 10.1111/j.1471-6712.2010.00837.x. Epub 2010 Oct 12.

Abstract

The aim of this study is to investigate the experiences of health care personnel of a bereavement follow-up intervention for grieving parents and of the ways to develop it. The intervention included three components: a support package for grieving parents, peer supporters' and health care personnel's contact with parents. The sample included 29 health professionals. Data were collected via open-format questionnaires and telephone interviews from health care personnel. Content analysis was used as a means of data analysis. The support package for grieving parents was considered important and versatile. Health care personnel perceived the intervention and its viability as mostly good. Parents' willingness to receive support, health care personnel's good resources and organizational preconditions were important for the follow-up contact. The intervention clarified the policy related to supporting grieving parents. It was enabled by a good attitude, shift arrangements and co-worker support. However, the implementation was considered difficult because of scarce resources. Parental support engendered negative feelings in health care personnel and they desired systematic supervision to deal with these. Follow-up care of grieving parents is a demanding task. Continuous education about bereavement follow-up care and systematic supervision to health care personnel is needed. Family-focused care in supporting grieving families after leaving from hospital should be increased. Inter-organizational cooperation in supporting parents is important and feasible.

摘要

本研究的目的是调查医护人员对为悲伤父母提供的丧亲后续干预措施的体验以及该措施的发展方式。该干预措施包括三个组成部分:为悲伤父母提供的支持包、同伴支持者及医护人员与父母的联系。样本包括29名卫生专业人员。通过开放式问卷和电话访谈从医护人员那里收集数据。内容分析被用作数据分析的方法。为悲伤父母提供的支持包被认为是重要且多样的。医护人员认为该干预措施及其可行性大多良好。父母接受支持的意愿、医护人员良好的资源和组织前提条件对于后续联系很重要。该干预措施明确了与支持悲伤父母相关的政策。良好的态度、轮班安排和同事支持促成了这一点。然而,由于资源稀缺,实施被认为很困难。对父母的支持在医护人员中引发了负面情绪,他们希望得到系统的监督来处理这些情绪。对悲伤父母的后续护理是一项艰巨的任务。需要对医护人员进行关于丧亲后续护理的持续教育和系统监督。出院后在支持悲伤家庭方面应加强以家庭为中心的护理。支持父母方面的组织间合作很重要且可行。

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