Stefanou Nichola, Faircloth Sandra
Br J Community Nurs. 2010 Dec;15(12):588-93. doi: 10.12968/bjcn.2010.15.12.588.
The concept of good quality care for the patient who is dying is diverse and complex. Many of the actions that are being taken to increase the quality of care of the dying patient are based around outcome, uniformity of service and standardization of process. There are two main areas that are referred to when dealing with care of the dying patient; end-of-life care and palliative care. High quality end-of-life care is increasingly recognized as an ethical obligation of health-care providers, clinicians and organizations, and yet there appears little evidence from the patients' perspective. There are many national and local initiatives taking place to improve the quality of care people receive towards the end of their life. This being said initiatives alone will not achieve good quality care and deliver good patient experiences. Only clinicians working at the front line can truly influence the way in which quality is improved and good experiences delivered.
为临终患者提供优质护理的概念多样且复杂。为提高临终患者护理质量所采取的许多行动都围绕着结果、服务的一致性和流程的标准化。在处理临终患者护理问题时，主要涉及两个领域：临终关怀和姑息治疗。高质量的临终关怀日益被视为医疗保健提供者、临床医生和组织的道德义务，但从患者的角度来看，似乎几乎没有证据。国家和地方正在开展许多举措来提高人们在生命末期所接受护理的质量。话虽如此，仅靠举措本身并不能实现优质护理并提供良好的患者体验。只有一线临床医生才能真正影响提高护理质量和提供良好体验的方式。
