Centre for Medical Ethics, University of Oslo, Box 1130 Blindern, N-0318 Oslo, Norway.
Nurs Ethics. 2011 Jan;18(1):42-53. doi: 10.1177/0969733010386160.
This article examines the involvement of residents and their relatives in end-of-life decisions and care in Norwegian nursing homes. It also explores challenges in these staff-family relationships. The article is based on a nationwide survey examining Norwegian nursing homes' end-of-life care at ward level. Only a minority of the participant Norwegian nursing home wards 'usually' explore residents' preferences for care and treatment at the end of their life, and few have written procedures on the involvement of family caregivers when their relative is in the terminal phase. According to the respondents, most staff seem to comfort relatives well. However, several challenges were described. The study revealed a need for better procedures in the involvement of residents and relatives in nursing home end-of-life care. The findings emphasize a need to strengthen both the involvement of nursing home physicians and staff communication skills.
本文考察了挪威养老院中居民及其亲属在临终决策和护理中的参与情况，也探讨了这些员工与家庭关系中存在的挑战。本文基于一项全国性调查，研究了挪威养老院临终关怀的病房层面。只有少数参与的挪威养老院病房“通常”会探讨居民在生命末期对护理和治疗的偏好，很少有关于当亲属处于终末期时如何让家庭护理人员参与的书面程序。根据受访者的说法，大多数工作人员似乎很好地安慰了亲属。然而，他们也描述了一些挑战。这项研究表明，在养老院临终关怀中，需要更好地让居民和亲属参与进来。研究结果强调了需要加强养老院医生的参与以及员工的沟通技巧。
