Adams Judith A, Bailey Donald E, Anderson Ruth A, Docherty Sharron L
Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA.
Nurs Res Pract. 2011;2011:527834. doi: 10.1155/2011/527834. Epub 2011 Oct 2.
The objective of this paper is to analyze the literature concerning nurses' roles and strategies in EOL decision making in acute care environments, synthesize the findings, and identify implications for future research. We conducted searches in CINAHL and PubMed, using a broad range of terms. The 44 articles retained for review had quantitative and qualitative designs and represented ten countries. These articles were entered into a matrix to facilitate examining patterns, themes, and relationships across studies. Three nursing roles emerged from the synthesis of the literature: information broker, supporter, and advocate, each with a set of strategies nurses use to enact the roles. Empirical evidence linking these nursing roles and strategies to patients and family members outcomes is lacking. Understanding how these strategies and activities are effective in helping patients and families make EOL decisions is an area for future research.
本文的目的是分析有关护士在急性护理环境中临终决策中的角色和策略的文献，综合研究结果，并确定对未来研究的启示。我们使用广泛的术语在CINAHL和PubMed中进行了检索。保留以供审查的44篇文章具有定量和定性设计，代表了10个国家。这些文章被录入一个矩阵，以方便检查各项研究之间的模式、主题和关系。文献综合分析得出了三种护理角色：信息中介、支持者和倡导者，每种角色都有护士用来履行这些角色的一套策略。缺乏将这些护理角色和策略与患者及家属结局联系起来的实证证据。了解这些策略和活动如何有效地帮助患者和家属做出临终决策是未来研究的一个领域。
