School of Nursing & Midwifery, University of Newcastle, University Drive, Newcastle, NSW, Australia.
Int J Older People Nurs. 2011 Sep;6(3):165-75. doi: 10.1111/j.1748-3743.2009.00200.x.
The aim of this paper is to report the findings of a case study that explored the phenomenon of advanced care planning and advance care directives in residential care settings in Australia. In particular, this paper focuses on the experiences of Registered Nurses with advanced care planning and advance care directives.
Nurses need to know how to engage with residents and families when they invest time and effort on advanced care planning and documentation of advance care directives.
A case-study design involving participant observation, field note recording, semi structured interviews and document analysis was used. Data were collected over 7 months. Data analysis involved thematic content analysis.
The factors that enhanced and inhibited the experiences of the Registered Nurses with advanced care planning were identified. The enhancing factors include; 'it is their essence of who they are', and 'back-up from family members and other nursing staff’. The inhibiting factors are 'lack of time', 'a culture of do everything and don't go there', and 'lack of family involvement'.
The findings of the current study provided nurses with evidence of the positive nature of experiences of older people, family members, and nurses themselves with advanced care planning in an attempt to better implement and practise advanced care planning.
本文旨在报告一项案例研究的结果，该研究探讨了澳大利亚养老院中高级护理计划和预先护理指示的现象。本文特别关注注册护士在高级护理计划和预先护理指示方面的经验。
当护士投入时间和精力进行高级护理计划和预先护理指示的文件记录时，他们需要知道如何与居民和家属进行沟通。
采用了案例研究设计，包括参与观察、现场记录、半结构化访谈和文件分析。数据收集历时 7 个月。数据分析涉及主题内容分析。
确定了增强和抑制注册护士高级护理计划经验的因素。增强因素包括：“这是他们的本质”和“来自家庭成员和其他护理人员的支持”。抑制因素是“缺乏时间”、“一种什么都做但不要涉及那个话题的文化”和“缺乏家庭参与”。
本研究的结果为护士提供了有关老年人、家属和护士自身在高级护理计划方面的积极经验的证据，旨在更好地实施和实践高级护理计划。
