Gray Helen, Adam Joan, Brown Duncan, McLaughlin Patricia, Hill Vicky, Wilson Lorraine
St Columba's Hospice, 15 Boseall Road, Edinburgh, EH5 3RW, Scotland.
Int J Palliat Nurs. 2011 Nov;17(11):552-60. doi: 10.12968/ijpn.2011.17.11.552.
St Columba's Hospice, Edinburgh, is a busy specialist palliative care unit with 30 inpatient beds. A previous publication reported the first strand of a qualitative exploratory study evaluating the impact of open visiting on patients at the hospice. This paper reports on the second strand, which sought to elicit the views of the hospice staff through focus group interviews. The main themes identified were valuing the family and friends as visitors, involving the family as part of the care team, patient powerlessness over visiting, shared rooms and their impact on visitors and patients, and the staff role as advocates or gatekeepers. Several strategies for developing a flexible and 'patient-controlled' visiting policy were identified, including quiet times without visitors, restriction of visitor numbers in shared rooms, and encouraging breaks from visiting. Since the study was completed, the hospice's visiting policy has been modified to ensure that it is patient-centred and meets the needs of patients and families.
爱丁堡的圣哥伦巴临终关怀医院是一家繁忙的专业姑息治疗机构，设有30张住院床位。之前的一篇出版物报道了一项定性探索性研究的第一部分，该研究评估了开放式探访对临终关怀医院患者的影响。本文报告了第二部分，该部分旨在通过焦点小组访谈征求临终关怀医院工作人员的意见。确定的主要主题包括重视家人和朋友作为探访者、让家人参与护理团队、患者在探访方面的无力感、共享病房及其对探访者和患者的影响，以及工作人员作为倡导者或把关人的角色。确定了几种制定灵活且“患者可控”探访政策的策略，包括无探访者的安静时段、限制共享病房中的探访者数量，以及鼓励探访间隙休息。自该研究完成以来，临终关怀医院的探访政策已进行修改，以确保以患者为中心并满足患者和家属的需求。
