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提高新生儿科室护士在临终关怀和哀伤护理中的舒适度及参与度。

Promoting neonatal staff nurses' comfort and involvement in end of life and bereavement care.

作者信息

Zhang Weihua, Lane Betty S

机构信息

Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322-4207, USA.

出版信息

Nurs Res Pract. 2013;2013:365329. doi: 10.1155/2013/365329. Epub 2013 Mar 27.

Abstract

Background. Nurses who provide end of life and bereavement care to neonates and their families are potentially at risk for developing stress-related health problems. These health problems can negatively affect nurses' ability to care for their patients. Purpose. Nurses need to be knowledgeable about end of life and bereavement issues to provide quality care. This study sought to evaluate the effect of a bereavement seminar on the attitudes of nurses regarding end of life and palliative care of neonates. Design. A convenience sample of fourteen neonatal nurses completed a Bereavement/End of Life Attitudes about Care of Neonatal Nurses Scale after a bereavement seminar designed to provide information on end of life care. A pre- and posttest design with an intervention and control group was used to assess changes in nurse bereavement attitudes in relationship to comfort, role, and involvement. Results. After bereavement seminar, the seminar attendees had higher levels of comfort in providing end of life care than nurses in the control group (t = -0.214; P = 0.04). Discussion. Nurses' comfort levels can be improved by attending continuing education on end of life care and having their thoughts on ethical issues in end of life care acknowledged by their peers.

摘要

背景。为新生儿及其家庭提供临终关怀和丧亲护理的护士有患与压力相关健康问题的潜在风险。这些健康问题会对护士照顾患者的能力产生负面影响。目的。护士需要了解临终关怀和丧亲问题,以便提供高质量的护理。本研究旨在评估一场丧亲研讨会对护士关于新生儿临终关怀和姑息治疗态度的影响。设计。十四名新生儿护士的便利样本在一场旨在提供临终关怀信息的丧亲研讨会后,完成了一份《新生儿护士丧亲/临终关怀态度量表》。采用有干预组和对照组的前后测设计,以评估护士丧亲态度在舒适度、角色和参与度方面的变化。结果。丧亲研讨会后,研讨会参与者在提供临终关怀方面的舒适度高于对照组护士(t = -0.214;P = 0.04)。讨论。通过参加临终关怀继续教育以及让同行认可他们对临终关怀伦理问题的看法,护士的舒适度可以得到提高。

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