Thon Aamodt Ina Marie, Lie Irene, Hellesø Ragnhild
Assistant Professor, Lovisenberg Diaconal University College, Lovisenberg gata 15b, 0456 Oslo, Norway.
Int J Palliat Nurs. 2013 Aug;19(8):396-402. doi: 10.12968/ijpn.2013.19.8.396.
People with cancer usually like to spend as much time as possible at home rather than in the hospital. Nurses have a pivotal role when patients are discharged to a unit in hospital or from hospital to the community health-care system.
To explore how frontline surgical nurses assess patients with gastrointestinal cancer receiving palliative care and the implications of their assessment and competency for the patients' discharge destinations.
A descriptive exploratory approach was used involving focus group interviews with a purposive sample of ten nurses from an inpatient gastroenterology surgical ward at a university hospital in Norway. Transcriptions of the interviews were analysed using Kvale and Brinkman's thematic approach.
Two overall themes emerged that had implications for the nurses' recommendations for optimal patient follow-up care after discharge: 'the complexity of and fluctuations in the patients' health status' and 'considering the competency of the nurses at the discharge destinations'.
This study illustrates surgical nurses' perspectives on the discharge destinations of cancer patients receiving palliative care. The findings have implications for initiatives aimed at providing more home-based palliative care.
癌症患者通常希望尽可能多地待在家里，而非医院。当患者从医院病房出院或从医院转至社区医疗保健系统时，护士起着关键作用。
探讨一线外科护士如何评估接受姑息治疗的胃肠道癌症患者，以及他们的评估和能力对患者出院目的地的影响。
采用描述性探索性方法，对挪威一家大学医院胃肠外科住院病房的十名护士进行了有目的抽样的焦点小组访谈。访谈记录采用克瓦尔和布林克曼的主题分析法进行分析。
出现了两个总体主题，这对护士关于患者出院后最佳后续护理的建议有影响：“患者健康状况的复杂性和波动”以及“考虑出院目的地护士的能力”。
本研究阐述了外科护士对接受姑息治疗的癌症患者出院目的地的看法。研究结果对旨在提供更多居家姑息治疗的举措有影响。
