a Department of General Psychology , University of Padova , Padova , Italy.
Death Stud. 2014 Jan-Jun;38(1-5):20-7. doi: 10.1080/07481187.2012.707166. Epub 2013 Aug 1.
The present study explores how health professionals evaluate care at the end of life and what they consider to be a good death. We conducted four focus groups with 37 health professionals and used a grounded theory-based approach to analyze the transcripts of the discussions. A lack of organization, training, formalized procedures, and communication with dying persons and their families emerged. Difficulty in defining a good death derived from the ethical dilemmas that involved places to die, palliative care, and end-of-life decision making.
本研究探讨了卫生专业人员如何评估临终关怀以及他们认为什么样的死亡是善终。我们对 37 名卫生专业人员进行了四次焦点小组讨论，并采用基于扎根理论的方法对讨论记录进行了分析。讨论中出现了缺乏组织、培训、正式程序以及与临终患者及其家属沟通不畅的问题。由于涉及死亡地点、姑息治疗和临终决策的伦理困境，因此难以定义善终。
