家庭环境中临终阶段的安全问题。

Safety issues at the end of life in the home setting.

作者信息

Edwards Susanna B, Galanis Effie, McGarvey Kay, Prestwich Catherine, Ritcey Sheila, Wulf Karina

机构信息

Susanna B. Edwards, PhD, RN, is an Associate Professor, Daphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada. Effie Galanis, MSW, RSW, is a Community Care Coordinator/Intensive Case Manager, Toronto Central Community Care Access Centre, Toronto, Ontario, Canada. Kay McGarvey, RN, CCHN(c), is a Clinical Resource Nurse, Saint Elizabeth Health Care, Toronto, Ontario, Canada. Catherine Prestwich, BScN, RN, CHPCN(c), is a Palliative Coordinator, Toronto Central Community Care Access Centre, Toronto, Ontario, Canada. Sheila Ritcey, PhD, PT, BSc, is a Consultant, Education and Ethics, Closing the Gap Healthcare Group, Mississauga, Ontario, Canada. Karina Wulf, BScN, RN, ACRN, CHPCN(c), Palliative Care Specialist, Toronto East General Hospital, Toronto, Ontario, Canada.

出版信息

Home Healthc Nurse. 2014 Jul-Aug;32(7):396-401. doi: 10.1097/NHH.0000000000000105.

DOI:10.1097/NHH.0000000000000105

PMID:24978573

Abstract

Patients who choose care in a home setting at the end of life may be at risk because of their declining cognitive or physical abilities, environmental hazards in the home, or caregiving issues. Although safety concerns in hospitals have been well documented, knowledge about safety issues in the home setting is limited. This qualitative, focused-ethnographic study was conducted to understand the safety issues that occur in the home setting from the perspective of home care clinicians who manage these issues for end-of-life patients.

摘要

由于认知或身体能力下降、家中存在环境危害或护理问题，选择在临终时接受居家护理的患者可能面临风险。尽管医院中的安全问题已有充分记录，但关于居家环境中安全问题的了解却很有限。本定性、聚焦民族志研究旨在从为临终患者处理这些问题的居家护理临床医生的角度，了解居家环境中出现的安全问题。