Broom Alex, Kirby Emma, Good Phillip, Wootton Julia, Yates Patsy, Hardy Janet
University of Queensland, Brisbane, Queensland, Australia
University of Queensland, Brisbane, Queensland, Australia.
Qual Health Res. 2015 Mar;25(3):299-309. doi: 10.1177/1049732314553123. Epub 2014 Sep 22.
Nurses play a pivotal role in caring for patients during the transition from life-prolonging care to palliative care. This is an area of nursing prone to emotional difficulty, interpersonal complexity, and interprofessional conflict. It is situated within complex social dynamics, including those related to establishing and accepting futility and reconciling the desire to maintain hope. Here, drawing on interviews with 20 Australian nurses, we unpack their accounts of nursing the transition to palliative care, focusing on the purpose of nursing at the point of transition; accounts of communication and strategies for representing palliative care; emotional engagement and burden; and key interprofessional challenges. We argue that in caring for patients approaching the end of life, nurses occupy precarious interpersonal and interprofessional spaces that involve a negotiated order around sentimental work, providing them with both capital (privileged access) and burden (emotional suffering) within their day-to-day work.
在患者从延长生命护理过渡到姑息治疗的过程中，护士发挥着关键作用。这是护理工作中一个容易出现情感困扰、人际关系复杂和跨专业冲突的领域。它处于复杂的社会动态之中，包括与确立和接受治疗的无意义以及调和维持希望的愿望相关的动态。在此，我们通过对20名澳大利亚护士的访谈，剖析她们对护理向姑息治疗过渡的描述，重点关注过渡阶段护理的目的；沟通情况以及呈现姑息治疗的策略；情感投入与负担；以及关键的跨专业挑战。我们认为，在护理临终患者时，护士处于不稳定的人际和跨专业空间，这涉及围绕情感工作的协商秩序，在她们的日常工作中既赋予她们资本（特权准入），也给她们带来负担（情感痛苦）。
