在急诊科促进有尊严的临终关怀：一项定性研究。
Promoting dignified end-of-life care in the emergency department: A qualitative study.
作者信息
Díaz-Cortés María Del Mar, Granero-Molina José, Hernández-Padilla José Manuel, Pérez Rodríguez Rocío, Correa Casado Matías, Fernández-Sola Cayetano
机构信息
University of Almeria, Almería, Spain.
Department of Nursing, Physiotherapy and Medicine, University of Almeria, Spain; Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile.
出版信息
Int Emerg Nurs. 2018 Mar;37:23-28. doi: 10.1016/j.ienj.2017.05.004. Epub 2017 Jun 24.
BACKGROUND
Preservation of a dying person's dignity in the emergency department (ED) is fundamental for the patient, his/her relatives and healthcare professionals. The aim of this study was to explore and interpret physicians' and nurses' experiences regarding conservation of dignity in end-of-life care in dying patients in the ED.
METHODS
A qualitative study based on the hermeneutic phenomenological approach, was carried out in the emergency department of two general hospitals. A total of 16 nurses and 10 physicians participated in the study. Data collection included 12 individual in-depth interviews and 2 focus groups.
RESULTS
The findings revealed that two themes represent the practices and proposals for the conservation of dignity in the emergency department: dignified care in hostile surroundings and the design of a system focused on the person's dignity.
CONCLUSION
Dignifying treatment, redesigning environmental conditions, and reorienting the healthcare system can contribute to maintaining dignity in end-of-life care in the ED.
背景
在急诊科维护濒死患者的尊严，对患者本人、其亲属及医护人员而言至关重要。本研究旨在探究并阐释医生和护士在急诊科临终患者临终关怀中维护尊严方面的经历。
方法
采用基于诠释现象学方法的定性研究，在两家综合医院的急诊科开展。共有16名护士和10名医生参与了本研究。数据收集包括12次个人深度访谈和2次焦点小组访谈。
结果
研究结果表明，有两个主题体现了急诊科维护尊严的实践与建议：在恶劣环境中的尊严护理以及设计以患者尊严为核心的系统。
结论
给予有尊严的治疗、重新设计环境条件以及调整医疗保健系统，有助于在急诊科临终关怀中维护患者尊严。
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