Wright David Kenneth, Vanderspank-Wright Brandi, Holmes Dave, Skinner Elise
Assistant Professor, University of Ottawa School of Nursing and Co-Director, Nursing Palliative Care Research and Education Unit, Canada.
Full Professor, University of Ottawa School of Nursing and University Research Chair in Forensic Nursing, Canada.
Int J Palliat Nurs. 2017 Aug 2;23(8):378-385. doi: 10.12968/ijpn.2017.23.8.378.
A movement is underway to promote a palliative approach to care in all contexts where people age and live with life-limiting conditions, including psychiatric settings. Forensic psychiatry nursing-a subfield of mental health nursing- focuses on individuals who are in conflict with the criminal justice system. We know little about the values of nurses working in forensic psychiatry, and how these values might influence a palliative approach to care for frail and aging patients.
Interviews with four nurses working on one of two forensic units of a university-affiliated mental health hospital in an urban area of eastern Canada.
Three specific values were found to guide forensic nurses in their care of aging patients that are commensurate with a palliative approach: hope, inclusivity, and quality of life.
When we started this project, we wondered whether the culture of forensic nursing practice was antithetical to the values of a palliative approach. Instead, we found several parallels between forensic nurses' moral identities and palliative philosophy. These findings have implications for how we think about the palliative approach in contexts not typically associated with palliative care, but in which patients will increasingly age and die.
一场运动正在开展，旨在促进在人们衰老以及患有危及生命疾病的所有环境中，包括在精神病环境中，采取姑息治疗方法。法医精神病护理——心理健康护理的一个子领域——专注于与刑事司法系统存在冲突的个体。我们对从事法医精神病学工作的护士的价值观，以及这些价值观如何影响对体弱和老年患者的姑息治疗方法知之甚少。
对加拿大东部城市地区一家大学附属心理健康医院两个法医科室之一工作的四名护士进行访谈。
发现有三种特定价值观指导法医护士对老年患者的护理，这些价值观与姑息治疗方法相一致：希望、包容性和生活质量。
当我们启动这个项目时，我们想知道法医护理实践的文化是否与姑息治疗方法的价值观相悖。相反，我们发现法医护士的道德身份与姑息治疗理念之间有一些相似之处。这些发现对于我们如何看待在通常与姑息治疗无关，但患者老龄化和死亡情况日益增多的环境中的姑息治疗方法具有启示意义。
