一线护士长对老年患者希望死亡时决策所涉及挑战的看法。
First-line nurse managers' perceptions of the challenges involved in decision-making when older patients' wish to die.
作者信息
Holm Anne Lise, Berland Astrid Karin, Birkeland Arvid Karl, Severinsson Elisabeth
机构信息
Faculty of Health and Social Sciences Western Norway University of Applied Sciences Haugesund Norway.
Faculty of Health and Social Sciences Centre for Women's, Family and Child Health University College Southeast Norway Kongsberg Norway.
出版信息
Nurs Open. 2018 Feb 28;5(2):217-223. doi: 10.1002/nop2.131. eCollection 2018 Apr.
AIM
The aim of this study was to explore first-line nurse managers' perceptions of the challenges involved in decision-making concerning older patients who wish to die.
DESIGN
A descriptive qualitative design in three communities in Norway between January 2016 and June 2016.
METHODS
Qualitative focus group interviews with eight first-line nurse managers.
RESULTS
One main theme and two themes were identified: Struggling to make the right decision, The challenge of social isolation and loneliness and When life becomes too painful and problematic. The sub-themes revealed that: Arranging social meeting places where the older patients can talk to other older people is crucial. The participants explained that it was not an easy task to gain an overview of the older patients situation. The right decision could be encouraging the patients to talk about their problems by giving them more time, thereby showing that somebody cares about them.
目的
本研究旨在探讨一线护士长对涉及希望离世的老年患者决策中所面临挑战的看法。
设计
2016年1月至2016年6月期间在挪威三个社区进行的描述性定性设计。
方法
对八位一线护士长进行定性焦点小组访谈。
结果
确定了一个主要主题和两个主题：努力做出正确决策、社会隔离与孤独的挑战以及当生活变得过于痛苦和问题重重时。子主题显示：安排老年患者可以与其他老年人交谈的社交场所至关重要。参与者解释说，全面了解老年患者的情况并非易事。正确的决策可能是通过给患者更多时间鼓励他们谈论自己的问题，从而表明有人关心他们。
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