一项关于助理护士在寄宿护理机构中提供姑息治疗经历的定性研究。
A qualitative study of assistant nurses' experiences of palliative care in residential care.
作者信息
Udo Camilla, Neljesjö Maria, Strömkvist Ingegerd, Elf Marie
机构信息
School of Education, Health and Social Studies Dalarna University Falun Sweden.
Center for Clinical Research Dalarna Falun Sweden.
出版信息
Nurs Open. 2018 May 29;5(4):527-535. doi: 10.1002/nop2.159. eCollection 2018 Oct.
Abstract
AIM
To explore assistant nurses' experiences and perceptions of both positive and negative aspects of providing palliative care for older people in residential care facilities.
DESIGN
A qualitative explorative study.
METHODS
Critical incidents were collected through semi-structured face-to-face interviews and analysed by performing a qualitative content analysis.
RESULTS
A total of 40 critical incidents from daily work was described by assistant nurses. The results showed that close cooperation between unlicensed and licensed professionals was crucial to provide good care but was sometimes negatively affected by the organizational structure. The availability of professionals was identified as a critical factor in providing good care at the end of life in a consultative organization. The most prominent findings were those that indicated that, especially in a consultative organization, there seems to be a need for clear roles, comprehensive and clear care plans and a solid support structure to ensure continuity of care.
摘要
目的
探讨助理护士在为养老院老年人提供姑息治疗时对积极和消极方面的经历与看法。
设计
一项定性探索性研究。
方法
通过半结构化面对面访谈收集关键事件，并进行定性内容分析。
结果
助理护士描述了日常工作中的40起关键事件。结果表明，无执照和有执照专业人员之间的密切合作对于提供优质护理至关重要，但有时会受到组织结构的负面影响。在咨询组织中，专业人员的可获得性被确定为在生命末期提供优质护理的关键因素。最突出的发现是，特别是在咨询组织中，似乎需要明确的角色、全面清晰的护理计划和坚实的支持结构，以确保护理的连续性。
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