Jóhannesdóttir Silja, Hjörleifsdóttir Elísabet
Akureyri Nursing Home, Akureyri Iceland.
Associate professor, Faculty of Nursing, School of Health Sciences, University of Akureyri, Akureyri, Iceland.
Int J Palliat Nurs. 2018 Oct 2;24(10):483-491. doi: 10.12968/ijpn.2018.24.10.483.
: The main aim of this study was to investigate family member's experiences of communicating with health professionals (HP) during end-of-life care in acute medical wards and a nursing home.
: A qualitative approach using 19 semi-structured interviews to collect data was used. The text was analysed using a content analysis methodology, extracting content that reflected family member's experiences of end-of-life care in acute medical wards, and a nursing home in Iceland.
: Four themes were identified as contributing to favourable communication with HPs in end-of-life care: establishing a relationship; flow of information; environment; acceptance at the time of death.
: Findings suggested that the context of communication in end-of-life care is more than just a conversation. It includes health professional's appearances, decision-making and respect. Satisfactory communication is a necessary factor of quality of care and the fundamental aspect of the establishment of a positive interpersonal relationship.
本研究的主要目的是调查家庭成员在急性内科病房和养老院的临终护理期间与医护人员沟通的经历。
采用定性研究方法,通过19次半结构化访谈收集数据。使用内容分析方法对文本进行分析,提取反映冰岛急性内科病房和养老院家庭成员临终护理经历的内容。
确定了四个有助于在临终护理中与医护人员进行良好沟通的主题:建立关系;信息流通;环境;死亡时的接纳。
研究结果表明,临终护理中的沟通背景不仅仅是一次对话。它包括医护人员的外表、决策和尊重。满意的沟通是护理质量的必要因素,也是建立积极人际关系的基本方面。