Shahrki Sedigheh Khodabandeh, Abazari Farokh, Nayer Nahid Dehghan, Pouraboli Batool
PhD Candidate in Nursing, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Assistant Professor, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Int J Palliat Nurs. 2018 Nov 2;24(11):540-547. doi: 10.12968/ijpn.2018.24.11.540.
: The approach of death is an undeniable part of ageing and death is the most important concern for elderly people who live in nursing homes. This study examines describes how care home residents feel when they recognise that they are close to death.
: The aim of this study was to explore the experiences of elderly residents who are dying in nursing homes as well as their caregivers toward death in an Iranian context.
: A focused ethnographic research design was chosen. The research sample consisted of 25 nursing home staff-three nurses, 18 healthcare assistants, two administrators, a social worker and a psychologist-and 10 elderly people in two nursing homes in Iran. Data was collected through field notes, observations and semistructured, in-depth interviews. Data was analysed using thematic analysis.
: There were two main themes of: seeking the embrace of a calm death; and waiting for death. Within these, four subthemes were identified.
: The perceptions of the participants originated from the nursing home culture and their beliefs in eternal life. Training staff about the cultural needs of dying people and end-of-life care would be the most effective way to improve the experience of dying for nursing home residents.
死亡的临近是衰老不可否认的一部分，对于住在养老院的老年人来说，死亡是最为重要的担忧。本研究描述了养老院居民意识到自己临近死亡时的感受。
本研究旨在探讨伊朗养老院中濒死老年居民及其护理人员对死亡的体验。
采用聚焦民族志研究设计。研究样本包括伊朗两家养老院的25名工作人员——三名护士、18名医疗护理员、两名管理人员、一名社会工作者和一名心理学家——以及10名老年人。通过实地记录、观察和半结构化深度访谈收集数据。采用主题分析法对数据进行分析。
出现了两个主要主题：寻求平静死亡的怀抱；等待死亡。在这些主题中，又确定了四个子主题。
参与者的观念源于养老院文化及其对永生的信仰。对工作人员进行有关濒死者文化需求和临终关怀的培训，将是改善养老院居民死亡体验的最有效方法。
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