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儿科急症医院提供临终关怀的医生、护士和社会工作者的经验。

The experiences of physicians, nurses, and social workers providing end-of-life care in a pediatric acute-care hospital.

机构信息

Department of Social Work, The Hospital for Sick Children, Toronto, Ontario, Canada.

出版信息

Death Stud. 2020;44(2):105-116. doi: 10.1080/07481187.2018.1526829. Epub 2019 Mar 4.

Abstract

This qualitative study explored the experiences of social workers, nurses, and physicians providing end-of-life care to children in a pediatric acute-care hospital setting. Findings demonstrated that participants experienced both professional and personal impacts of their work and employed various coping strategies under each of these domains. The acute-care setting was found to create unique challenges in providing end-of-life care. Implications for policy and practice include promotion of both individual and institutional-level coping strategies and supports that meet the various needs of staff. Implications for future research include a nuanced examination of differences in experiences among nurses, social workers, and physicians.

摘要

本定性研究探讨了社会工作者、护士和医生在儿科急症医院环境中为儿童提供临终关怀的经验。研究结果表明,参与者在工作中既经历了职业上的影响,也经历了个人的影响,并在这两个领域都采用了各种应对策略。研究发现,急症护理环境在提供临终关怀方面带来了独特的挑战。对政策和实践的影响包括促进个人和机构层面的应对策略和支持,以满足员工的各种需求。未来研究的意义包括对护士、社会工作者和医生之间的经验差异进行细致的考察。

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