Hickish Dinah, Roberts Debbie
Consultant Nurse, St Kentigern Hospice, St Asaph, North Wales. Honorary Lecturer, School of Healthcare Sciences, Bangor University, North Wales.
Professor, Foundation of Nursing Studies, Professor of Practice Learning, School of Healthcare Sciences, Bangor University, North Wales.
Int J Palliat Nurs. 2019 Mar 2;25(3):143-149. doi: 10.12968/ijpn.2019.25.3.143.
: Palliative care in the UK has become more medicalised over the last 50 years, and it was recognised as a medical speciality in 2004. However, out of financial expediency, an inpatient hospice in North Wales has become nurse-led.
: This article considers the history of care of the dying and discusses how nurses are best placed to be masters of care of the dying.
: The model of nurse-led care is described in terms of how this innovation in practice has developed, allowing the advanced nurse practitioner role to be extended to an autonomous level of hospice care not practised anywhere else in the UK.
: The innovation of nurse-led hospice care has secured the future of the hospice, making it fiscally robust and ensuring a sustainable service for the community that it serves.
在过去50年里，英国的姑息治疗变得更加医学化，并于2004年被确认为一个医学专科。然而，出于财务上的权宜之计，北威尔士的一家住院临终关怀医院已由护士主导。
本文回顾了临终关怀的历史，并探讨护士如何最适合成为临终关怀的主导者。
描述了护士主导护理模式在实践中的发展创新过程，这使得高级护士从业者的角色得以扩展到英国其他地方未实行的自主临终关怀护理层面。
护士主导的临终关怀护理创新确保了临终关怀医院的未来，使其在财政上稳健，并为其所服务的社区确保了可持续的服务。
