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姑息治疗学习对护理专业学生对死亡和尊严死亡认知的影响的内容分析

Content analysis of the effects of palliative care learning on the perception by nursing students of dying and dignified death.

作者信息

Martí-García Celia, Ruiz-Martín Laura, Fernández-Alcántara Manuel, Montoya-Juárez Rafael, Hueso-Montoro César, García-Caro María Paz

机构信息

Department of Nursing, Faculty of Health Sciences, University of Malaga, C/Arquitecto Francisco Peñalosa, 3, 29071 Malaga, Spain.

d'Inca Regional Hospital, Carretera Vella de Llubí, S/N, 07300 Inca, Spain.

出版信息

Nurse Educ Today. 2020 Mar 6;88:104388. doi: 10.1016/j.nedt.2020.104388.

Abstract

BACKGROUND

Providing care for dying people and the death of patients are stressing situations faced by nursing students during their clinical practice. Learning about palliative care improves the management of emotions and the ability to cope when caring for patients in end-of-life processes. However, there is little knowledge on the effect of this learning on the students' perceptions of their own death.

OBJECTIVES

To determine the effect of a palliative care course on the thoughts of nursing students about their own death.

DESIGN

A qualitative, descriptive, and comparative study was conducted based on content analysis, administering an open-ended questionnaire on dying and death at the start and end of a palliative care course.

PARTICIPANTS

The study included 85 volunteers studying Palliative Care in the second year of their Nursing Degree at the University of Granada (Spain).

RESULTS

Students described their perceptions in more detail after the course, with more numerous code citations, and their post-course responses evidenced a reduction in anxiety about their own death and an increased recognition of the need to respect the decisions of patients for a dignified death.

CONCLUSIONS

Palliative care learning modifies the perception by nursing students of their own death and their understanding of a dignified death, which may enhance the care they deliver to patients at the end of life.

摘要

背景

为临终患者提供护理以及面对患者的死亡是护理专业学生在临床实习期间所面临的压力情境。学习姑息治疗可改善情绪管理以及在护理临终患者时的应对能力。然而,关于这种学习对学生对自身死亡的认知的影响,目前了解甚少。

目的

确定姑息治疗课程对护理专业学生关于自身死亡的想法的影响。

设计

基于内容分析开展了一项定性、描述性和比较性研究,在姑息治疗课程开始和结束时发放一份关于死亡的开放式问卷。

参与者

该研究纳入了85名志愿者,他们是西班牙格拉纳达大学护理专业二年级学习姑息治疗的学生。

结果

课程结束后,学生对自身认知的描述更加详细,编码引用更多,且他们课程后的回答表明对自身死亡的焦虑有所减少,对尊重患者尊严死亡决定的必要性的认识有所提高。

结论

姑息治疗学习改变了护理专业学生对自身死亡的认知以及对尊严死亡的理解,这可能会提升他们为临终患者提供的护理质量。

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