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日本急诊科丧亲随访的现状:一项全国性横断面调查。

The current status of bereavement follow-up in Japanese emergency departments: A cross-sectional nationwide survey.

机构信息

College of Nursing Art and Science, University of Hyogo, 13-71 Kitaoujicho, Akashi City, Hyogo 673-0021, Japan.

Department of Nursing, Yokohama Municipal Citizen's Hospital, 56 Okazawacho, Hodogaya-ku, Yokohama City, Kanagawa 240 8555, Japan.

出版信息

Int Emerg Nurs. 2020 Sep;52:100872. doi: 10.1016/j.ienj.2020.100872. Epub 2020 Apr 18.

DOI:10.1016/j.ienj.2020.100872
PMID:32312686
Abstract

INTRODUCTION

The aim of this study was to investigate the current status of bereavement follow-up in Japanese emergency departments.

METHODS

This study employed a cross-sectional design and conducted a nationwide survey of all emergency departments in Japan. Self-reported questionnaires were sent to the nurse leaders of each emergency department.

RESULTS

Of 289 nurse leaders approached, 145 (50.2%) responded. Only 17.9% emergency departments provided bereavement follow-up strategies, and the most frequent strategy was referral to a specialist for psychological treatment. Most nurse leaders perceived that bereavement follow-up is necessary, and the greatest need of the bereaved as perceived by the nurse leaders was explanation of the patient's death. However, 60% of the nurse leaders perceived bereavement follow-up to be necessary but difficult, and the major challenges in bereavement follow-up were lack of time, knowledge, and skill.

CONCLUSION

In contemporary Japan, the prevalence of bereavement follow-up strategies offered by emergency departments was low, and although most nurse leaders perceived follow-up as necessary, it could not be provided because of limitations in human resources and staff training.

摘要

介绍

本研究旨在调查日本急救部门丧亲随访的现状。

方法

本研究采用横断面设计,对日本所有急救部门进行了全国性调查。向每个急救部门的护士长发放了自填式问卷。

结果

在接触的 289 名护士长中,有 145 名(50.2%)做出了回应。只有 17.9%的急救部门提供了丧亲随访策略,最常见的策略是转介给专家进行心理治疗。大多数护士长认为丧亲随访是必要的,而护士长认为丧亲者最需要的是对患者死亡的解释。然而,60%的护士长认为丧亲随访是必要的,但却很困难,丧亲随访的主要挑战是缺乏时间、知识和技能。

结论

在当代日本,急救部门提供的丧亲随访策略的流行率较低,尽管大多数护士长认为随访是必要的,但由于人力资源和员工培训的限制,无法提供。

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