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临终的语言:关于老年护理机构中临终关怀的沟通

The language of dying: Communication about end-of-life in residential aged care.

作者信息

Omori Maho, Jayasuriya Jude, Scherer Sam, Dow Briony, Vaughan Marie, Savvas Steven

机构信息

School of Social Sciences, Faculty of Arts, Monash University, Clayton, Victoria, Australia.

National Ageing Research Institute, Parkville, Victoria, Australia.

出版信息

Death Stud. 2022;46(3):684-694. doi: 10.1080/07481187.2020.1762263. Epub 2020 May 13.

Abstract

This article explores implications of language used in communicating death and dying in residential aged care, which increasingly emphasizes a "family-centered" approach to end-of-life care. Based on focus groups with care professionals and families, our findings reveal a persistent clinical culture that resists frank discussions of dying, with many staff preferring to use euphemisms for dying. Our results emphasize the importance of end-of-life education for families, which families acknowledged was lacking. Cultural change in institutional control over disclosing dying is imperative in order to gain family trust and support in professional care and promote death literacy.

摘要

本文探讨了在住宿式老年护理机构中传达死亡及临终相关事宜时所使用语言的影响,这种护理越来越强调以“家庭为中心”的临终关怀方法。基于与护理专业人员和家属的焦点小组讨论,我们的研究结果揭示了一种持续存在的临床文化,这种文化抵制关于死亡的坦诚讨论,许多工作人员更倾向于使用委婉语来提及死亡。我们的研究结果强调了为家属提供临终教育的重要性,家属们承认这方面存在欠缺。为了赢得家庭对专业护理的信任和支持并提高死亡素养,机构在披露死亡信息方面进行文化变革势在必行。

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