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护士为晚期癌症患者提供“敏感护理”的经历:一项定性研究。

Nurses' experiences of providing "sensitive nursing care" for terminally-ill individuals with cancer: A qualitative study.

作者信息

Kwon Sinyoung, Kim Miyoung, Choi Sujin

机构信息

Hospice & Palliative Care Center, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Science, Seoul, South Korea.

College of Nursing, Ewha Womans University, Seoul, South Korea.

出版信息

Eur J Oncol Nurs. 2020 May 15;46:101773. doi: 10.1016/j.ejon.2020.101773.

DOI:10.1016/j.ejon.2020.101773
PMID:32504877
Abstract

PURPOSE

To explore the sensitive nursing care provided by nurses who care for terminally-ill individuals with cancer.

METHODS

In-depth interviews were conducted using Colaizzi's phenomenological approach. Participants were 16 hospice specialists and four non-specialist nurses with experience in caring for terminal cancer patients in hospice specialized institutions in South Korea.

RESULTS

Eight theme clusters were drawn from the data and these clusters had two dimensions consisting of sensitive attitudes and sensitive nursing behaviors. The sensitive attitudes included reflecting on past experiences, developing an accepting attitude toward death, using intuition to address critical situations, and having an open mind regarding collaborating with colleagues. The sensitive nursing behaviors contained listening to patients' needs, responding to patients in a manner suitable to their conditions, quickly responding to patients' problem, and providing a moment saying farewell.

CONCLUSIONS

Teamwork and role models can help hospice specialists and non-specialist nurses caring for terminally-ill individuals with cancer to improve the sensitive nursing care. The sensitive attitudes and behaviors can be used as basic data for training programs designed to enhance nurses' sensitivity.

摘要

目的

探讨照顾晚期癌症患者的护士所提供的敏感性护理。

方法

采用科莱齐的现象学方法进行深入访谈。参与者为韩国临终关怀专科医院中16名临终关怀专家和4名有照顾晚期癌症患者经验的非专科护士。

结果

从数据中提炼出8个主题簇,这些簇有两个维度,包括敏感态度和敏感护理行为。敏感态度包括反思过去的经历、对死亡形成接纳态度、运用直觉处理危急情况以及对与同事合作持开放心态。敏感护理行为包括倾听患者需求、以适合患者状况的方式回应患者、迅速回应患者的问题以及提供告别的时刻。

结论

团队合作和榜样可以帮助照顾晚期癌症患者的临终关怀专家和非专科护士改善敏感性护理。敏感态度和行为可作为旨在提高护士敏感性的培训项目的基础数据。

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