Hassankhani Hadi, Rahmani Azad, Best Amy, Taleghani Fariba, Sanaat Zohreh, Dehghannezhad Javad
Center of Qualitative Studies School of Nursing and Midwifery Tabriz University of Medical Sciences Tabriz Iran.
Medical-Surgical Department Nursing & Midwifery Faculty Tabriz Iran.
Nurs Open. 2020 Apr 22;7(4):1260-1268. doi: 10.1002/nop2.503. eCollection 2020 Jul.
To investigate the barriers to home-based palliative care for cancer patients from professional caregivers' experiences.
A qualitative study.
This is a descriptive-qualitative study carried out in the community-based care. Twenty-three participants took part in this study. Data were collected through semi-structured interviews.
Data analysis led to the identification of three category of barriers including the lack of instructions (the lack of clinical practice guidelines, the ambiguity of tariffs and the lack of insurance coverage), family desperation (family views of prognosis, distrust and poverty) and lack of professionalism (limited knowledge, the use of amateur nurses and siloed care). Developing a care protocol and providing resources support contribute to the development of home-based palliative care. Moreover, the education of families and training courses for nurses must be fostered.
从专业护理人员的经验出发，调查癌症患者居家姑息治疗的障碍。
一项定性研究。
这是一项在社区护理中开展的描述性定性研究。23名参与者参与了本研究。数据通过半结构化访谈收集。
数据分析得出三类障碍，包括缺乏指导（缺乏临床实践指南、收费不明确以及缺乏保险覆盖）、家庭绝望（家庭对预后的看法、不信任和贫困）以及缺乏专业性（知识有限、使用业余护士和护理分散）。制定护理方案并提供资源支持有助于居家姑息治疗的发展。此外，必须加强对家庭的教育和护士培训课程。
