College of Nursing, University of Arizona, Tucson, Arizona (Dr Crist); Infusion Nurses Society, Norwood, Massachusetts (Dr Steinheiser). Janice D. Crist, PhD, RN, is an associate professor at the College of Nursing, University of Arizona. She has been a home health/public health nurse and graduate student educator in gero-science and health care disparities courses for more than 40 years. Dr Crist has extensive experience in conducting community-based participatory research on increasing use of community services to help caregivers and older adults aging-in-place. Marlene M. Steinheiser, PhD, RN, CRNI®, is the director of clinical education for the Infusion Nurses Society. Dr Steinheiser has been certified as an infusion nurse since 1991 and has more than 32 years of clinical experience caring for vulnerable and older adults. In 2018, she earned her PhD from the University of Arizona with a primary research focus on compassion fatigue among nurses caring for older adults in skilled nursing facilities.
J Infus Nurs. 2020 Sep/Oct;43(5):255-261. doi: 10.1097/NAN.0000000000000384.
Approximately 43 500 000 family caregivers provide unpaid care to an adult or child. Most caregivers provide care to older adults, most often parents. Caregivers are often ill-prepared to assist their loved ones, creating or increasing caregiving burden and/or risk of compassion fatigue, potentially leading to critical "caregiving tipping points." Identifying families who are experiencing increased burden or risk of compassion fatigue is a skill that nurses, including infusion nurses, who have unique entrée into the caregiving situation, should develop. The purpose of this article is to describe "impending" tipping points before they occur and to offer solutions for how nurses can help caregiving families identify them and access additional supportive services.
大约有 4350 万家庭护理人员为成年人或儿童提供无偿护理。大多数护理人员为老年人提供护理，通常是父母。护理人员往往没有准备好帮助他们所爱的人，从而增加了护理负担和/或同情疲劳的风险，这可能导致关键的“护理转折点”。识别那些正在经历负担增加或同情疲劳风险的家庭是护士（包括输液护士）应该培养的一项技能，因为他们具有独特的进入护理情况的途径。本文的目的是描述在“即将”发生的转折点发生之前的情况，并提供解决方案，说明护士如何帮助护理家庭识别这些转折点，并获得额外的支持服务。
