Staff nurse, StWilfrid's Hospice, Bosham, UK.
Int J Palliat Nurs. 2021 Feb 2;27(1):30-36. doi: 10.12968/ijpn.2021.27.1.30.
The demand for hospice-at-home (HH) nurses is increasing due to an ageing global population and many people preferring to die at home. Therefore, the retention of existing HH nurses is vital.
This paper explores HH nurses' experiences of caring for dying patients to discover the factors that enable them to maintain their enthusiasm for their work, and cope with the challenges of working in a patient's home.
This qualitative study consisted of multiple unstructured interviews with 16 HH nurses conducted in England.
The interviews show that HH nurses: use a broad range of coping mechanisms; encounter intense, complex, unpredictable and ethically unclear challenges; identify a need for more support; and love their job.
In order for nurses to continue to enjoy their job, extra support to incorporate protected time for debriefing at the end of an HH nurse's shift is needed. Nurses also need training to develop positive coping skills, external supervision on a one-to-one basis as needed, and have their value demonstrated, by their employers and managers recognising and acknowledging them. These factors are likely to facilitate in the retention of employment of HH nurses.
由于全球人口老龄化以及许多人更愿意在家中去世，对居家临终关怀护士的需求不断增加。因此，保留现有的居家临终关怀护士至关重要。
本文探讨了居家临终关怀护士照顾临终患者的经验，以发现使他们能够保持对工作热情的因素，并应对在患者家中工作的挑战。
这项定性研究包括在英格兰对 16 名居家临终关怀护士进行的多次非结构化访谈。
访谈表明，居家临终关怀护士：使用广泛的应对机制；面临强烈、复杂、不可预测和伦理不清的挑战；确定需要更多支持；热爱自己的工作。
为了让护士继续享受他们的工作，需要额外的支持，在居家临终关怀护士轮班结束时提供保护时间进行汇报。护士还需要接受培训以培养积极的应对技巧，根据需要进行一对一的外部监督，并通过雇主和管理人员的认可来展示他们的价值。这些因素可能有助于留住居家临终关怀护士。
