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为老年人提供关怀时的同情心决定因素:教育意义。

Determinants of compassion in providing care to older people: Educational implications.

机构信息

Buckinghamshire University, United Kingdom of Great Britain and Northern Ireland.

Department of Psychology, Buckinghamshire New University, United Kingdom of Great Britain and Northern Ireland.

出版信息

Nurse Educ Today. 2021 Jun;101:104878. doi: 10.1016/j.nedt.2021.104878. Epub 2021 Mar 23.

Abstract

BACKGROUND

Care provision underpinned by compassion builds trust and ensures a deeper understanding of the health needs of older people. Yet nursing curricula in the United Kingdom focus on knowledge and skill acquisition rather than caring with compassion. This negatively impacts on the quality of care. Despite this, there is limited research on compassion in the care of older people.

AIM

To explore the views of nurse educators (NE), pre-registration nursing students (PNS) and clinical mentors (CM) of the determinants of compassion in the care of older people.

METHODS

A generic qualitative research design was used. Data were collected using semi-structured interviews with 39 participants (NE = 8; CM = 8; PNS = 23). These were digitally-recorded, fully transcribed and analysed thematically using NVivo software.

FINDINGS

Three main themes emerged from the data analysis: the meaning of compassion, extrinsic determinants of compassion in care, and intrinsic determinants of compassion in care.

DISCUSSION

The outcome of this study suggests that nurses and students think that compassion speeds up older people's recovery and enhances the quality of care. NEs consider its application in clinical practice a demonstration of competence.

CONCLUSION

The inclusion of compassion in practical sessions of pre-registration nursing curricula and in the care of the older person may result in improved understanding of the latter and provision of holistic, safe and effective care.

摘要

背景

以同情心为基础的护理提供能够建立信任,并确保更深入地了解老年人的健康需求。然而,英国的护理课程侧重于知识和技能的获取,而不是富有同情心的护理。这对护理质量产生了负面影响。尽管如此,关于老年人护理中的同情心的研究仍然有限。

目的

探讨护士教育者(NE)、注册前护理学生(PNS)和临床导师(CM)对老年人护理中同情心决定因素的看法。

方法

采用通用的定性研究设计。使用半结构化访谈收集了 39 名参与者(NE=8;CM=8;PNS=23)的数据。这些数据被数字记录、完整转录,并使用 NVivo 软件进行主题分析。

结果

数据分析中出现了三个主要主题:同情心的含义、护理中同情心的外在决定因素和护理中同情心的内在决定因素。

讨论

这项研究的结果表明,护士和学生认为同情心可以加速老年人的康复并提高护理质量。NE 认为在临床实践中应用同情心是能力的体现。

结论

在注册前护理课程的实践课程和对老年人的护理中纳入同情心,可能会提高对后者的理解,并提供全面、安全和有效的护理。

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