Department of Nursing Science, University of Turku Finland, Turku, Finland.
Satakunta Central Hospital, Pori, Finland.
Nurs Open. 2022 Jan;9(1):428-436. doi: 10.1002/nop2.1081. Epub 2021 Sep 28.
To describe healthcare professionals' accessibility and transfer of patients' and family members' end-of-life wishes in ACP to the palliative care unit.
The study used a qualitative descriptive study design.
Purposive sampling was used. The data (N = 33) were collected through interviews with physicians, registered nurses, practical nurses and social workers. The data were analysed by inductive content analysis.
Two main categories emerged. Patients' and family members' end-of-life wishes documentation in relation to changing information needs was described in relation to patients' condition and care context. Transfer of patients' and family members' end-of-life wishes to palliative care unit included written and verbal communication. Results showed lack of implementation of ACP early, lack of implementation about the holistic interpretation of ACP into medical notes and lack of transferability of ACP into documenting systems impacting on accessibility and realization for the patient and family members at the end-of-life.
描述医疗保健专业人员在 ACP 中将患者和家属的临终意愿及其向姑息治疗病房的转移情况。
本研究采用定性描述性研究设计。
采用目的性抽样。通过对医生、注册护士、执业护士和社会工作者的访谈收集数据（N=33）。采用归纳内容分析法对数据进行分析。
出现了两个主要类别。与不断变化的信息需求相关的患者和家属的临终意愿文档描述与患者的病情和护理环境有关。将患者和家属的临终意愿转移到姑息治疗病房包括书面和口头沟通。结果表明，在 ACP 的早期实施不足，对 ACP 的整体解释缺乏纳入医疗记录，以及 ACP 的可转移性缺乏对记录系统的影响，从而影响了患者和家属在临终时的可及性和实现。
