Staff Nurse, Nottingham City Hospital, Nottingham University Hospitals NHS Trust.
St Luke's Senior Clinical Lecturer in Palliative Medicine, School of Health and Related Research, University of Sheffield.
Br J Nurs. 2021 Oct 14;30(18):1084-1089. doi: 10.12968/bjon.2021.30.18.1084.
The number of deaths occurring in hospitals is rising, and many occur in settings other than specialist palliative care, oncology or critical care. Nurses working outside these specialist environments report end-of-life (EoL) care as a source of stress. This research aimed to explore these experiences.
This qualitative study, using semi-structured interviews as a research technique, aimed to investigate the experiences of surgical nurses caring for dying patients.
Five themes emerged: understanding of and preference for EoL care; perceived barriers while providing EoL care; robust support from the team as a facilitator while providing EoL care; symptom management; future training and support.
Participants considered providing EoL care as part of their professional role and reported that they were able to provide appropriate physical care. Participants identified challenges in providing emotional and psychological support to dying patients and their families in an acute surgical setting.
医院中的死亡人数正在增加，而且许多死亡发生在专门的姑息治疗、肿瘤学或重症监护环境之外的地方。在这些专门环境之外工作的护士报告说，临终关怀是一种压力源。这项研究旨在探讨这些经历。
本定性研究使用半结构化访谈作为研究技术，旨在调查外科护士照顾临终患者的经验。
出现了五个主题：对临终关怀的理解和偏好；提供临终关怀时遇到的感知障碍；团队提供强有力的支持作为提供临终关怀的促进因素；症状管理；未来的培训和支持。
参与者认为提供临终关怀是其专业角色的一部分，并报告说他们能够提供适当的身体护理。参与者在急性外科环境中为临终患者及其家属提供情感和心理支持方面遇到了挑战。
