居家医疗保健服务和医院中的姑息治疗 - 资源护士的角色，一项定性研究。
Palliative care in home health care services and hospitals - the role of the resource nurse, a qualitative study.
机构信息
Faculty of Health, Welfare and Organisation, Østfold University College, Halden, 1757, Norway.
出版信息
BMC Palliat Care. 2022 May 3;21(1):64. doi: 10.1186/s12904-022-00956-x.
BACKGROUND
The role of the resource nurse aims at bridging the gap between the specialist nurses and the nurses who work in non-specialist wards. The role is established internationally and used in a wide area of clinical settings. The resource nurse is promoting evidence-based practice. Patients with life limiting conditions including cancer and other chronic diseases will likely need palliative care during the trajectory of illness. Due to the complexity of palliative care, both interprofessional help and cooperation between levels of healthcare are considered necessary.
AIM
The aim of this study was to explore the perceptions and experiences related to the role of the resource nurse in palliative care in the setting of home health care services and hospitals in Norway, from the perspectives of the resource nurses and the ward nurses.
DESIGN
The study has an explorative design with a qualitative approach.
METHODS
Eight individual interviews were conducted. Audiotaped interview material was transcribed verbatim and the data were analysed using systematic text condensation. The encoded data material provided the basis for writing analytical texts that in turn resulted in meaningful descriptions of the different categories.
RESULTS
Four resource nurses and four ward nurses participated in individual interviews. Analysis of the data yielded three categories: 1. Expectations of better competence in the ward. 2. Expectations of better cooperation between professions and different levels of healthcare services. 3. Improvements and hindrances.
CONCLUSION
The resource nurse role is underutilized due to heavy workload and inefficient organization of care. Improvements such as sufficient time resources, support from the ward nurse and cooperation with staff nurses, the resource nurses' role could contribute to increased competence and cooperation interprofessionally and between levels of healthcare.
背景
资源护士的角色旨在弥合专科护士和非专科病房护士之间的差距。该角色在国际上建立，并在广泛的临床环境中使用。资源护士促进循证实践。患有生命有限条件的患者，包括癌症和其他慢性疾病，在疾病过程中可能需要姑息治疗。由于姑息治疗的复杂性，需要考虑专业人员之间的帮助和医疗保健各级之间的合作。
目的
本研究旨在从资源护士和病房护士的角度探讨挪威家庭保健服务和医院姑息治疗中资源护士角色的认知和体验。
设计
该研究采用探索性设计和定性方法。
方法
进行了 8 次个人访谈。对录音采访材料进行逐字转录，并使用系统文本压缩对数据进行分析。编码数据材料为编写分析文本提供了基础，这些文本又为不同类别的有意义描述提供了依据。
结果
4 名资源护士和 4 名病房护士参加了个人访谈。数据分析产生了三个类别：1. 期望在病房中具有更好的能力。2. 期望改善专业之间和不同医疗保健服务层次之间的合作。3. 改进和障碍。
结论
由于工作量大且护理组织效率低下，资源护士的角色未得到充分利用。例如，有足够的时间资源、病房护士的支持以及与护士的合作，资源护士的角色可以促进专业间和医疗保健各级之间的合作，提高能力。
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