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本科护生临终关怀体验的感知障碍和促进因素:基于生活体验的定性研究。

Perceived barriers and motivators of undergraduate nursing students in end-of-life care: A qualitative study based on lived experiences.

机构信息

Nursing Department, Faculty of Health Sciences, Izmir Bakircay University, Izmir, Turkey.

Internal Medicine Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Turkey.

出版信息

Perspect Psychiatr Care. 2022 Oct;58(4):2687-2696. doi: 10.1111/ppc.13109. Epub 2022 May 10.

Abstract

PURPOSE

The aim of this study is to determine which barriers and motivators undergraduate nursing students perceived during their experience of providing end-of-life (EoL) care.

DESIGN AND METHODS

Qualitative phenomenological study leans on focus groups. The study was carried out with Zoom, a Web-based mobile video-conferencing application. Students were recruited from two universities in Turkey. Semistructured focus group interviews were conducted with 28 nursing students. The Heidegger phenomenological approach was adopted in this study.

FINDINGS

Three thematic categories and nine subcategories were determined. While the students stated that insufficient clinical experience, lack of knowledge, the inadequacy of communication techniques, and the insecurity of patients, relatives, and healthcare teams were barriers in EoL care, they stated they were motivated by witnessing the effect of nursing care on patients, integrating their theoretical knowledge into care, applying different communication techniques, and being positive role models of nurses in clinics.

PRACTICE IMPLICATIONS

As students were not adequately prepared to cope with clinical practices in EoL care, the nursing core curriculum needs revision in this regard. Providing adequate theoretical and clinical training in EoL care will help nursing students manage their emotions and provide high-quality care to patients and their families.

摘要

目的

本研究旨在确定本科护生在提供临终关怀时所经历的障碍和动机。

设计和方法

定性现象学研究依赖于焦点小组。该研究在土耳其的两所大学进行,使用基于网络的移动视频会议应用程序 Zoom 进行。研究对象是 28 名护理专业学生。采用海德格尔现象学方法进行半结构化焦点小组访谈。

结果

确定了三个主题类别和九个子类别。学生们表示,在临终关怀中,临床经验不足、知识匮乏、沟通技巧不足以及患者、家属和医疗团队的不安全感是障碍,但他们也表示,他们的动机是目睹护理对患者的影响,将理论知识融入护理中,应用不同的沟通技巧,并在临床中成为护士的积极榜样。

实践意义

由于学生在临终关怀的临床实践中准备不足,护理核心课程需要在此方面进行修订。在临终关怀方面提供充足的理论和临床培训,将有助于护理学生管理自己的情绪,并为患者及其家属提供高质量的护理。

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