护士在舒缓治疗病房中进行舒缓镇静治疗的实践：一项定性研究。
The practices of nurses about palliative sedation on palliative care wards: A qualitative study.
机构信息
Department of Nursing Science, University of Turku, Turku, Finland.
Department of Nursing Science, University of Turku, Turku University Hospital, Turku, Finland.
出版信息
J Adv Nurs. 2022 Nov;78(11):3733-3744. doi: 10.1111/jan.15350. Epub 2022 Jun 30.
AIM
To describe the practices of nurses concerning palliative sedation in palliative care wards in hospitals.
DESIGN
Qualitative descriptive design.
METHODS
A total of 27 nurses were interviewed in six focus groups and one pair interview; the nurses worked on four palliative care wards in three Finnish hospitals and the interviews took place between May and November 2019. The data were analysed using inductive content analysis. The COREQ checklist was used as a guide for reporting this study.
FINDINGS
Three main categories describing nurses' practices concerning palliative sedation were identified: participation in palliative sedation decision-making, sedation implementation and monitoring and information sharing and compassionate care for the patient and relatives.
CONCLUSIONS
Nurses play a key role throughout palliative sedation on palliative care wards in hospitals. To develop the quality of care, it is recommended to specify the role of nurses in palliative sedation, increase cooperation between nurses and physicians, and enhance palliative sedation education for nurses.
目的
描述医院姑息治疗病房护士在姑息镇静治疗中的实践。
设计
定性描述设计。
方法
2019 年 5 月至 11 月，在芬兰的 3 家医院的 4 个姑息治疗病房，对 27 名护士进行了 6 个焦点小组和 1 对 1 访谈，对护士进行了访谈；数据采用归纳内容分析法进行分析。本研究报告使用了 COREQ 清单作为指导。
结果
确定了描述护士在姑息镇静治疗中实践的三个主要类别：参与姑息镇静治疗决策、镇静实施和监测以及为患者和家属提供信息共享和同情关怀。
结论
在医院姑息治疗病房，护士在姑息镇静治疗中起着关键作用。为了提高护理质量，建议明确护士在姑息镇静治疗中的角色，加强护士与医生之间的合作，并加强护士的姑息镇静教育。
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