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护士和医生在考虑结束重症监护患者的延长生命治疗时的决策过程中的合作。

Collaboration between nurses and doctors in the decision-making process when considering ending the life-prolonging treatment of intensive care patients.

机构信息

Lovisenberg Diaconal University College, Oslo, Norway.

Division of Surgery, Akershus University Hospital (Ahus), Lørenskog, Norway.

出版信息

Nurs Open. 2023 Jan;10(1):306-315. doi: 10.1002/nop2.1305. Epub 2022 Aug 20.

Abstract

AIMS

The aim of the study was to explore intensive care nurses' collaboration with doctors' when considering ending the life-prolonging treatment of patients in the intensive care unit.

DESIGN

A qualitative method with an explorative descriptive design was employed.

METHODS

Data were collected through semi-structured interviews with four intensive care nurses and four doctors working in three intensive care units at two university hospitals and one local hospital. The data were analysed using systematic text condensation. This study was reported according to the consolidated criteria for reporting qualitative research checklist.

RESULTS

Two categories were identified in the data analysis: listening to each other during the decision-making process and continuity and having time to facilitate regular discussions of prognosis and treatment plans.

摘要

目的

本研究旨在探讨重症监护护士在考虑终止重症监护病房患者的延长生命治疗时与医生的合作情况。

设计

采用定性方法和探索性描述设计。

方法

数据通过对在两家大学医院和一家当地医院的三家重症监护病房工作的四名重症监护护士和四名医生进行半结构化访谈收集。使用系统文本浓缩法对数据进行分析。本研究按照定性研究报告的统一标准进行报告。

结果

数据分析中确定了两个类别:决策过程中的相互倾听以及连续性和有时间促进对预后和治疗计划的定期讨论。

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