Palliative Research Centre, Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
Capio Health Centre, Stockholm, Sweden.
Nurs Health Sci. 2022 Dec;24(4):820-827. doi: 10.1111/nhs.12982. Epub 2022 Aug 30.
The aim of this study was twofold: to illuminate registered nurses' experiences of palliative care and of caring for patients transitioning from curative to palliative care in hospitals. A qualitative descriptive design was used. Group interviews were conducted with 11 registered nurses in three different hospital settings. Content analysis was performed. The results are presented in four themes: "Understanding palliative care in a hospital setting"; "Involving, supporting, and caring for patients and families"; "Striving for consensus and common goals of care"; and "Struggling with the hospital environment." The registered nurses described struggling with the interpretation of palliative care and with how to transfer it into clinical practice in their specific care settings. Teamwork and collaboration were challenging and goals of care incongruent within the team. Further implementation of a palliative care approach, with core components symptom relief, teamwork, communication and relationship, and family support, is crucial to improve both patient care and the conditions enabling registered nurses to provide good care for the patients and their families in hospital settings.
本研究旨在阐明注册护士在医院环境中对姑息治疗的体验，以及对接受姑息治疗的患者从治疗转向姑息治疗的护理体验。采用定性描述性设计。在三个不同的医院环境中，对 11 名注册护士进行了小组访谈。进行了内容分析。结果呈现为四个主题：“理解医院环境中的姑息治疗”；“参与、支持和护理患者及其家庭”；“努力达成共识和共同的护理目标”；以及“与医院环境作斗争”。注册护士描述了在解释姑息治疗以及如何将其转化为特定护理环境中的临床实践方面的困难。团队合作和协作具有挑战性，团队内部的护理目标不一致。进一步实施姑息治疗方法，包括缓解症状、团队合作、沟通和关系以及家庭支持等核心要素，对于改善患者护理以及为注册护士在医院环境中为患者及其家属提供良好护理创造条件至关重要。
