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基于尊严模式的姑息治疗人群护理干预。

Nursing interventions for people in palliative care, based on the Dignity Model.

机构信息

Nursing Collegiate, Universidad of State of Bahia; Permanent Professor of the Postgraduate Programme in Nursing and Health at the Federal University of Bahia, Brazil.

Postgraduate Programme in Nursing and Health at the Federal University of Bahia. Salvador, Brazil.

出版信息

Int J Palliat Nurs. 2022 Sep 2;28(9):419-425. doi: 10.12968/ijpn.2022.28.9.419.

Abstract

BACKGROUND

The use of the standardised nursing language aims to accurately represent clinical practice, contributing to proper documentation and the creation of evidence-based practice.

AIMS

To validate nursing interventions (NI) for patients in palliative care, structuring these using the Dignity-Conserving Care Model.

METHODS

A methodological study was conducted, developed according to the recommendations of the International Council of Nurses (ICN) and anchored in the Dignity-Conserving Care Model. The NI were developed in four stages: 1) construction of NI, based in the International Standards Organisation's standard (18.104:2014); 2) content validation by 26 expert nurses; 3) cross-mapping with the NIs contained in the International Classification for Nursing Practice (ICNP) catalogue, Palliative Care for Dignified Dying, to identify those already existing in the catalogue; and 4) structuring the NI based on the concepts of the Dignity-Conserving Care Model.

FINDINGS

209 NI were validated and grouped into categories, namely: illness-related concerns; dignity-conservation repertoire; social dignity inventory. Of these, 183 were new and 26 already existed in the ICNP Catalogue.

CONCLUSION

The study presents new insights into palliative care in Brazil and presents 183 new NI in addition to those already published by the ICN.

摘要

背景

使用标准化护理语言旨在准确反映临床实践,有助于进行适当的记录和创建基于证据的实践。

目的

使用尊严保护护理模型对姑息治疗患者的护理干预(NI)进行验证,对这些干预措施进行结构构建。

方法

这是一项方法学研究,根据国际护士理事会(ICN)的建议进行开发,并以尊严保护护理模型为基础。NI 的开发分为四个阶段:1)基于国际标准化组织标准(18.104:2014)构建 NI;2)26 名专家护士对内容进行验证;3)与包含在国际护理实践分类(ICNP)目录中的姑息护理尊严死亡中的 NI 进行交叉映射,以确定目录中已存在的 NI;4)根据尊严保护护理模型的概念构建 NI。

结果

验证了 209 项 NI,并将其分为几类,即:与疾病相关的问题;尊严保护 repertoire;社会尊严清单。其中,183 项是新的,26 项已存在于 ICNP 目录中。

结论

该研究为巴西的姑息治疗提供了新的见解,并提出了 183 项新的 NI,此外 ICN 还公布了其他 NI。

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