COVID-19 大流行期间的临终关怀：护士和助理护士观点的定性研究。
End of life care during the COVID-19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants.
机构信息
Department of Nursing, Health University of Applied Sciences Tyrol, Innsbruck, Austria.
Gruppo San Donato Hospitals, Milan, Italy.
出版信息
Nurs Open. 2023 Jun;10(6):3881-3891. doi: 10.1002/nop2.1646. Epub 2023 Mar 8.
AIM
To explore nurses' and nurse assistants' experiences of providing end-of-life care during the COVID-19 pandemic in Austria, Germany and Northern Italy.
DESIGN
A qualitative explorative interview study.
METHOD
Data were collected between August and December 2020 and analysed using content analysis. Healthcare professionals (nurses (n = 30), nurse coordinators (n = 6) and nurse assistants (n = 5)) from hospitals (n = 32) and long-term care facilities (n = 9) in Austria, Germany and Northern Italy were interviewed for this study.
RESULTS
Five main categories were identified as follows: (i) end-of-life care involves love and duty, (ii) last wishes and dignity of the patient, (iii) communication with the family, (iv) organizational and religious aspects and (v) personal emotions. Results indicate that more training and guidelines are needed to prepare nurses and nurse assistants for end-of-life care during pandemics.
PUBLIC CONTRIBUTION
This research can help prepare nurses and nurse assistants for end-of-life care in pandemics and will be of value for improving the institutional and government health policies. Furthermore, it can be of value in preparing training for healthcare professionals patient-relatives.
目的
探索奥地利、德国和意大利北部的护士和助理护士在 COVID-19 大流行期间提供临终关怀的经验。
设计
定性探索性访谈研究。
方法
数据收集于 2020 年 8 月至 12 月之间进行，采用内容分析法进行分析。本研究对来自奥地利、德国和意大利北部医院（n=32）和长期护理机构（n=9）的医护人员（护士（n=30）、护理协调员（n=6）和助理护士（n=5））进行了访谈。
结果
确定了以下五个主要类别：（i）临终关怀涉及爱和责任，（ii）患者的最后愿望和尊严，（iii）与家属的沟通，（iv）组织和宗教方面，以及（v）个人情感。结果表明，需要更多的培训和指南来为护士和助理护士在大流行期间的临终关怀做准备。
公众贡献
这项研究可以帮助护士和助理护士为大流行期间的临终关怀做准备，并有助于改善机构和政府的卫生政策。此外，它还可以为医护人员与患者亲属的培训提供价值。
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