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不同年龄段人群的终末关怀计划:护理概念模型的提出。

End-of-Life Care Planning in Diverse Individuals Across Age Groups: A Proposed Conceptual Model of Nursing.

机构信息

Clemson University School of Nursing, Greenville, South Carolina (Dr Rahemi); University of Central Florida College of Nursing, Orlando (Dr Malatyali); Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton (Dr Wiese); and Department of Psychology, Professor Emerita, Department of Public Health Sciences, Clemson University, Clemson, South Carolina (Dr Dye).

出版信息

J Nurs Care Qual. 2023;38(4):319-326. doi: 10.1097/NCQ.0000000000000705. Epub 2023 Mar 22.

DOI:10.1097/NCQ.0000000000000705
PMID:36947814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10442095/
Abstract

BACKGROUND

End-of-life planning helps nurses meet the needs of their patients at a crucial time of life.

PURPOSE

This article presents a conceptual model of end-of-life care planning for nurses, especially those in palliative and hospice care, focusing on holistic nursing views.

METHODS

Based on a literature review, we developed a new conceptual model illustrating the concepts and dimensions of end-of-life care planning among diverse individuals across countries, life spans and age groups, ethnographies, and residential statuses.

RESULTS

This conceptual model includes 3 concepts: personal factors, stakeholders, and environmental and social factors. Each concept encompasses multiple dimensions. The concepts are interrelated and directly related to end-of-life care planning.

CONCLUSION

This work addresses the need for a comprehensive end-of-life care planning model and can help enhance the quality of end-of-life care. This article identifies implications for nursing education, practice, and research.

摘要

背景

临终规划有助于护士在生命的关键时刻满足患者的需求。

目的

本文提出了一个针对护士的临终关怀规划概念模型,特别是针对姑息治疗和临终关怀护士,重点关注整体护理观点。

方法

基于文献回顾,我们开发了一个新的概念模型,说明了不同国家、不同生命跨度和年龄组、民族志和居住状态的个人的临终关怀规划的概念和维度。

结果

这个概念模型包括 3 个概念:个人因素、利益相关者以及环境和社会因素。每个概念都包含多个维度。这些概念是相互关联的,与临终关怀规划直接相关。

结论

这项工作满足了对全面的临终关怀规划模型的需求,并有助于提高临终关怀的质量。本文为护理教育、实践和研究确定了意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a966/10442095/c38347724212/jncqu-38-319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a966/10442095/0d745b57edc8/jncqu-38-319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a966/10442095/c38347724212/jncqu-38-319-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a966/10442095/0d745b57edc8/jncqu-38-319-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a966/10442095/c38347724212/jncqu-38-319-g002.jpg

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本文引用的文献

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The 'good death' in Mainland China - A Scoping Review.中国大陆的“善终”——一项范围综述
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2
Advance Care Planning Preferences in Hong Kong: A Cross-Sectional Study in a Community.香港的预立医疗计划偏好:一项社区横断面研究
Healthcare (Basel). 2022 Feb 17;10(2):384. doi: 10.3390/healthcare10020384.
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Attitudes about withholding or withdrawing life-prolonging treatment, euthanasia, assisted suicide, and physician assisted suicide: a cross-sectional survey among the general public in Croatia.
美国社会人口特征和认知水平在预先护理计划方面的既往差异
medRxiv. 2024 May 10:2024.05.09.24307125. doi: 10.1101/2024.05.09.24307125.
关于是否停止或撤销延长生命的治疗、安乐死、协助自杀和医生协助自杀的态度:克罗地亚普通公众的横断面调查。
BMC Med Ethics. 2022 Feb 17;23(1):13. doi: 10.1186/s12910-022-00751-6.
4
Barriers and facilitators for parents in end-of-life decision-making for neonates at the Neonatal Intensive Care Unit: A qualitative study.新生儿重症监护病房中父母参与新生儿临终决策的障碍与促进因素:一项定性研究。
Palliat Med. 2022 Apr;36(4):730-741. doi: 10.1177/02692163221076365. Epub 2022 Feb 12.
5
Decision-making conversations for life-sustaining treatment with seriously ill patients using a Danish version of the US POLST: a qualitative study of patient and physician experiences.使用丹麦版美国 POLST 对重病患者进行维持生命治疗的决策对话:一项对患者和医生体验的定性研究。
Scand J Prim Health Care. 2022 Mar;40(1):57-66. doi: 10.1080/02813432.2022.2036481. Epub 2022 Feb 11.
6
Shifting to Serious Illness Communication.转向重症疾病沟通。
JAMA. 2022 Jan 25;327(4):321-322. doi: 10.1001/jama.2021.23695.
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What's Wrong With Advance Care Planning?预先护理规划存在什么问题?
JAMA. 2021 Oct 26;326(16):1575-1576. doi: 10.1001/jama.2021.16430.
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Does Culture Matter? Young and Middle-Aged Iranian-American Adults' Perspectives Regarding End-of-Life Care Planning.文化重要吗?伊朗裔美国中青年成年人对临终关怀规划的看法。
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