“敢于应对困难和意外”——有姑息治疗需求的患者的注册护士保密谈话：一项定性访谈研究。
"Daring to deal with the difficult and unexpected" registered nurses' confidential conversations with patients with palliative care needs: a qualitative interview study.
机构信息
Department of Health Sciences Nursing Science, Mid Sweden University, Östersund, Sweden.
Department of Nursing, Mid Sweden University, Östersund, S-831 25, Sweden.
出版信息
BMC Palliat Care. 2023 Jul 31;22(1):108. doi: 10.1186/s12904-023-01228-y.
BACKGROUND
In palliative care, registered nurses provide advanced nursing care to relieve patients' symptoms and increase their quality of life based on physical, mental, social and existential dimensions. Conversations, often about existential issues, are an important part of nursing and can affect quality of life positively. Confidential conversations between patients and nurses occur naturally while other nursing activities are being performed. Despite their great importance for palliative care these are rarely described.
AIM
To gain a deeper understanding of how nurses in palliative care experience and describe confidential conversations with patients.
METHOD
Secondary analysis of data from 17 open-ended face-to-face interviews with registered nurses in palliative care was conducted. Qualitative content analysis using an inductive approach was used to gain a deeper understanding and analyse the latent content.
RESULTS
The confidential conversation was considered an important part of palliative care and is the nurse's responsibility. This responsibility was described as complex and placed various demands on the nurses, both personal and professional. A prerequisite for the conversation was the interpersonal relationship. The conversation allowed the patient to process important matters not previously addressed or put into words. It had no predetermined content, was unplanned and entirely on the patient's terms. For nurses the conversation could be experienced both as draining and a source of power and strength. The nurses also described safeguarding the patient through the conversation.
CONCLUSION
Nurses' confidential conversations with patients are essential in palliative care and must be highlighted more to increase the quality of palliative care. The confidential conversations often have an existential content and are challenging for the nurses. Therefore, nurses need time, knowledge, and supervision to increase their conversation skills.
背景
在姑息治疗中，注册护士根据身体、心理、社会和存在维度，提供高级护理以缓解患者的症状并提高其生活质量。基于这些维度，与患者进行有关存在问题的谈话是护理工作的重要组成部分，能够积极地影响生活质量。在进行其他护理活动时，患者和护士之间的私密对话自然而然地发生，但这些对话很少被描述。
目的
深入了解姑息治疗护士对与患者进行私密对话的体验和描述。
方法
对 17 名姑息治疗注册护士的 17 次面对面开放式访谈的资料进行二次分析。使用归纳法的定性内容分析法，以深入理解和分析潜在内容。
结果
私密对话被认为是姑息治疗的重要组成部分，也是护士的责任。这种责任被描述为复杂的，对护士的个人和专业都提出了各种要求。对话的前提是人际关系。通过对话，患者可以处理以前未涉及或未表达的重要事项。它没有预设的内容，是无计划的，完全取决于患者的意愿。对于护士来说，对话既可能是一种消耗精力的体验，也可能是一种力量和力量的源泉。护士还描述了通过对话保护患者。
结论
护士与患者的私密对话是姑息治疗的重要组成部分，必须更加突出，以提高姑息治疗的质量。这些私密对话通常具有存在主义的内容，对护士来说具有挑战性。因此，护士需要时间、知识和监督来提高他们的对话技巧。
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