Memorial University of Newfoundland, St. John's, NL, Canada.
University of Calgary, Calgary, AB, Canada.
Nurs Ethics. 2024 Mar-May;31(2-3):189-201. doi: 10.1177/09697330231191280. Epub 2023 Aug 4.
Individuals living with multimorbidity and/or mental health issues, low education, socioeconomic status, and polypharmacy are often called complex patients. The complexity of their health and social care needs can make them prone to disease burden and suffering. Therefore, they frequently access health care services to seek guidance for managing their illness and suffering.
The aim of this research was to describe the approaches used by nurses to alleviate the suffering of individuals with multimorbidity and complex needs in acute care settings.
A qualitative descriptive approach.
Semi-structured interviews were conducted with 19 nurses working in general, medical-surgical, specialized, and intensive care settings across five hospitals in Pakistan. Reflexive thematic analysis was used for analysis.
Ethical approval was obtained from the Ethical Committee of Al-Nafees Medical College Islamabad, Pakistan.
Four themes were generated: Deeper Exploration of Patients' Health-Illness Situation and Complexity, Prioritizing Patient Psychosocial and Emotional Needs, Instilling Hope and Encouragement in Patients, and Creating a Comforting Environment to Foster Sharing of felt needs.
Nurses emphasized the need of deeper inquiry into patients illness situation and complexity to discern the impact of determinants on their well-being and develop care plans that are tailored to address psychosocial, emotional, and physical suffering of this patient population.
Alleviation of patient suffering is integral to compassionate nursing care. Nurses use a multifaceted approach entailing sensitive understanding, recognizing sociocultural and structural determinants impact on patient situation, and individual and interdisciplinary altruistic actions to alleviate patient suffering.
患有多种疾病和/或精神健康问题、受教育程度低、社会经济地位低以及同时服用多种药物的个体通常被称为复杂患者。他们的健康和社会护理需求的复杂性使他们容易受到疾病负担和痛苦的影响。因此，他们经常寻求医疗保健服务，以寻求管理疾病和痛苦的指导。
本研究旨在描述护士在急性护理环境中减轻患有多种疾病和复杂需求的个体痛苦的方法。
定性描述方法。
在巴基斯坦的五家医院的普通、医疗外科、专科和重症监护病房工作的 19 名护士接受了半结构化访谈。使用反思性主题分析进行分析。
巴基斯坦伊斯兰堡纳菲斯医学院伦理委员会获得了伦理批准。
生成了四个主题：深入探讨患者的健康-疾病状况和复杂性、优先考虑患者的心理社会和情感需求、向患者灌输希望和鼓励、营造舒适的环境以促进感受需求的分享。
护士强调需要更深入地探究患者的病情和复杂性，以了解决定因素对他们福祉的影响，并制定针对这一患者群体的心理社会、情感和身体痛苦的护理计划。
减轻患者痛苦是富有同情心的护理的重要组成部分。护士采用多方面的方法，包括敏感的理解、认识社会文化和结构决定因素对患者情况的影响，以及个体和跨学科的利他主义行动，以减轻患者的痛苦。
