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护理专业学生对临终患者尊严照护的思考:一项质性研究。

Reflections of nursing students on the care of the person's dignity at the end of life: A qualitative study.

作者信息

Farfán-Zúñiga Ximena, Jaman-Mewes Paula

机构信息

Universidad de los Andes, Facultad de Enfermería y Obstetricia, Escuela de Enfermería, Chile.

出版信息

Nurse Educ Today. 2024 Feb;133:106067. doi: 10.1016/j.nedt.2023.106067. Epub 2023 Dec 6.

DOI:10.1016/j.nedt.2023.106067
PMID:38100987
Abstract

BACKGROUND

The education of nursing students not only implies transmitting knowledge and clinical skills, but also values, attitudes, and behaviours. In healthcare, it is considered essential to respect and preserve the dignity of people. This is even more important in palliative care, where the fragility of people makes them potentially vulnerable. There is limited knowledge regarding the conceptualization and experience of nursing students and human dignity in palliative care.

AIM

To describe how 5th-year nursing students conceptualise and experience human dignity, while caring for people with terminal illness.

DESIGN

Qualitative descriptive design, with thematic content analysis as per Graneheim and Lundman.

SETTING

A palliative care centre for people on low incomes with terminal illnesses which no longer respond to curative treatments.

PARTICIPANTS

A total of 11 fifth-year nursing students who completed their professional practice in a palliative care unit.

METHODS

Data collection was conducted through guided online reflections via reflective journaling between April and November 2020. The study protocol was reviewed and approved by the Scientific Ethical Committee within the educational institution (CEC2021065).

RESULTS

Four thematic categories were identified (1) Concept of dignity; (2) Dignity: an essential element in the relationship with others, (3) Instances when the dignity of the person is not considered; (4) The value of reflection on dignity in clinical practice.

CONCLUSION

Dignity is one of the main values recognized in the person. Dignity should be promoted in the education of future nursing professionals, particularly with people who are in the final stage of life, where fragility and vulnerability it is more palpable.

摘要

背景

护理专业学生的教育不仅意味着传授知识和临床技能,还包括价值观、态度和行为。在医疗保健领域,尊重和维护人的尊严被认为是至关重要的。在姑息治疗中,这一点更为重要,因为患者的脆弱性使他们更容易受到伤害。关于护理专业学生对姑息治疗中人类尊严的概念化和体验的知识有限。

目的

描述五年级护理专业学生在照顾绝症患者时如何概念化和体验人类尊严。

设计

定性描述性设计,按照格兰内海姆和伦德曼的方法进行主题内容分析。

地点

一个为低收入绝症患者提供姑息治疗的中心,这些患者对治愈性治疗不再有反应。

参与者

共有11名五年级护理专业学生在姑息治疗病房完成了他们的专业实习。

方法

2020年4月至11月期间,通过反思日记进行在线引导反思来收集数据。研究方案经过教育机构的科学伦理委员会(CEC2021065)审查和批准。

结果

确定了四个主题类别:(1)尊严的概念;(2)尊严:与他人关系中的基本要素;(3)不考虑人的尊严的情况;(4)临床实践中反思尊严的价值。

结论

尊严是人们公认的主要价值观之一。应在未来护理专业人员的教育中促进尊严意识,特别是对于处于生命末期的人,因为他们的脆弱性更为明显。

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