J Gerontol Nurs. 2024 Apr;50(4):11-15. doi: 10.3928/00989134-20240311-02. Epub 2024 Apr 1.
To gather sufficient qualitative data to create an intervention that would prevent direct care workers (DCWs) from sending residents with do-not-hospitalize (DNH) orders to the hospital.
This was a qualitative study with eight participants that included a descriptive survey followed by semi-structured interviews.
DCWs were unfamiliar with DNH orders and their thinking on end-of-life care was binary (hospice or hospital) and protocol driven. However, supportive leaders were able to help DCWs problem-solve these complicated scenarios. Results were mixed on whether having a RN on site was helpful.
DCWs may benefit from having access to a nurse with palliative care experience when making decisions about residents with DNH orders. [(4), 11-15.].
收集足够的定性数据，创建一种干预措施，以防止直接护理人员（DCW）将下达了“不要住院”（DNH）医嘱的居民送往医院。
这是一项包含 8 名参与者的定性研究，包括描述性调查和半结构化访谈。
DCW 对 DNH 医嘱不熟悉，他们对临终关怀的看法是二元的（临终关怀或医院），并遵循既定的协议。然而，有支持力的领导能够帮助 DCW 解决这些复杂的情况。现场是否有注册护士是否有帮助的结果不一。
当 DCW 就下达了 DNH 医嘱的居民做出决策时，他们可能会受益于能够获得有姑息治疗经验的护士的支持。[(4)，11-15]。
