Du Jiayi, An Zifen, Wang Chunyu, Yu Liping
Radiation Oncology Center, Chongqing University Cancer Hospital, No. 181, Han Yu Road, Shapingba District, Chongqing, 400030, China.
Wuhan University School of Nursing, No.115, Donghu Road, Wuchang District, Wuhan, Hubei Province, 430071, China.
BMC Nurs. 2024 May 22;23(1):344. doi: 10.1186/s12912-024-02016-6.
Self-regulation is crucial for nurses who engage in in-depth end-of-life conversations with advanced cancer patients, especially in cultural contexts featuring death taboos. An improved understanding of the self-regulation process of nurses can help them address negative emotions and promote self-growth more effectively. Therefore, this study aimed to explore nurses' self-regulation process after end-of-life conversations with advanced cancer patients.
This study employed a descriptive, qualitative approach. Seventeen nurses from four hospitals and a hospice unit in mainland China were interviewed between September 2022 and June 2023. Data were collected through face-to-face semistructured interviews. A thematic analysis method was used to analyse the data following the guidance of regulatory focus theory.
Three main themes were developed: self-regulation antecedents include personality, experience, and support; promotion or prevention is a possible self-regulation process for nurses; both self-exhaustion and self-growth may be the outcomes of self-regulation, as did seven subthemes. Personality tendencies, life experience, and perceived support may affect nurses' self-regulation, thereby affecting their self-regulation outcomes.
Nurses exhibit different self-regulatory tendencies and self-regulation outcomes. The provision of peer support and counselling support to nurses is highly important with regard to achieving good self-regulation outcomes.
自我调节对于与晚期癌症患者进行深入临终谈话的护士来说至关重要，尤其是在存在死亡禁忌的文化背景下。更好地理解护士的自我调节过程可以帮助他们更有效地应对负面情绪并促进自我成长。因此，本研究旨在探讨护士在与晚期癌症患者进行临终谈话后的自我调节过程。
本研究采用描述性定性研究方法。2022年9月至2023年6月期间，对来自中国大陆四家医院和一家临终关怀病房的17名护士进行了访谈。通过面对面的半结构化访谈收集数据。在调节焦点理论的指导下，采用主题分析法对数据进行分析。
形成了三个主要主题：自我调节的前因包括个性、经验和支持；促进或预防可能是护士的一种自我调节过程；自我耗竭和自我成长都可能是自我调节的结果，还形成了七个子主题。个性倾向、生活经历和感知到的支持可能会影响护士的自我调节，进而影响其自我调节结果。
护士表现出不同的自我调节倾向和自我调节结果。为护士提供同伴支持和咨询支持对于实现良好的自我调节结果非常重要。
