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护士对儿科肿瘤护理中关怀照护的认知:一项质性访谈研究

Nurses' perceptions of compassionate care in pediatric oncology: a qualitative interview study.

作者信息

Ghaljeh Mahnaz, Mardani-Hamooleh Marjan, Pezaro Sally

机构信息

Department of Nursing Management, School of Nursing and Midwifery, Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.

Department of Nursing, Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Vanak Sq., Zafar St., Tehran, 1996713883, Iran.

出版信息

BMC Health Serv Res. 2024 Oct 2;24(1):1165. doi: 10.1186/s12913-024-11661-1.

Abstract

BACKGROUND

Compassion is a crucial aspect in the management of pediatric oncology patients as it has the potential to enhance nurse satisfaction levels, thereby further enhancing the quality and safety of the care they deliver. This study aimed to investigate nurses' understanding and experience of compassionate care when working in pediatric oncology departments.

METHODS

This research utilized a qualitative descriptive design. Content analysis was used to make sense of data collected via individual and semi-structured interviews conducted with nurses (n = 32) working in pediatric oncology departments.

RESULTS

Nurses' understanding of compassionate care for children with cancer was organized into two categories: Humanistic compassionate care and compassionate end-of-life care. The humanistic compassionate care category comprised of three subcategories: (1) empathy, (2) altruism, and (3) respect for the cultural values and beliefs of the family. The compassionate end-of-life care category comprised of two subcategories: (1) facilitating parents' presence at the child's bedside and (2) creating suitable conditions for accepting the death of a child.

CONCLUSION

Compassionate care for children with cancer is marked by a strong emphasis on humanistic, cultural, and end-of-life considerations. Our findings further emphasize the paramount importance of taking families' presence, wishes and beliefs into consideration within this context.

摘要

背景

同情心是儿科肿瘤患者护理工作的关键要素,因为它有可能提高护士的满意度,进而提升他们所提供护理的质量和安全性。本研究旨在调查护士在儿科肿瘤科室工作时对同情护理的理解和体验。

方法

本研究采用定性描述性设计。通过对儿科肿瘤科室的护士(n = 32)进行个人和半结构化访谈收集数据,并运用内容分析法对数据进行分析。

结果

护士对癌症患儿同情护理的理解分为两类:人文同情护理和临终同情护理。人文同情护理类别包括三个子类别:(1)同理心,(2)利他主义,(3)尊重家庭的文化价值观和信仰。临终同情护理类别包括两个子类别:(1)方便父母陪伴在孩子床边,(2)为接受孩子死亡创造合适的条件。

结论

对癌症患儿的同情护理的特点是高度重视人文、文化和临终关怀因素。我们的研究结果进一步强调了在这种情况下考虑家庭的陪伴、意愿和信仰的至关重要性。

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