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注册护士照顾使用医用大麻患者的体验探索。

An Exploration of Registered Nurses' Experiences Caring for Patients Taking Medicinal Cannabis.

机构信息

Western Sydney University, Penrith, New South Wales, Australia.

University of Maribor, Maribor, Slovenia.

出版信息

Nurs Open. 2024 Oct;11(10):e70063. doi: 10.1002/nop2.70063.

DOI:10.1002/nop2.70063
PMID:39455290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11511588/
Abstract

AIMS

This study aimed to describe nurses' experiences caring for patients who use medicinal cannabis. For the purpose of this study, the term 'medicinal cannabis' is used to describe cannabis-based products that are sourced legally or illegally.

DESIGN

Qualitative study using thematic analysis.

METHODS

Eleven registered nurses explored their experiences caring for patients using medicinal cannabis in the Australian healthcare sector. Semistructured interviews were via telephone, Zoom or face to face. Transcribed interview data were analysed using the six phases of thematic analysis.

RESULTS

The nurses' experiences of caring for patients who use medicinal cannabis were described in three themes; 'Searching for predictable processes of regulation, access and use of medicinal cannabis', 'One conundrum after another' and 'There is a lot to learn'. Overall, nurses described feeling underprepared to care for patients who use or want to use medicinal cannabis in the Australian healthcare sector.

CONCLUSION

The results indicate that nurses want to have meaningful discussions with patients about the use of medicinal cannabis, yet do not always have the confidence to do so. Nurses sought their own education on how to better support patients. All participants echoed the need for education. The nurse's role in caring for and supporting patients using medicinal cannabis could improve the patient experience.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses play an essential role in improving the patient's experience and advocating for those using or wanting to discuss medicinal cannabis as a part of holistic care. Defining the nurse's role in effectively caring for patients can begin by providing evidence-based education to nurses. Including nurses in policy development and beginning to understand the legal and regulatory implications for nurses are important.

IMPACT

This is the first study presenting current issues for nurses who care for patients using medicinal cannabis in Australian healthcare systems.

REPORTING METHOD

COREQ guidelines were adhered to for this study.

NO PATIENT OR PUBLIC CONTRIBUTION

For this research project on the experiences of registered nurses caring for patients using medicinal cannabis, we did not engage members of the patient population or the general public.

摘要

目的

本研究旨在描述护士照顾使用医用大麻的患者的经验。在本研究中,术语“医用大麻”用于描述合法或非法来源的基于大麻的产品。

设计

使用主题分析的定性研究。

方法

11 名注册护士在澳大利亚医疗保健领域探索了他们照顾使用医用大麻的患者的经验。通过电话、Zoom 或面对面进行半结构化访谈。使用主题分析的六个阶段分析转录的访谈数据。

结果

护士照顾使用医用大麻的患者的经验被描述为三个主题;“寻找可预测的监管、获取和使用医用大麻的过程”、“一个又一个难题”和“有很多东西要学”。总的来说,护士们表示,他们在澳大利亚医疗保健领域照顾使用或想要使用医用大麻的患者时感到准备不足。

结论

结果表明,护士们希望与患者就医用大麻的使用进行有意义的讨论,但并不总是有信心这样做。护士们寻求自己的教育,以更好地支持患者。所有参与者都呼应了教育的必要性。护士在照顾和支持使用医用大麻的患者方面的作用可以改善患者的体验。

对专业和/或患者护理的影响:护士在改善患者体验方面发挥着至关重要的作用,并倡导将医用大麻作为整体护理的一部分进行讨论。通过向护士提供基于证据的教育,可以开始定义护士有效照顾患者的角色。让护士参与政策制定并开始了解护士的法律和监管影响非常重要。

影响

这是第一项研究,介绍了澳大利亚医疗保健系统中照顾使用医用大麻的患者的护士当前面临的问题。

报告方法

本研究遵循了 COREQ 指南。

无患者或公众贡献

对于这项关于注册护士照顾使用医用大麻的患者的经验的研究项目,我们没有让患者群体或公众参与。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8989/11511588/6a861723a936/NOP2-11-e70063-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8989/11511588/6a861723a936/NOP2-11-e70063-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8989/11511588/6a861723a936/NOP2-11-e70063-g001.jpg

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本文引用的文献

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"We want what's best for patients." nurse leaders' attitudes about medical cannabis: A qualitative study.“我们希望为患者谋求最佳利益。”护士领导者对医用大麻的态度:一项定性研究。
Int J Nurs Stud Adv. 2022 Jan 30;4:100065. doi: 10.1016/j.ijnsa.2022.100065. eCollection 2022 Dec.
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History of Cannabis Regulation and Medicinal Therapeutics: It's Complicated.大麻监管与药物治疗的历史:情况复杂。
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Medicinal Cannabis Prescribing in Australia: An Analysis of Trends Over the First Five Years.
澳大利亚医用大麻处方:头五年的趋势分析
Front Pharmacol. 2022 May 10;13:885655. doi: 10.3389/fphar.2022.885655. eCollection 2022.
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Medical cannabis use in the Australian community following introduction of legal access: the 2018-2019 Online Cross-Sectional Cannabis as Medicine Survey (CAMS-18).澳大利亚社区在合法获取医用大麻后使用情况:2018-2019 年在线跨截面医用大麻调查(CAMS-18)。
Harm Reduct J. 2020 Jun 8;17(1):37. doi: 10.1186/s12954-020-00377-0.
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A Cross-sectional Survey of Health Professionals' Attitudes toward Medicinal Cannabis Use as Part of Cancer Management.一项关于医疗专业人员对将药用大麻用于癌症治疗的态度的横断面调查。
J Law Med. 2019 Jul;26(4):815-824.
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Public health implications of legalising the production and sale of cannabis for medicinal and recreational use.将大麻的生产和销售合法化用于医疗和娱乐用途对公共卫生的影响。
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A Survey of Hospice Professionals Regarding Medical Cannabis Practices. Hospice 专业人员医疗大麻实践情况调查。
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Knowledge and attitudes of Australian general practitioners towards medicinal cannabis: a cross-sectional survey.澳大利亚全科医生对药用大麻的知识和态度:一项横断面调查。
BMJ Open. 2018 Jul 3;8(7):e022101. doi: 10.1136/bmjopen-2018-022101.
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