Vandersman Priyanka, Tieman Jennifer
Research Centre for Palliative Care, Death and Dying (RePaDD), Flinders University, Adelaide, South Australia, 5042, Australia.
BMC Nurs. 2024 Nov 6;23(1):809. doi: 10.1186/s12912-024-02475-x.
Globally, digital transformation has been sweeping through healthcare in recent years. Reflecting this global change, Australia's health and social care sector is also undergoing rapid digitalisation. Digital approaches can enhance care planning and coordination activities, as well as improve efficiencies in documentation and coordination of care. As the aged care environment continues to become digitalised into the future, there is an expectation that nurses practise the delicate art and science of compassionate caregiving in a technology-proliferated environment where care planning, provisioning, and documenting require digital knowledge and skills.
To explore the perspectives and expectations of nurses working in residential aged care setting regarding the utilisation of technology to enhance care at the end-of-life.
A qualitative descriptive research study design based on the secondary analysis of data collected as part of a larger study. Data collection was conducted using six semi-structured interviews and 11 focus group discussions with care workers, nurses, and nursing managers working in Australian residential aged care setting.
A total of 64 participants took part in this study. Overall, four themes were generated from the data as following: engagement with various digital systems and platforms; 2) ambivalence toward technology; 3) challenges and concerns in technology use; and 4) anticipated technology roles in end-of-life care. This study found that, nurses in Australian RAC are open to engage with technologies for end-of-life provision, despite some ambivalence and challenges encountered in the process.
Nurses in residential aged care have an important role in end-of-life care of many older Australians. Digital approaches offer care and coordination opportunities however require the aged care sector and nurses to take up these opportunities. While nurses demonstrate openness to technology, focus needs to be placed on technology use support. This presents an opportunity for nurses to actively shape the future of digital innovations in aged care, ensuring high-quality, compassionate care for residents in their final stages of life.
近年来，全球范围内数字化转型席卷了医疗保健领域。反映这一全球变化的是，澳大利亚的健康和社会护理部门也在迅速实现数字化。数字方法可以加强护理计划和协调活动，提高文件记录和护理协调的效率。随着老年护理环境在未来继续走向数字化，人们期望护士在一个技术普及的环境中践行富有同情心的护理这一微妙的艺术和科学，在这个环境中，护理计划、提供和记录都需要数字知识和技能。
探讨在老年护理机构工作的护士对利用技术改善临终护理的看法和期望。
基于对作为一项更大规模研究一部分收集的数据进行二次分析的定性描述性研究设计。数据收集采用了与在澳大利亚老年护理机构工作的护理人员、护士和护理经理进行的6次半结构化访谈和11次焦点小组讨论。
共有64名参与者参与了本研究。总体而言，数据产生了以下四个主题：1）与各种数字系统和平台的互动；2）对技术的矛盾态度；3）技术使用中的挑战和担忧；4）技术在临终护理中的预期作用。本研究发现，尽管在此过程中遇到了一些矛盾态度和挑战，但澳大利亚老年护理机构的护士愿意使用技术来提供临终护理。
老年护理机构的护士在许多澳大利亚老年人的临终护理中发挥着重要作用。数字方法提供了护理和协调机会，但需要老年护理部门和护士抓住这些机会。虽然护士对技术持开放态度，但需要关注技术使用支持。这为护士积极塑造老年护理数字创新的未来提供了机会，确保为处于生命最后阶段的居民提供高质量、富有同情心的护理。
