Lee Myung-Nam, Kim Ye-Jean, Suk Jung Won, Wang Hee-Jung, Lee Hyunsook Zin
College of Health Science, Department of Nursing, Kangwon National University, Samcheok, Korea.
School of Nursing, Sahmyook Health University, Seoul, Korea.
J Hosp Palliat Care. 2024 Dec 1;27(4):120-130. doi: 10.14475/jhpc.2024.27.4.120.
This study explored nurses' experience of "good nursing care" in the context of caring for terminally ill and end-of-life patients, providing a foundation for improving patient care.
We employed a qualitative research approach, integrating both inductive and deductive analysis methods. Data collection occurred from May 1 to August 1, 2023, involving nine nurses from intensive care units, hospice and palliative care wards, and nursing homes. All participants had at least two years of experience in caring for terminally ill and end-of-life patients. Data were collected through individual in-depth interviews and analyzed using Colaizzi's six-stage phenomenological method for inductive analysis, and a deductive method based on four taxonomies client domain, client-nurse domain, practice domain, and environment domain.
A total of 172 meaningful statements were derived, with five themes and 57 (33.14%) statements in the client-nurse domain, including three phenomena (contact, communication, and interaction); eight themes and 91 (52.91%) statements in the practice domain, including three phenomena (mentalistic, enactment, and role related phenomenon); and five themes and 24 (13.95%) statements in the environmental domain, including three phenomena (physical, social, and symbolic).
The 18 themes of good nursing care, as conceived and experienced by nurses who cared for terminally ill and end-of-life patients, underscore the importance of attentive nursing care.
本研究探讨了护士在照顾绝症患者和临终患者过程中对“优质护理”的体验，为改善患者护理提供了基础。
我们采用了定性研究方法，综合运用归纳和演绎分析方法。数据收集于2023年5月1日至8月1日进行，涉及来自重症监护病房、临终关怀和姑息治疗病房以及养老院的9名护士。所有参与者都有至少两年照顾绝症患者和临终患者的经验。数据通过个人深度访谈收集，并使用科莱齐的六阶段现象学方法进行归纳分析，以及基于客户领域、客户 - 护士领域、实践领域和环境领域四个分类法的演绎方法进行分析。
共得出172条有意义的陈述，其中客户 - 护士领域有五个主题和57条（33.14%）陈述，包括三种现象（接触、沟通和互动）；实践领域有八个主题和91条（52.91%）陈述，包括三种现象（心理主义、实施和角色相关现象）；环境领域有五个主题和24条（13.95%）陈述，包括三种现象（物理、社会和象征）。
照顾绝症患者和临终患者的护士所构想和体验到的优质护理的18个主题，强调了贴心护理的重要性。
