Yan Yishan, Liu Ling, Wang Yue, Qiang Wanmin
Department of Nursing, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Tianjin's Clinical Research Center for Cancer, Huanhuxi Road, Hexi District, Tianjin, 10063, China.
Tianjin University of Traditional Chinese Medicine, Tianjin, China.
BMC Nurs. 2024 Dec 18;23(1):901. doi: 10.1186/s12912-024-02548-x.
Steeped in cultural heritage, the Chinese traditionally equate death with misfortune. This deeply rooted belief has led to a low rate of living will signings and poses challenges for implementing death education. Master's degree nursing students are instrumental in facilitating and promoting the adoption of living wills, leveraging their specialized knowledge in providing compassionate care. Despite existing research on living wills, there is a scarcity of qualitative studies that consolidate the perceptions, beliefs, and anticipations of Master's degree nursing students regarding living wills.
To scrutinize the perceptions, beliefs, and anticipations regarding living wills among Master's degree nursing students in China.
This study followed Colizzi's phenomenological research method. An exploratory qualitative descriptive approach was employed, utilizing semi-structured face-to-face interviews. Thirteen participants participated in focus group interviews. The research question was: "What is your perception on living wills?".
Three main themes and eight subthemes were identified: Perceptions of living will (high attention, knowledge deficit, and lack of education), beliefs of living wills (high acceptance and positive clinical significance), and anticipations of the living will (high expectations of improved knowledge, factors influencing promotion, and suggestions for improvement).
The facilitation and progression of living wills is an intricate and drawn-out process, encountering obstacles at various stages. These insights are significant for policymakers and healthcare systems, emphasizing the necessity to cultivate a supportive environment for the establishment of living wills. As indispensable contributors to the clinical operations team, Master's degree nursing students are required to possess relevant perceptions and to foster a constructive belief system.
深受文化传统影响，中国人传统上认为死亡等同于不幸。这种根深蒂固的观念导致生前预嘱签署率较低，并给实施死亡教育带来了挑战。护理学硕士研究生在推动和促进生前预嘱的采用方面发挥着重要作用，他们利用自己在提供关怀护理方面的专业知识。尽管已有关于生前预嘱的研究，但缺乏整合护理学硕士研究生对生前预嘱的认知、信念和预期的定性研究。
审视中国护理学硕士研究生对生前预嘱的认知、信念和预期。
本研究遵循科利齐的现象学研究方法。采用探索性定性描述方法，进行半结构化面对面访谈。13名参与者参加了焦点小组访谈。研究问题是：“你对生前预嘱的看法是什么？”
确定了三个主要主题和八个子主题：生前预嘱的认知（高度关注、知识不足和缺乏教育）、生前预嘱的信念（高度接受和积极的临床意义）以及对生前预嘱的预期（对知识提升的高期望、影响推广的因素和改进建议）。
生前预嘱的推动和发展是一个复杂且漫长的过程，在各个阶段都会遇到障碍。这些见解对政策制定者和医疗保健系统具有重要意义，强调了营造支持生前预嘱建立的环境的必要性。作为临床运营团队不可或缺的贡献者，护理学硕士研究生需要具备相关认知并培养建设性的信念体系。
