家访护士开展临终关怀计划讨论的四种时间模式：一项定性研究。
Four timing patterns of initiation of advance care planning discussions as practiced by home visiting nurses: A qualitative study.
作者信息
Ushikubo Mitsuko, Ishikawa Maho
机构信息
Gunma University Graduate School of Health Sciences Maebashi Japan.
Gunma University Department of Medicine Maebashi Japan.
出版信息
J Gen Fam Med. 2024 Nov 28;26(2):182-186. doi: 10.1002/jgf2.760. eCollection 2025 Mar.
Abstract
BACKGROUND
The purpose of this study was to explore the actual timing of the initiation of advance care planning (ACP) discussions by experienced visiting nurses for older homebound patients.
METHODS
Semi-structured interviews were conducted with 12 home visit nurses, followed by a qualitative, inductive analysis.
RESULTS
Four ACP initiation timing patterns were extracted.
CONCLUSIONS
Home visit nurses used the following timing patterns differently depending on each patient's situation: "Starting when visiting nurses get to know the patients," "Waiting for a change in the patient's medical condition," "Waiting to begin ACP discussions until the patient and nurse are emotionally ready," and "Starting ACP discussions in a proactive, but non-shocking manner."
摘要
背景
本研究的目的是探讨经验丰富的上门访视护士针对居家老年患者启动预先护理计划（ACP）讨论的实际时机。
方法
对12名家访护士进行了半结构化访谈，随后进行定性的归纳分析。
结果
提取出四种ACP启动时机模式。
结论
家访护士根据每位患者的情况，以不同方式运用以下时机模式：“在访视护士了解患者后开始”、“等待患者病情变化”、“等待直到患者和护士在情感上做好准备才开始ACP讨论”以及“以积极但不突兀的方式开始ACP讨论”。
相似文献
1
Four timing patterns of initiation of advance care planning discussions as practiced by home visiting nurses: A qualitative study.家访护士开展临终关怀计划讨论的四种时间模式：一项定性研究。
J Gen Fam Med. 2024 Nov 28;26(2):182-186. doi: 10.1002/jgf2.760. eCollection 2025 Mar.
2
Advance Care Planning in Nursing Home Patients With Dementia: A Qualitative Interview Study Among Family and Professional Caregivers.养老院痴呆症患者的预先护理计划：家庭和专业护理人员的定性访谈研究。
J Am Med Dir Assoc. 2015 Nov 1;16(11):979-89. doi: 10.1016/j.jamda.2015.06.015. Epub 2015 Aug 5.
3
'We have no crystal ball' - advance care planning at nursing homes from the perspective of nurses and physicians.'我们没有水晶球' - 从护士和医生的角度看养老院的预先护理计划。
Scand J Prim Health Care. 2019 Jun;37(2):191-199. doi: 10.1080/02813432.2019.1608068. Epub 2019 May 24.
4
[Nurses' perspectives on their potential role in advance care planning in home care: A qualitative study].[护士对其在家庭护理预立医疗计划中潜在作用的看法：一项定性研究]
Pflege. 2022;35(6):327-335. doi: 10.1024/1012-5302/a000903. Epub 2022 Aug 4.
5
Advance care planning and home death in patients with advanced cancer: a structured interview analysis.晚期癌症患者的临终关怀规划与在家中离世：一项结构化访谈分析
Int J Palliat Nurs. 2018 Sep 2;24(9):418-426. doi: 10.12968/ijpn.2018.24.9.418.
6
"I just think that we should be informed" a qualitative study of family involvement in advance care planning in nursing homes.“我只是认为我们应该被告知”：一项关于养老院中家庭参与预先护理计划的定性研究。
BMC Med Ethics. 2016 Nov 10;17(1):72. doi: 10.1186/s12910-016-0156-7.
7
Exploring the Role of Nurses in Advance Care Planning Within Long-Term Care Homes: A Qualitative Study.探索护士在长期护理机构预先护理计划中的作用：一项定性研究。
SAGE Open Nurs. 2024 Apr 29;10:23779608241249335. doi: 10.1177/23779608241249335. eCollection 2024 Jan-Dec.
8
Patient experiences of nurse-facilitated advance care planning in a general practice setting: a qualitative study.患者在一般实践环境中对护士协助的预先医疗指示规划的体验：一项定性研究。
BMC Palliat Care. 2019 Mar 6;18(1):25. doi: 10.1186/s12904-019-0411-z.
9
Advance care planning conversations with palliative patients: looking through the GP's eyes.与姑息治疗患者进行的预先护理计划对话：从全科医生的视角审视
BMC Fam Pract. 2018 Nov 28;19(1):184. doi: 10.1186/s12875-018-0868-5.
10
Process evaluation of a complex intervention to promote advance care planning in community-dwelling older persons (the STADPLAN study)-study protocol.一项复杂干预措施以促进社区居住老年人的预先护理计划的过程评估（STADPLAN 研究）-研究方案。
Trials. 2020 Jul 16;21(1):653. doi: 10.1186/s13063-020-04529-2.
本文引用的文献
1
Timely Identification of Patients With Cancer and Family Caregivers in Need of End-of-Life Discussions by Home-Visit Nurses in Japan: A Qualitative Descriptive Study.日本居家访视护士对需要进行临终讨论的癌症患者及其家庭照顾者的及时识别：一项质性描述性研究
Glob Qual Nurs Res. 2023 Jan 9;10:23333936221146048. doi: 10.1177/23333936221146048. eCollection 2023 Jan-Dec.
2
Healthcare Providers' Perceptions on the Timing of Initial Advance Care Planning Discussions in Japan: a Mixed-Methods Study.医疗保健提供者对日本初始预先医疗照护计划讨论时间的看法：一项混合方法研究。
J Gen Intern Med. 2021 Oct;36(10):2935-2942. doi: 10.1007/s11606-020-06524-4. Epub 2021 Feb 5.
3
A Retrospective Study Reviewing Interprofessional Advance Care Planning Group Discussions in Pulmonary Rehabilitation: A Proof-of-Concept and Feasibility Study.回顾性研究：肺康复中跨专业团队预先医疗照护计划讨论组：概念验证和可行性研究。
J Palliat Care. 2021 Oct;36(4):219-223. doi: 10.1177/0825859719896421. Epub 2019 Dec 30.
4
Preventing unwanted situations and gaining trust: a qualitative study of older people and families' experiences with advance care planning in the daily practice of primary care.预防不良情况并赢得信任：一项关于老年人及家庭在初级保健日常实践中进行预先护理规划经历的定性研究
Fam Pract. 2020 Sep 5;37(4):519-524. doi: 10.1093/fampra/cmz089.
5
Attitudes and Other Factors Influencing End-of-Life Discussion by Physicians, Nurses, and Care Staff: A Nationwide Survey in Japan.医生、护士及护理人员关于临终讨论的态度及其他影响因素：日本全国性调查
Am J Hosp Palliat Care. 2020 Apr;37(4):258-265. doi: 10.1177/1049909119876568. Epub 2019 Sep 29.
6
Cluster-randomised trial of a nurse-led advance care planning session in patients with COPD and their loved ones.COPD 患者及其家属的护士主导的预立医疗照护计划会议的群组随机试验。
Thorax. 2019 Apr;74(4):328-336. doi: 10.1136/thoraxjnl-2018-211943. Epub 2019 Jan 19.
7
Advance care planning and home death in patients with advanced cancer: a structured interview analysis.晚期癌症患者的临终关怀规划与在家中离世：一项结构化访谈分析
Int J Palliat Nurs. 2018 Sep 2;24(9):418-426. doi: 10.12968/ijpn.2018.24.9.418.
8
Whose job? The staffing of advance care planning support in twelve international healthcare organizations: a qualitative interview study.谁的工作？在十二个国际医疗机构中提供预先护理计划支持的人员配置：一项定性访谈研究。
BMC Palliat Care. 2018 May 24;17(1):78. doi: 10.1186/s12904-018-0333-1.
9
Can We Talk About It Now? Recognizing the Optimal Time to Initiate End-of-Life Care Discussions with Older Chinese Americans and Their Families.现在可以谈谈了吗？识别与老年华裔美国人和他们的家人开始生命终末期护理讨论的最佳时机。
J Transcult Nurs. 2018 Nov;29(6):532-539. doi: 10.1177/1043659618760689. Epub 2018 Feb 24.
10
Toward Hospital Implementation of Advance Care Planning: Should Hospital Professionals Be Involved?迈向医院实施预先医疗照护计划：医院专业人员应参与吗？
Qual Health Res. 2018 Feb;28(3):456-465. doi: 10.1177/1049732317735834. Epub 2017 Oct 23.
Zotero 插件