安宁缓和医疗理论：对其用于改善护理实践的批判性分析。
Peaceful End of Life Theory: A Critical Analysis of Its Use to Improve Nursing Practice.
作者信息
Ngabonziza Schadrack, Murekatete Marie Chantal, Nyiringango Gerard, Musabwasoni Sandra Marie Grace
机构信息
Clinical Medicine and Community Health, College of Medicine and Health Sciences, University of Rwanda.
Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada.
出版信息
Rwanda J Med Health Sci. 2021 Dec 30;4(3):412-417. doi: 10.4314/rjmhs.v4i3.11. eCollection 2021 Dec.
BACKGROUND
Provision of empathetic palliative care in agreement with patient's favorites is an indispensable attitude of healthcare providers. A Peaceful End of Life Theory was designed by Ruland and Moore (1998), to provide theoretical framework for nurses who care for patients at end stage of their life.
METHODS
Chinn and Kramer theory analysis guideline was used to analyse this theory to suggest its improvement.
RESULTS
Five major concepts and sub-concepts are identified. This theory informs the nursing profession on the relieving interventions at the end of life. It provides a guidance to supportively manage terminally ill patients in collaboration with their families.
CONCLUSION
This theory is important to guide nursing practice, research, and education. However, there is a lack of an instrument to measure the desired outcomes, some subconcepts do not cleary specify the nursing interventions, and it lacks the spiritual comfort to the terminally ill patients who believe in eternal life.
背景
根据患者喜好提供共情姑息治疗是医护人员不可或缺的态度。鲁兰德和摩尔（1998年）设计了一种安宁生命理论，为照顾生命末期患者的护士提供理论框架。
方法
采用钦和克莱默理论分析指南对该理论进行分析，以提出改进建议。
结果
确定了五个主要概念和子概念。该理论为护理专业提供了有关生命末期缓解干预措施的信息。它为与患者家属合作支持性管理绝症患者提供了指导。
结论
该理论对指导护理实践、研究和教育很重要。然而，缺乏衡量预期结果的工具，一些子概念没有明确规定护理干预措施，并且它缺乏对相信永生的绝症患者的精神慰藉。
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