McWilliam C L, Burdock J, Wamsley J
Faculty of Family Medicine, University of Western Ontario, London, Canada.
Oncol Nurs Forum. 1993 Jun;20(5):779-85.
The purpose of this study was to document the experience of palliative care nursing as a part of a multidisciplinary support team. Data were obtained from two palliative care support-team nurses. Each nurse privately recorded on audiotape any reflections about particularly meaningful aspects of her daily work experience; in-depth interviews with the two nurses together also were used for data collection. Inductive analysis elicited previously identified dimensions of palliative care nursing, including the support and coordination functions provided to other health professionals. The palliative care support-team experience included many challenges associated with the ultimate outcome of death; restricted and unpredictable time frames; and greater demands for human resources, psychosocial-care skills, and interdisciplinary, family-oriented care. These factors appeared to interact with the nurses' commitment by escalating their drive to serve others and creating both internal and external conflicts. The nurses expended considerable energy in role adaptation and in intrapersonal and interprofessional conflict management. This effort emerged as being vital to the nurses preserving their own integrity, both personally and professionally. The findings of this study may help all professionals who provide palliative care to better understand the nature of their work, themselves, and each other. Strategies to promote understanding may help to reduce the amount of time and energy that professionals must dedicate to preservation of integrity.
本研究的目的是记录姑息护理作为多学科支持团队一部分的经验。数据来自两名姑息护理支持团队的护士。每位护士私下用录音带记录了对其日常工作经历中特别有意义方面的任何思考；对这两名护士一起进行的深入访谈也用于数据收集。归纳分析得出了先前确定的姑息护理维度，包括为其他医疗专业人员提供的支持和协调功能。姑息护理支持团队的经历包括许多与最终死亡结果相关的挑战；有限且不可预测的时间框架；以及对人力资源、心理社会护理技能和跨学科、以家庭为导向的护理的更高要求。这些因素似乎通过增强护士服务他人的动力并引发内部和外部冲突来与护士的奉献精神相互作用。护士们在角色适应以及人际和专业间冲突管理方面花费了大量精力。这项努力对于护士在个人和职业上保持自身正直至关重要。本研究的结果可能有助于所有提供姑息护理的专业人员更好地理解他们工作的性质、他们自己以及彼此。促进理解的策略可能有助于减少专业人员为保持正直而必须投入的时间和精力。
