Dean R A
Faculty of Nursing, University of Manitoba, Winnipeg. Canada.
Am J Hosp Palliat Care. 1998 May-Jun;15(3):151-4. doi: 10.1177/104990919801500309.
Thirty-three nurses from three hospice services in a large Midwestern city participated in this study, which investigated responses to difficult or demanding work-related situations. Three tools (the Self Inventory of Situational Responses-TC questionnaire, the Spielberger State Anxiety Inventory questionnaire and rank-ordered listing of likely causes of difficult or demanding situations) were used to collect data. Findings indicated that anxiety is an issue for hospice workers but that difficult or demanding situations were viewed as challenges rather than threats. Management of intractable symptoms and communication issues were of primary concern. Administrative concerns were identified as the third-ranking source of difficult situations. Issues related to death and dying were of notably less concern. Strategies for staff support also are identified.
来自中西部一个大城市的三家临终关怀机构的33名护士参与了这项研究，该研究调查了对困难或高要求的工作相关情况的应对方式。使用了三种工具（情境反应自我量表-TC问卷、斯皮尔伯格状态焦虑量表问卷以及困难或高要求情况可能原因的排序清单）来收集数据。研究结果表明，焦虑是临终关怀工作者面临的一个问题，但困难或高要求的情况被视为挑战而非威胁。难以处理的症状管理和沟通问题是主要关注点。行政问题被确定为困难情况的第三大来源。与死亡和临终相关的问题明显不太受关注。还确定了员工支持策略。
