临界接入医院护士对终身护理障碍的看法:一个定性研究
Renea L Beckstrand1, Janelle L B Macintosh2, Jeanette Drake3
1Renea L. Beckstrand is a professor, Brigham Young University College of Nursing, Provo, Utah.
概括
临界医院的农村护士在终身护理方面面临重大障碍,主要是来自家庭和医生的行为. 应对这些挑战需要有针对性的教育和进一步的研究,以改善患者的治疗结果.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 农村卫生 农村卫生
背景情况:
- 城市环境中的重症护理护士已经确定了终身护理的障碍.
- 农村临界接入医院 (CAH) 的护士对这些障碍的看法在很大程度上仍未被探索.
研究的目的:
- 调查CAH护士在提供终身护理时所面临的经验和报告的障碍.
- 收集有关农村终身护理环境中遇到的挑战的定性数据.
主要方法:
- 采用了一个探索性,横截面的研究设计.
- 通过调查问卷从CAH工作的护士收集定性数据.
- 报道了来自同一研究群体的先前定量数据.
主要成果:
- 来自64名CAH护士的95个回答确定了两个主要障碍类别:家庭/医生/工作人员问题和护理/环境/协议问题.
- 具体的与家庭有关的障碍包括坚持徒劳的护理,对预先指示的分歧,以及不同的终身愿望.
- 与医生相关的障碍包括虚假的希望,不诚实的沟通,徒劳的治疗和不充分的疼痛管理.
结论:
- 家庭动态和医生的行为是农村护士提供终身护理的重大障碍.
- 教育家庭关于生命终点护理是复杂的,因为他们不熟悉重症监护室的术语和技术.
- 需要进行额外的研究,以了解和解决CAHs中的生命终端护理挑战.
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