患者和护理人员的相互支持:影响专业息护理的决策
Rachel McCauley1, Karen Ryan2, Regina McQuillan3
1Discipline of Occupational Therapy, School of Medicine (R.McC, G.F.), Trinity College Dublin, Dublin, Ireland.
Journal of pain and symptom management
|August 6, 2023
概括
在息治疗中相互支持显著影响患者护理人员的决策,受义务与选择的感觉的影响. 了解这些动态是有效的护理规划的关键.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 决策科学 决策科学
- 卫生社会学 卫生社会学
背景情况:
- 在息护理中,患者和非正式护理人员可以提供相互支持.
- 这种相互支持对决策过程的影响仍然不清楚.
研究的目的:
- 探索晚期疾病患者和他们的非正式照顾者之间的相互支持如何影响专业息护理机构内的护理决策.
主要方法:
- 对36名参与者进行了定性访谈 (14名患者-护理人员二合一,7名非二合一护理人员,1名非二合一患者).
- 数据是在2021年7月至2022年5月期间收集的.
- 分析采用了科尔宾和斯特劳斯的接地理论方法.
主要成果:
- 相互支持是由义务和选择所塑造的.
- 义务阻碍了沟通,并导致护理人员和患者失去权力.
- 基于选择的护理和减少患者的依赖,通过开放的沟通促进了护理人员更大的参与和信任.
结论:
- 患者-护理人员对象在息护理决策中的干预措施必须解决义务和选择的相互作用.
- 了解这些因素对于在高级疾病护理中有效的共享决策至关重要.
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