助理护士在专业息治疗中临终患者的口渴和道德困境的经验- 一项定性研究
Maria Friedrichsen1,2, Tiny Jaarsma2, Hans Thulesius3,4
1Palliative Education and Research Centre, Vrinnevi Hospital, Norrköping, Sweden.
Journal of advanced nursing
|September 11, 2023
概括
助理护士管理绝症患者的口渴,经常使用默默的,基于经验的知识. 息治疗的这一关键方面需要更好的沟通和整合到护理实践中.
科学领域:
- 抚慰性护理护理 抚慰性护理护理
- 生命末期症状管理 生命末期症状管理
- 定性研究是指质量研究.
背景情况:
- 饥渴是绝症患者常见和令人痛苦的症状.
- 助理护士在管理患者的舒适性,包括口渴和口渴方面发挥着关键作用.
- 现有的息护理实践可能无法充分解决口渴问题.
研究的目的:
- 为了探索助理护士在绝症患者中对口渴的经验.
- 确定与息治疗中的口渴管理相关的伦理挑战.
- 了解干渴是如何被感知和处理在专门的息护理单位.
主要方法:
- 质量,反射的主题设计与感应分析.
- 瑞典专门的息治疗单位的助理护士进行了12次深入采访.
- 以SRQR标准为指导的字面转录和主题分析.
主要成果:
- 助理护士拥有对缓解口渴的实用,经验丰富的知识,通常以例行程序为指导.
- 伦理挑战在患者太生病而不能喝酒时或医疗保健专业人员缺乏知识时就会出现.
- 渴望往往是未表达的,未讨论的,未记录的,在实践中缺乏政策支持.
结论:
- 垂死患者的口渴是息治疗中未被认可和未得到充分沟通的问题.
- 需要提高意识,讨论,并将口渴管理纳入护理过程.
- 护士应该领导改善护理实践的努力,并通过解决口渴等基本护理需求来确保生活质量.
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