区护士在家庭痴呆症护理中的非自愿治疗经验:一种定性描述性研究
Vincent R A Moermans1,2,3, Jan P H Hamers4,5, Hilde Verbeek4,5
1Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Duboisdomein 30, Maastricht, 6229 GT, The Netherlands. v.moermans@maastrichtuniversity.nl.
区护士发现,由于安全和自主价值观的冲突,对痴呆症患者的非自愿治疗是压力性的. 提高他们以人为中心的护理技能可以改善决策,减少道德困境.
科学领域:
- 老年学是一门学科.
- 护理实践 护理实践
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 非自愿治疗影响了半数患有痴呆症的人 (PLWD).
- 区护士在为PLWD提供护理方面至关重要,包括非自愿治疗.
- 对于地区护士的非自愿治疗经历,人们的理解有限.
研究的目的:
- 描述地区护士在家中使用非自愿治疗PLWD的经验.
- 探索地区护士面临的挑战和伦理考虑.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 16名有强迫治疗经验的地区护士被故意抽取样本.
- 数据分析使用了卢文的定性分析指南.
主要成果:
- 地区护士参与决策影响了他们对非自愿治疗适当性的看法.
- 当涉及时,护士认为这是适当的,但担心尊重PLWD的愿望.
- 安全问题往往超过了患者的自主权,导致价值观冲突造成压力.
结论:
- 区护士由于在非自愿治疗中安全性和自主性之间的冲突而经历了相当大的压力.
- 提高道德意识,沟通和以人为中心的护理技能至关重要.
- 提高技能可以帮助护士以以人为中心的方式管理导致非自愿治疗的情况.
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