临床医生如何识别正在死亡的人:综合性审查
Elizabeth Colquhoun-Flannery1, Dawn Goodwin2, Catherine Walshe1
1International Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK.
International journal of nursing studies
|December 22, 2023
概括
识别死亡是复杂的,涉及患者的线索,团队沟通和环境因素. 开放地讨论死亡和接受不确定性可以改善对更好的终身护理的及时认可.
科学领域:
- 医疗保健 医疗保健 医疗保健 医疗保健
- 抚慰性护理是一种缓解性护理.
- 临床实践 临床实践
背景情况:
- 及时识别死亡对于高质量的终身护理至关重要.
- 迟到的识别可能会导致徒劳的治疗,延长痛苦,并阻碍护理重点转移.
- 了解临床医生对死亡的认识是有限的.
研究的目的:
- 探索临床医生如何识别患者的死亡.
- 确定影响人们对死亡的认可的因素.
主要方法:
- 系统的综合性文献评论.
- 在Medline,Scopus,CINAHL,PsycInfo和补充医学数据库中进行了搜索 (2022年7月).
- 包括2012年或以后发表的原始研究,使用恒定比较进行分析.
主要成果:
- 确定了三个类别:"线索和信号" (患者的线索,直觉,经验),"他人认可" (护理环境,团队沟通) 和"文化,系统和实践" (信仰,工作节奏,系统).
- 不确定性和否认死亡有助于迟到的认可.
- 了解患者的时间和临床经验等因素是关键.
结论:
- 认识死亡是一个复杂的,时间依赖的过程,整合了直觉和信息,受到环境的影响.
- 沉默的死亡和否认的文化阻碍了及时的认可.
- 需要一种共同的语言,一致的术语,以及在认识死亡时接受不确定性.
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