在急诊室提供生命终端护理:一种释学现象学研究
Ellie Burnitt1, Laurie A Grealish2, Julia Crilly3
1School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
Australasian emergency care
|February 3, 2024
概括
注册护士发现,在急诊室的生命终端护理具有挑战性. 他们利用个人和美学知识来使垂死患者变得人性化,强调需要加强经验和道德理解.
科学领域:
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
- 紧急医疗 紧急医疗
背景情况:
- 注册护士 (RN) 认为在急诊室 (ED) 的生命终端护理 (EOLC) 是具有挑战性的.
- 了解RN在ED中为老年人提供EOLC的实践经验至关重要.
研究的目的:
- 探索注册护士在急诊室为老年患者提供终身护理的经验.
主要方法:
- 在2021年进行的释学现象学研究.
- 半结构面试与七名注册护士在两个昆士兰州,澳大利亚EDs.
- 对参与者叙述进行主题分析.
主要成果:
- 两个核心主题出现了:"将患者呈现为一个垂死的人"和"在急诊室的背景下对死亡进行心理化".
- 护士利用个人和美学知识来肯定临终患者的人性.
- 参与者在ED环境中的经验从2.5年到20年不等.
结论:
- 护士将个人和审美知识整合在一起,以使ED的垂死患者变得人性化.
- 需要发展关于衰老和支持性护理的经验知识,以及转型护理的伦理知识.
- 建议在专家的指导下,在ED中对死亡进行共享的临床反思,以改善EOLC.
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