后台的秘密:指导死亡守夜活动
Debra Parker Oliver1, Allison Donehower1, Karla T Washington2
1Division of Palliative Medicine, Department of Medicine, Goldfarb School of Nursing, Washington University in St. Louis, Saint Louis, Missouri, USA.
Journal of palliative medicine
|September 6, 2024
概括
临终关怀医院的工作人员面临着管理家庭死亡警觉的挑战,包括家庭负担和人员短缺. 了解这些经历是改善终身护理和确保在家中享有良好的死亡的关键.
科学领域:
- 老年学是一门学科.
- 健康和疾病的社会学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 大多数临终关怀病人65岁以上,死亡主要发生在私人家中.
- 家庭死亡守夜代表了临终关怀的高潮,突出了其优势和挑战.
- 了解家庭死亡的经历对于改善终身护理至关重要.
研究的目的:
- 为了探索宿舍工作人员在家中死亡守夜的经验.
- 揭示家庭死亡的现实情况,并确定良好的死亡障碍.
- 提供关于在家管理终身护理的情感和实际方面的见解.
主要方法:
- 对来自11个机构的25名宿舍工作人员的采访进行了定性分析.
- 应用埃尔文·戈夫曼的戏剧模型来分析警觉经验.
- 叙述的共同编码和住院护士和医生的验证,以确保可信度.
主要成果:
- 临终关怀工作人员报告说,临终关怀期间,家庭和护理人员的负担很大.
- 挑战包括症状管理的困难和员工短缺的挫折感.
- 行政负担和家庭护理的间歇性影响了生命的最后几天.
结论:
- 家庭死亡守夜对宿舍工作人员来说是复杂的情感和后勤挑战.
- 解决护理人员负担,症状控制和人员配置对于促进在家中进行良好的死亡至关重要.
- 需要进一步的研究和支持,以优化患者和家属的家庭临终关怀体验.
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