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加拿大注册护士对MAID相关通信的不断变化的背景
Sally Thorne1, Heidi Parker2, Barbara Pesut2
1School of Nursing, University of British Columbia, Vancouver, BC, Canada.
概括
注册护士面临复杂的沟通挑战与死亡医疗援助 (MAID). 加强教育对于应对患者需求和不断发展的终身护理立法至关重要.
科学领域:
- 护理实践 护理实践
- 医学伦理 医学伦理
- 在生命末期的护理.
背景情况:
- 自2016年加拿大将死亡医疗援助 (MAID) 合法化以来,护士们面临着不断变化的沟通挑战.
- 不同环境中的患者考虑生命终端的选择,这要求护士调整他们的沟通策略.
研究的目的:
- 从注册护士的角度了解MAID相关沟通的细微差别和挑战.
- 根据定性见解,反思随着时间的推移对护士的MAID沟通的演变.
主要方法:
- 两个定性数据集的二次分析:与加拿大注册护士进行了74次采访,这些护士接触过MAID.
- 分析了47个叙事反思从一个在线MAID反思指南护士.
主要成果:
- 护士们描述了引入MAID,导航患者评估和管理家庭动态的复杂性.
- 经验包括在MAID计划中支持患者,并在MAID过程中出席.
- 护士在各种临床环境中强调了MAID沟通的复杂性.
结论:
- 护士的沟通是复杂的,个性化的,和特定的环境,需要专门的护理技能.
- 护士在不断变化的立法环境中,在导航MAID细微差别方面表现出显著的舒适度和技能.
- 所有医疗保健机构的注册护士都需要专门的基础和持续的MAID沟通教育.
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