相关实验视频
Updated: Jun 13, 2025

08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
12.7K
为家庭护士开发一个规模,以开始与癌症患者的生命结束讨论
Kurumi Asaumi1, Masataka Oki1, Wataru Ohashi2
1Department of Nursing, School of Health Sciences (K.A., M.O.), Tokyo University of Technology, Tokyo, Japan.
Journal of pain and symptom management
|September 13, 2024
概括
家庭访问护士现在可以使用生命结束讨论时间 (T-EOLD) 尺度来更好地确定何时开始与癌症患者的关键对话. 这种经过验证的尺度提高了护士的终身护理计划.
科学领域:
- 瘤科 护理 护理专业
- 抚慰性护理是一种缓解性护理.
- 健康测量健康测量
背景情况:
- 家庭访问护士在与癌症患者进行生命终结 (EOL) 讨论时面临挑战.
- 有效的EOL沟通对于以患者为中心的护理和先进的护理计划至关重要.
研究的目的:
- 开发和验证生命终端讨论时间表 (T-EOLD) 尺度.
- 为家庭访问护士提供一个工具,以确定启动EOL讨论的最佳时机.
- 评估T-EOLD尺度的可靠性和有效性.
主要方法:
- 规模项目是从定性访谈,文献评论和专家共识中得出的.
- 一项初步研究 (n=93) 评估了构造有效性,内部一致性和测试-重新测试可靠性.
- 一项初级研究 (n=234) 进一步评估了构造有效性和尺度一致性.
主要成果:
- 通过探索性因子分析,最初的41项规模被改进为16项,三因素模型.
- 最终的模型显示了良好匹配指数 (CFI=0.94,GFI=0.90,AGFI=0.87,RMSEA=0.06).
- 在T-EOLD尺度表现出高可靠性 (克朗巴赫的α=0.91).
结论:
- 在T-EOLD尺度是可靠和有效的工具,家庭访问护士.
- 该尺度有助于护士确定适当的时间开始与癌症患者进行EOL讨论.
- 需要进一步的研究来证实T-EOLD尺度在国内和国际上的临床实用性.
相关概念视频
Ethical Dilemmas II
960
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
960
Ethical Issues
873
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
873
Nursing Ethical Principles II
934
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
934
Documentation in Long-Term and Home Healthcare Setting
875
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
875
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Standards of Care II
636
Nurses bear specific legal responsibilities under several federal statutes, including:
636

