护士对实践支持的看法与死亡医疗援助有关
概括
加拿大护士在死亡医疗辅助 (MAiD) 实践中面临挑战,因为框架不一致. 需要加强对角色明确性,沟通技巧和人员资源的支持,以改善患者护理.
科学领域:
- 护理实践 护理实践
- 医学伦理 医学伦理
- 质量健康研究 质量健康研究
背景情况:
- 自2016年以来,在加拿大实施临终医疗援助 (MAiD) 需要不断发展的医疗保健提供模式.
- 加拿大各地的护理护理实践框架的变化造成了护理角色的模两可,并阻碍了有效的关系实践.
- 护士需要明确的指导方针和支持,以在他们的专业范围内应对MAiD的复杂性.
研究的目的:
- 探索加拿大护士为寻求MAiD的患者提供护理的实践经验.
- 识别当前护理实践的帮助,阻碍和所需元素,在MAiD中提供支持.
- 了解如何改善护理实践框架和MAiD的临床支持.
主要方法:
- 使用关键事件技术进行定性研究.
- 与参与MAiD的7名加拿大护士进行了半结构面试.
- 分析了护士报告的18起重大事件.
主要成果:
- 确定了与角色明确性相关的护理实践支持中的重大差距.
- 强调需要加强对MAiD治疗沟通技能的教育支持.
- 揭示了缺乏足够的以员工为中心的资源,包括汇报和通信网络.
结论:
- 一致的护理实践框架对于有效的MAiD交付至关重要.
- 改善临床实践支持对于促进MAiD治疗关系至关重要.
- 解决发现的差距将增强护理的信心和患者护理质量在MAiD.
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