在瘤护理中提前护理规划:一个解释性描述研究研究
Heather M Kilgour1,2, Leah K Lambert1,2, A Fuchsia Howard2
1Nursing and Allied Health Research and Knowledge Translation, BC Cancer, Vancouver, British Columbia, Canada.
Journal of advanced nursing
|March 10, 2025
概括
由于角色不确定性和结构性障碍,瘤护士在事先的护理规划中面临着挑战. 通过明确的组织策略和改进的护理模式来解决这些问题,可以加强护士主导的预先护理规划.
科学领域:
- 护理研究 护理研究
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 预先护理计划 (ACP) 对于以患者为中心的护理和瘤学中共享决策至关重要.
- 瘤护士在促进ACP方面发挥着至关重要的作用,但他们的参与往往有限.
- 了解护士所面临的障碍对于改善非洲和非洲国家和地区的做法至关重要.
研究的目的:
- 探索瘤护士的预先护理规划实践.
- 确定影响护士与患者和家属进行ACP能力的因素.
- 确定战略,以更好地支持非洲和非洲的瘤护士.
主要方法:
- 定性解释性描述性研究.
- 半结构面试与加拿大西部的19名瘤护士进行.
- 使用诱导,主题和常数比较技术分析数据.
主要成果:
- 护士们报告说,他们对自己在ACP中的角色和合适的参与时间不确定.
- 教育和培训环境被确定为影响因素.
- 包括缺乏时间,隐私和阻碍纵向关系的护理模式在内的结构性障碍是重大挑战.
- 团队动态影响了非洲和非洲的跨学科合作.
结论:
- 需要明确的组织方法和综合的教育机会,以解决非洲和非洲的角色不确定性.
- 建议重组服务交付模式,为护士领导的ACP提供专用的时间和空间.
- 培养护士,患者和跨学科同事之间的信任关系对于有效的ACP来说至关重要.
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