仍然安全;仍然尊重:一项混合方法研究,探讨农村社区住院在提供自愿辅助死亡的早期经验
Kirsten Auret1, Terri J Pikora2, Beatriz Cuesta Briand2
1Rural Clinical School of Western Australia, Medical School, University of Western Australia, M701 31 Stirling Terrace, Albany, Western Australia, 6330, Australia. kirsten.auret@rcswa.edu.au.
BMC palliative care
|March 23, 2025
概括
西澳大利亚农村临终关怀医院的工作人员发现,虽然自愿辅助死亡 (VAD) 立法并没有大大改变大多数人的日常角色,但它通过支持患者选择和自主性,微妙地改变了组织氛围.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生命终端研究研究.
- 医疗保健管理的管理
背景情况:
- 自愿辅助死亡 (VAD) 在全球范围内越来越多,包括澳大利亚.
- 关于在农村息护理环境中整合VAD的研究有限.
- 这项研究考察了西澳大利亚农村的临终关怀医院工作人员在VAD后立法中的经验.
研究的目的:
- 探索VAD实施后农村环境中的宿舍工作人员的经验.
- 了解小农村设施中的息护理和VAD之间的接口.
- 识别与VAD集成相关的感知变化和支持需求.
主要方法:
- 混合方法方法采用匿名调查和半结构面试.
- 从西澳大利亚西部一个农村地区的宿舍工作人员收集的数据.
- 面试成绩单的专题分析和调查数据的描述性统计数据.
主要成果:
- 30名员工接受了调查,10人接受了采访,19人参与了VAD,但只有7人报告了角色变化.
- 引用的主要好处是支持患者的选择和自主权.
- 定性主题:普遍参与VAD,微妙但显著的组织氛围变化,以及对支持,教育和培训的需求.
结论:
- 将VAD整合到农村的临终关怀中心需要微妙的组织氛围转变.
- 工作人员的经验强调了患者自主权和选择的重要性.
- 识别到的支持和教育差距可以为其他整合VAD的宿舍提供信息.
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