护士对他们参与高级癌症治疗和息护理共享决策的看法; 定性访谈研究
Jannicke Rabben1, Mariann Fossum2, Bella Vivat3
1Department of Health and Nursing Science, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Journal of advanced nursing
|April 26, 2025
概括
护士意识到他们在癌症晚期和息护理的共同决策中发挥着至关重要的作用,尽管他们面临着专业挑战. 加强专业间的协作可以改善患者参与治疗决策.
科学领域:
- 瘤学 护理 护理
- 抚慰性护理是一种缓解性护理.
- 共享决策 - - 分享决策
背景情况:
- 共享决策 (SDM) 在晚期癌症和息治疗中至关重要.
- 护士在促进患者参与治疗决策方面发挥着关键作用.
- 了解护士对他们对SDM贡献的看法至关重要.
研究的目的:
- 探索护士对参与SDM的认知,以了解晚期癌症和息护理.
- 审查护士对患者参与治疗决策的贡献.
主要方法:
- 探索性定性研究设计. 探索性定性研究设计.
- 与来自挪威两家医院的15名护士进行了深入采访 (2023年3月至10月).
- 使用反射主题分析进行分析.
主要成果:
- 主题1:以人为中心获取和分享知识,包括为患者辩护和提供支持.
- 主题2:在复杂情况下赋能专业护士的作用,应对息护理决策中的挑战,并平衡慈善与患者自主权.
- 护士们确定了影响他们对SDM的角色和贡献的系统和文化因素.
结论:
- 护士认为自己为SDM做出贡献,但面临与角色相关的挑战和困境.
- 建议加强专业间的合作,以改善患者参与SDM.
- 进一步发展护士对SDM的贡献可以支持患者参与晚期癌症和息治疗.
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