临终期患者亲属在息护理单位的跨学科团队的支持实践. 达成共识的研究 (PROPAGE 2)
M Mélin1, C Roumiguière2, M Frasca3,4
1Palliative Medicine and Support Department, Bordeaux University Hospital, Bordeaux, France. maidermelin@gmail.com.
BMC palliative care
|May 4, 2025
概括
这项研究建立了关于在患者死亡期期间为亲属提供息治疗单位 (PCU) 支持实践的共识. 主要发现强调了对35个关键护理和生命终端支持的沟通策略的共同协议.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 老年学是指老年学的学科.
- 卫生社会学 卫生社会学
背景情况:
- 缺乏支持亲属在息护理单位 (PCU) 的痛苦阶段的确立建议.
- 需要就在终身护理期间为家庭提供跨学科团队支持实践达成共识.
研究的目的:
- 在PCU中建立关于支持PCU中的患者在激烈阶段的亲属的支持实践的共识.
- 确定有效的跨学科团队策略,以提供终身家庭支持.
主要方法:
- 使用德尔菲技术进行共识研究.
- 涉及40个法国PCU,其中204名专业人员,42名志愿者和32名亲属.
- 专家们评估了55个在护理,沟通,互动和跨学科的实践.
主要成果:
- 35个支持实践在专业人士,志愿者和亲属之间达成共识.
- 只有专业人士/志愿者同意的11种做法.
- 6种做法仅由亲属同意,而3种做法被认为不合适.
结论:
- 突出了在专门的息服务中对终身护理的共识实践.
- 强调了高质量的患者护理,咨询和关注亲属需求的重要性.
- 结果将为团队提供信息,并加强在临终阶段为家庭提供支持的培训.
相关概念视频
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Ethical Dilemmas II
838
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:
838
Ethical Issues
797
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:
797
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.5K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.5K
Nursing Ethical Principles II
888
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...
888
Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K


