在家庭托儿所终身尊严:从工作人员叙述的洞察力
Gila Yakov1, Gabriela Spector-Mersel2, Inbal Halevi Hochwald3
1Department of Health Systems Management, The Max Stern Yezreel Valley College, Yezreel Valley, Israel.
Palliative care and social practice
|July 3, 2025
概括
家庭住院工作人员通过尊重患者的自主性和个性来维护患者的尊严. 了解生命终端护理中的尊严行动对于提高患者福祉和员工培训至关重要.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 卫生社会学 卫生社会学
背景情况:
- 尊严是终身护理 (EoL) 的核心,特别是在家庭住院 (HH).
- 医疗卫生工作人员在维护EOL尊严方面发挥着至关重要的作用,但他们的观点未得到充分研究.
- 现有的研究往往缺乏深度,无法在日常实践中展现的尊严.
研究的目的:
- 探索EOL尊严价值观和HH员工在日常实践中使用的策略.
- 通过HH专业人员的叙述来理解"行动中的尊严".
- 为了确定在HH环境中如何维护或侵犯尊严.
主要方法:
- 使用了定性叙事研究方法.
- 17个多学科的卫生健康工作人员分享了32个关于尊严或不尊严的叙述.
- 诱导性,整体的内容分析确定了尊严价值观和战略.
主要成果:
- 卫生保健工作人员是尊严的关键提供者;家庭成员可能是违规行为的来源.
- 尊严的中心是"自主" (尊重偏好) 和"个性" (重视个人).
- 确定了维护患者和家庭自主性和个性的具体策略.
结论:
- 家庭临终关怀为以尊严为中心的实践提供了独特的机会.
- 优先考虑患者和家庭的自主性和个性,提高了尊严的护理.
- 建议将维护尊严的策略整合到HH协议和员工培训中.
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