癌症患者提前护理规划的障碍和促进因素:一种定性研究
Yang Yang1,2,3, Jingling Li2, Miaoxin Huang4
1Department of Nursing, Zhuhai Campus of Zunyi Medical University, Zhuhai, China.
Journal of clinical nursing
|December 1, 2025
概括
在中国的瘤学环境中实施预先护理计划 (ACP) 面临着文化和系统障碍. 了解这些挑战对于开发有效的,文化定制的策略来改善终身护理至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健 实施 科学 科学
- 跨文化医疗研究 跨文化医疗研究
背景情况:
- 提前护理规划 (ACP) 可以改善癌症患者的终身护理和资源分配.
- 成功实施ACP需要了解医疗服务提供者和患者的看法,以克服挑战.
- 识别障碍和促进因素是有效的非洲和非洲国家集成的关键.
研究的目的:
- 在中国的瘤学环境中,识别预先护理计划 (ACP) 实施的障碍和促进者.
- 为发展文化上适合的医疗保健战略提供基础.
- 在资源有限的环境中,以传统医学影响为基础,为ACP实施提供信息.
主要方法:
- 使用实施研究综合框架 (CFIR) 进行的定性研究.
- 与30名护士,医生,癌症患者和家属进行半结构面试 (2022年4月至8月).
- 根据SRQR指南进行定向定性内容分析.
主要成果:
- 在四个CFIR领域中确定了20个实施决定因素 (13个障碍,7个促进因素).
- 关键障碍:文化适应性,过程复杂性,临床医生的知识差距,组织准备,资源和意识.
- 促进者:团队文化,临床医生的动力,领导力支持和政策调整.
结论:
- 在中国实施ACP面临着独特的,特定于环境的障碍.
- 研究结果为在资源有限的医疗保健机构中,为文化定制的ACP战略提供了可操作的见解.
- 促进ACP需要解决受传统医学影响的医疗保健系统中的特定决定因素.
相关概念视频
01:27Nursing Ethical Principles II
2.0K
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...
2.0K
01:21Cancer Survival Analysis
630
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
630
01:21Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K
01:19Standards of Care II
1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
01:27Ethical Issues
2.0K
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:
2.0K
01:21Planning Nursing Care I
5.5K
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...
5.5K