瘤护士对进行精神历史的障碍和促进者的看法
Monica L Beck1, Katherine P Supiano2, Margaret F Clayton3
1Monica L. Beck, PhD, RN, OCN, CNE, is assistant professor, College of Nursing, The University of Alabama in Huntsville.
概括
通过精神对话,护士可以改善对晚期癌症患者的精神护理. 举起精神 (LtS) 在线干预为护士提供了装备,以克服缺乏培训和患者差异等障碍.
科学领域:
- 护理 护理 护理
- 抚慰性护理是一种缓解性护理.
- 精神上的照顾 精神上的照顾
背景情况:
- 护士可以通过精神对话来解决晚期癌症患者的精神痛苦.
- 缺乏知识,技能和时间等障碍阻碍护士提供精神护理.
- 有意义的精神对话,就像精神历史一样,对于患者的福祉至关重要.
研究的目的:
- 为了测试Lift the Spirit (LtS) 在线教育沟通干预措施.
- 评估参与护士对辅导者的看法和对LtS干预和精神历史的障碍.
- 评估LtS干预在为护士提供精神护理方面的临床实用性.
主要方法:
- 试点准实验性并发混合方法设计.
- 在线教育,模拟的精神历史评估 (信仰,重要性,社区,行动工具) 和测试后的汇报.
- 对护士参与者采访数据的内容分析.
主要成果:
- 参与者在机构,个人和患者层面确定了障碍,与现有文献一致.
- 促进者包括感觉装备,支持,并有外部提醒.
- 尽管没有出现新的障碍,但注意到了显著的负面影响 (焦虑,恐惧,脆弱性).
结论:
- LtS干预,特别是信仰,重要性,社区,行动工具和角色扮演,显示出临床效用.
- 干预使护士们有能力克服在提供精神护理方面遇到的障碍.
- 解决护士对知识,技能和时间的缺乏是提高精神护理的关键.
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