临终关怀护士对临终关怀护士在存在性痛苦中需要息镇静的看法
Dana Hagmann1, Susanne Fleckinger2, Piret Paal3
1Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria; Hospiz im Landkreis Göppingen e.V., Göppingen, Germany.
概括
尽管护士的关键作用很大,但护士在对存在性痛苦的缓解镇静决定中的投入有限. 加强他们的参与对于伦理护理和减少宿舍的道德痛苦至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
- 护理研究 护理研究
背景情况:
- 护士和医生之间关于管理绝症患者存在的痛苦的分歧在成人宿舍护理中带来了挑战.
- 存在的痛苦需要仔细评估和管理,通常涉及复杂的伦理考虑.
研究的目的:
- 探索护士在住院成人收容所内的存在性痛苦病例中的息镇静的决策过程.
- 为了比较护士对息镇静决策的方法与医生.
主要方法:
- 利用了Charmaz的构造主义立足理论方法论.
- 在德国的一家住院成人收容所,与护士进行了基于病例的指导面试,使用病例图片.
- 使用MAXQDA软件分析了采访数据,并坚持了基础理论原则.
主要成果:
- 确定了五个关键类别:使生活质量,感知存在痛苦,决策,执行息镇静和息镇静作为解决方案.
- 聚焦分析了对息镇静的决策过程,以应对存在的痛苦.
- 强调护士在决策过程中的有限参与,尽管他们对患者痛苦的洞察力有限.
结论:
- 护士的观点对于整体和道德的护理至关重要,对于存在性痛苦的息镇静来说至关重要.
- 加强护士在决策中的作用可以促进道德实践,减轻道德困扰.
- 跨学科的合作对于将护士的见解纳入临终病患者的息护理至关重要.
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