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执业护士的经验 导航治疗决策 影响神经认知障碍和癌症的老年人
Kimberly Shapkin1,2, Lorelei Newton1, Karen MacKinnon1
1School of Nursing, University of Victoria, Victoria, BC, Canada.
概括
执业护士 (NP) 在治疗神经认知障碍 (NCD) 和癌症的老年人时面临复杂的决策. 国家医疗机构利用关系实践来参与患者和家人,但需要进行系统性改变,以改善护理导航.
科学领域:
- 老年学是一门学科.
- 瘤学 护理 护理专业
- 神经科学是一个神经科学.
背景情况:
- 患有神经认知障碍 (NCD) 和癌症的老年人面临护理接入障碍和更高的死亡率.
- 执业护士 (NPs) 对这一群体的治疗决策至关重要,但在研究中代表性不足.
- 对于NP在管理患有癌症的NCD患者复杂护理方面的经验,人们的理解有限.
研究的目的:
- 探索护理老年患有非传染性疾病和癌症的NP的治疗决策经验.
- 为这个脆弱的患者群体确定NP决策中的挑战和促进者.
- 为改善实践和未来研究提供有关老年瘤学中NP角色的信息.
主要方法:
- 使用解释性描述方法的定性研究.
- 通过半结构面试和与NP进行反思日记收集的数据.
- 代主题分析,以确定决策的关键主题和对实践的影响.
主要成果:
- NP决策受其知识,假设和系统导航挑战的影响.
- 国民党经历了伦理复杂性和不确定性,但努力共享决策.
- 国家医院采用关系实践,积极参与老年患者及其家属.
结论:
- 国民医生管理老年患有非传染性疾病和癌症的复杂治疗决策,平衡多个因素.
- 共享决策和关系实践是显而易见的,但需要系统支持.
- 加强机构支持,教育和基于社区的研究对于该领域的NP至关重要.
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