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低年资护士对安宁疗护的死亡感受和体验的质性研究

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目的 了解低年资护士对安宁疗护中死亡患者的真实体验感受及遇到的问题,为低年资护士安宁疗护死亡教育的发展提供参考.方法 采用目的抽样法,用质性研究方法对10名低年资护士进行半结构式深入访谈,采用Colaizzi资料分析方法对资料进行分析和主题提炼.结果 提炼出5个主题11个亚主题,即对待护理职业的严肃性(职业认同感、理解与尊重)、安宁疗护相关护理技能(操作技术不足、临终关怀接触不足、灵性照顾)、负性情绪渲染(焦虑、无能为力、疲惫、共情)、家庭及社会支持系统缺乏(家庭支持、社会支持)、感悟人生价值,促进成长.结论 低年资护士要在安宁疗护病房的实践中提高专业技能和共情体验,重视低年资护士面对安宁疗护的内心体验和需求,应探索其中面临的问题体验的应对策略,促进护士向积极体验方向发展.
A qualitative study of low seniority nurses'feelings and experiences of death in hospice care
Objective To understand the real-life experience feelings and problems encountered by junior nurses about patients who die in hospice care,and to provide a basis for the development of strategies for death education for junior nurses.Methods Semi-structured in-depth interviews were conducted with ten junior nurses using purposive sampling method with qualitative research method,and Colaizzi data analysis method was used to analyze the data and refine the themes.Results Five themes and eleven sub-themes were distilled,i.e.,treating the seriousness of the nursing profession(professional identity,understanding,and respect),hos-pice-related nursing skills(insufficient operation technology,inadequate hospice exposure,and spiritual care),rendering of negative emotions(anxiety,powerlessness,and exhaustion,and empathy),lack of a family and social support system(family support,social support),and perceiving the value of life and promoting growth.Conclusion LVNs improve their professional skills and empathic experiences in hospice unit practice,emphasize the inner experiences and needs of LVNs facing hospice care,and coping strategies for problematic experiences faced therein should be explored to promote nurses'development toward positive experiences.

junior nurseshospicedeath education

段岭雪、铁崧元、龙漫宇、梁会、王姝亚

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云南中医药大学护理学院云南省第一人民医院 650000

低年资护士 安宁疗护 死亡教育

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(4)