Nurses' experiences of ethical challenges concerning thirst in dying patients in specialist palliative care: a qualitative study.

IF 2.5 2区医学 Q2 HEALTH CARE SCIENCES & SERVICES

BMC Palliative Care Pub Date : 2024-07-30 DOI:10.1186/s12904-024-01519-y

Maria Friedrichsen, Caroline Lythell, Micha Milovanovic, Nana Waldréus, Hans Thulesius, Tiny Jaarsma, Pier Jaarsma, Christel Hedman, Anne Söderlund Schaller

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Abstract

Aim: To describe nurses' experiences of ethical challenges in relation to thirst in terminally ill patients in specialist palliative care units.

Research design: A qualitative, reflexive thematic design with an inductive analysis was used.

Participants and research context: Eighteen qualitative interviews with nurses working in six different specialist palliative care units in different hospitals in Sweden were conducted. The interviews were transcribed verbatim and analysed with a reflexive thematic analysis.

Results: This study identified four themes that reflect ethical challenges experienced by nurses in the palliative care regarding thirst: Harmful infusions interfere with peaceful dying; conflict between tradition and personal experience; What is the right intervention to quench thirst? and; Lack of standard procedures, competence and interest among team members.

Conclusion: Palliative care nurses experience a number ethical challenges in relation to thirst in dying patients. The main challenge is the provision of fluids to dying patients via artificial infusions, which nurses struggle with, as they do not want to interfere with a peaceful dying process.

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专科姑息关怀中护士对濒死患者口渴伦理挑战的体验：一项定性研究。

目的：描述专科姑息关怀病房护士在临终病人干渴症伦理挑战方面的经验：研究设计：采用定性、反思性主题设计，并进行归纳分析：对在瑞典不同医院的六个不同姑息关怀专科病房工作的护士进行了 18 次定性访谈。对访谈内容进行了逐字记录，并采用反思性主题分析法对访谈内容进行了分析：这项研究确定了四个主题，反映了护士在姑息治疗中遇到的有关口渴的伦理挑战：有害的输液干扰了安详的死亡；传统与个人经验之间的冲突；什么是正确的止渴干预？以及；团队成员缺乏标准程序、能力和兴趣：结论：姑息关怀护士在处理临终病人的口渴问题上遇到了许多伦理挑战。主要的挑战是通过人工输液为临终病人提供液体，护士们对此感到很为难，因为他们不想干扰病人平静的死亡过程。

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来源期刊

BMC Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

4.60

自引率

9.70%

发文量

201

审稿时长

21 weeks

期刊介绍： BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.