The experiences and needs of nurses providing home-based palliative care: A qualitative meta-synthesis.

IF 1.3 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal of Palliative Care Pub Date : 2023-10-01 Epub Date: 2022-05-31 DOI:10.1177/08258597221105167

Yu-Hsuan Wu, Hui-Ya Hsieh, Yu-Ling Kuo, Chien-Yi Wu

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引用次数: 3

Abstract

Objective(s): We conducted a qualitative meta-synthesis of qualitative studies on nurses' experiences when caring for palliative patients to (1) identify the needs of nurses and (2) describe their experiences to provide more in-depth information. Methods: Qualitative articles published in English from 2000 to 2022 were identified from several databases through a searching strategy. Authors screened through the title, abstract, and full text of relevant studies. Articles were read repeatedly and discussed. The thematic analysis methodology was adopted to analyze the data. Results: Of 967 articles, 22 were included in our review. Notions reflecting community nurses providing palliative home care were clustered into four themes: (1) nature of community-based palliative nursing, (2) teamwork, (3) relationship with patient and family, and (4) resources. Findings also suggest establishing a sound support system, strengthening palliative education, and creating more decisive referral criteria and systems. Conclusions: The growing need for palliative home care has become challenging for community health care systems. Our study summarized various aspects of nurses providing home-based palliative care. The findings provide information for health care and education settings to improve home care systems and recruit more staff to meet the needs.

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护士提供家庭姑息治疗的经验和需求：定性荟萃综合。

目的：我们对护士在照顾姑息性患者时的经验进行了定性荟萃分析，以（1）确定护士的需求，（2）描述他们的经验，提供更深入的信息。方法：采用检索策略，从多个数据库中检索2000年至2022年发表的英文定性文章。作者筛选了相关研究的标题、摘要和全文。文章被反复阅读和讨论。采用专题分析方法对数据进行分析。结果：967篇文章中，22篇被纳入我们的综述。反映社区护士提供姑息性家庭护理的概念分为四个主题：（1）社区姑息性护理的性质，（2）团队合作，（3）与患者和家人的关系，以及（4）资源。调查结果还建议建立一个健全的支持系统，加强姑息治疗教育，并建立更果断的转诊标准和系统。结论：对姑息性家庭护理日益增长的需求对社区卫生保健系统来说已成为一项挑战。我们的研究总结了护士提供家庭姑息治疗的各个方面。研究结果为医疗保健和教育环境提供了信息，以改善家庭护理系统并招聘更多员工来满足需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Palliative Care 医学-卫生保健

CiteScore

3.20

自引率

5.90%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.