护士在提供儿科姑息治疗时所遇到的挑战:一项解释性现象学分析。

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Erna Judith Roach, Omar Al Omari, Sheeba Elizabeth John, Frincy Francis, Judie Arulappan, Lina Shakman, Aysha Al Hashmi, Sulaiman Al Sabei, Atika Khalaf
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引用次数: 0

摘要

目的:儿童白血病是14岁以下儿童最常见的癌症。患有白血病的儿童需要姑息治疗作为卫生保健小组的额外支持。向儿童提供姑息治疗具有挑战性。因此,本研究探讨护士在为白血病儿童提供小儿姑息治疗时所遇到的挑战。方法:对阿曼一家三级医院血液肿瘤科的11名护士进行了半结构化的面对面访谈。结果:对访谈进行转录和解释现象学分析,揭示了与提供儿科姑息治疗挑战相关的三个主题和七个副主题:个人挑战:护士无法中和自己的情绪,这给他们带来了情感负担;由于多任务处理,护士无法在预期的时间框架内管理他们的任务;护士在参与向家长解释诊断结果时压力较大;当一些儿童的健康状况恶化时,护士感到无能为力。教育方面的挑战:护士对照顾白血病儿童的生理/心理方面感到措手不及。组织挑战:护士表示,家属和护士需要房间来祈祷、休息和阅读《古兰经》,她们需要一个私人的地方与家属交谈;护士们提到,满足儿童及其家庭心理和社会需求的心理学家数量有限。结论:优先考虑和实施支持性工作场所策略,指导临床实践,最大限度地提高护士满意度至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Challenges Experienced by Nurses in Providing Pediatric Palliative Care: An Interpretive Phenomenological Analysis.

Objectives: Pediatric leukemia is the most common cancer among children younger than 14 years of age. Children with leukemia require palliative care as additional support from the health care team. Providing palliative care to children is challenging. Thus, this study explored the challenges experienced by nurses in providing pediatric palliative care to children with leukemia. Methods: Semi-structured face-to-face interviews were conducted on a purposive sample of 11 nurses in the hematology-oncology units of a tertiary care hospital in Oman. Results: Interviews were transcribed and analyzed using interpretive phenomenological analysis, which revealed three main themes and seven subthemes related to challenges in providing pediatric palliative care: Personal challenges: Nurses were unable to neutralize their emotions, which burdened them emotionally; due to multitasking, nurses were unable to manage their tasks within the expected time frame; nurses were stressful when they participated in explaining the diagnosis to the parents; and nurses felt powerless when the health condition of some children deteriorated. Educational challenges: Nurses felt unprepared to meet the physical/psychosocial aspects of caring for children with leukemia. Organizational challenges: Nurses stated that families and nurses required rooms to pray, rest, and read Quran, and they needed a private place to speak to families; and nurses mentioned that there are limited number of psychologists to meet the psychological and social needs of children and their families. Conclusion: Prioritizing and implementing strategies for a supportive workplace, guided clinical practice, and maximizing nurses' satisfaction are crucial.

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来源期刊
Journal of Palliative Care
Journal of Palliative Care 医学-卫生保健
CiteScore
3.20
自引率
5.90%
发文量
63
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.
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