护士为 COVID-19 患者提供临终护理的经验：一项描述性现象学研究

IF 2.1 3区医学 Q2 NURSING

Nursing & Health Sciences Pub Date : 2024-05-01 DOI:10.1111/nhs.13124

Yujin Kim, Dong‐Hee Kim

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引用次数: 0

摘要

感染 COVID-19 的重症患者死亡率一直居高不下。国家和机构的感染控制政策以及大流行造成的资源短缺导致患者在没有尊严的情况下死亡，并不可避免地改变了重症监护病房（ICU）的临终关怀（EOLC）实践。本研究探讨了 ICU 护士为 COVID-19 死亡患者提供临终关怀的经验。八名护士参与了定性现象学研究。研究人员于 2022 年 7 月至 9 月进行了半结构化访谈。研究采用Colaizzi数据分析方法，得出以下四个主题：(i) 死亡旅程中的唯一陪伴者；(ii) 帮助家属为死亡做好准备；(iii) 被困在框架内的EOLC；(iv) 回想中的EOLC。为了确保重症监护病房中高质量的临终关怀，必须促进对护士的实际支持以及与临终关怀相关的讨论/教育。应加强技术支持，如数字通信技术，以帮助患者及其家属参与生命终结治疗。

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Nurses' experience of end‐of‐life care for patients with COVID‐19: A descriptive phenomenology study

The mortality rates among critically ill patients with COVID‐19 have been high. The national and institutional infection control policies and resource shortages caused by the pandemic led patients to undergo deaths without dignity and inevitably changed intensive care unit (ICU) end‐of‐life care (EOLC) practices. This study explores ICU nurses' experiences of providing EOLC for patients with COVID‐19 who died. Eight nurses participated in a qualitative phenomenological study. Semi‐structured interviews were conducted from July to September 2022. Colaizzi's data analysis method was used, and the following four main themes emerged: (i) only companion in the death journey; (ii) helping families prepare for death; (iii) EOLC trapped within a framework; and (iv) EOLC in retrospect. To secure high‐quality EOLC in ICU, it is important to promote practical support for nurses and EOLC‐related discussions/education. Technical support, such as digital communication technologies, should be reinforced to help patients and their families participate in EOLC.

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来源期刊

Nursing & Health Sciences 医学-护理

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

6-12 weeks

期刊介绍： NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.