护理人员在长期护理院老年人临终关怀中的参与:与护士和亲属的定性案例研究。

IF 1.7 Q2 NURSING
Canadian Journal of Nursing Research Pub Date : 2024-09-01 Epub Date: 2024-04-15 DOI:10.1177/08445621241247862
Isabelle Auclair, Anne Bourbonnais
{"title":"护理人员在长期护理院老年人临终关怀中的参与:与护士和亲属的定性案例研究。","authors":"Isabelle Auclair, Anne Bourbonnais","doi":"10.1177/08445621241247862","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A key role of nurses working in long-term care homes (LTCHs) is to promote the involvement of care partners in end-of-life (EOL) care. However, studies on the involvement of care partners in EOL care in LTCHs have focused on care planning and decision-making. While care partners can participate in other ways, it's unclear how they are currently involved in EOL care by staff.</p><p><strong>Purpose: </strong>We aimed to explore the involvement of care partners in the EOL care of an older adult living in a LTCH.</p><p><strong>Methods: </strong>A qualitative case study was conducted. Data was collected from a sample of four nurses and three care partners, using sociodemographic questionnaires, individual semi-structured interviews, documents pertaining to the LTCH's philosophy for EOL care, and a field diary.</p><p><strong>Results: </strong>The results of a thematic analysis showed the broad scope of care partners' possible involvement, including contributing to care, obtaining information, and being present. As there was some variation in care partners' desire to be involved, nurses seemed to rely on them to convey their wishes. To promote this involvement, some strategies aimed at health professionals and managers were suggested.</p><p><strong>Conclusions: </strong>These results can guide improvement in clinical practices and raise awareness on the EOL care experiences of care partners.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308322/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Involvement of Caregivers in the End-of-life Care of an Older Adult Living in a Long-term Care Home: A Qualitative Case Study with Nurses and Relatives.\",\"authors\":\"Isabelle Auclair, Anne Bourbonnais\",\"doi\":\"10.1177/08445621241247862\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A key role of nurses working in long-term care homes (LTCHs) is to promote the involvement of care partners in end-of-life (EOL) care. However, studies on the involvement of care partners in EOL care in LTCHs have focused on care planning and decision-making. While care partners can participate in other ways, it's unclear how they are currently involved in EOL care by staff.</p><p><strong>Purpose: </strong>We aimed to explore the involvement of care partners in the EOL care of an older adult living in a LTCH.</p><p><strong>Methods: </strong>A qualitative case study was conducted. Data was collected from a sample of four nurses and three care partners, using sociodemographic questionnaires, individual semi-structured interviews, documents pertaining to the LTCH's philosophy for EOL care, and a field diary.</p><p><strong>Results: </strong>The results of a thematic analysis showed the broad scope of care partners' possible involvement, including contributing to care, obtaining information, and being present. As there was some variation in care partners' desire to be involved, nurses seemed to rely on them to convey their wishes. To promote this involvement, some strategies aimed at health professionals and managers were suggested.</p><p><strong>Conclusions: </strong>These results can guide improvement in clinical practices and raise awareness on the EOL care experiences of care partners.</p>\",\"PeriodicalId\":46661,\"journal\":{\"name\":\"Canadian Journal of Nursing Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308322/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Canadian Journal of Nursing Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/08445621241247862\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/4/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Canadian Journal of Nursing Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/08445621241247862","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/15 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

背景:长期护理院(LTCH)护士的一项重要职责是促进护理伙伴参与临终关怀。然而,关于长期护理院中护理伙伴参与临终关怀的研究主要集中在护理计划和决策方面。虽然护理伙伴可以通过其他方式参与,但目前尚不清楚工作人员是如何让他们参与临终关怀的。目的:我们旨在探讨护理伙伴参与住在长期住院治疗中心的老年人临终关怀的情况:方法:我们开展了一项定性案例研究。通过社会人口学问卷、半结构式个人访谈、有关长期护理院临终关怀理念的文件和现场日记,从四名护士和三名护理伙伴中收集数据:专题分析的结果显示,护理伙伴可能参与的范围很广,包括参与护理、获取信息和在场。由于护理伙伴的参与意愿存在一定差异,护士似乎需要依靠护理伙伴来传达他们的意愿。为促进这种参与,建议采取一些针对医护人员和管理人员的策略:这些结果可以指导临床实践的改进,并提高人们对护理伙伴临终关怀经验的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Involvement of Caregivers in the End-of-life Care of an Older Adult Living in a Long-term Care Home: A Qualitative Case Study with Nurses and Relatives.

Background: A key role of nurses working in long-term care homes (LTCHs) is to promote the involvement of care partners in end-of-life (EOL) care. However, studies on the involvement of care partners in EOL care in LTCHs have focused on care planning and decision-making. While care partners can participate in other ways, it's unclear how they are currently involved in EOL care by staff.

Purpose: We aimed to explore the involvement of care partners in the EOL care of an older adult living in a LTCH.

Methods: A qualitative case study was conducted. Data was collected from a sample of four nurses and three care partners, using sociodemographic questionnaires, individual semi-structured interviews, documents pertaining to the LTCH's philosophy for EOL care, and a field diary.

Results: The results of a thematic analysis showed the broad scope of care partners' possible involvement, including contributing to care, obtaining information, and being present. As there was some variation in care partners' desire to be involved, nurses seemed to rely on them to convey their wishes. To promote this involvement, some strategies aimed at health professionals and managers were suggested.

Conclusions: These results can guide improvement in clinical practices and raise awareness on the EOL care experiences of care partners.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
4.00
自引率
4.80%
发文量
32
期刊介绍: We are pleased to announce the launch of the CJNR digital archive, an online archive available through the McGill University Library, and hosted by the McGill University Library Digital Collections Program in perpetuity. This archive has been made possible through a Richard M. Tomlinson Digital Library Innovation and Access Award to the McGill School of Nursing. The Richard M. Tomlinson award recognizes the ongoing contribution and commitment the CJNR has made to the McGill School of Nursing, and to the development and nursing science in Canada and worldwide. We hope this archive proves to be an invaluable research tool for researchers in Nursing and other faculties.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信