护理记录中的精神关怀痕迹:癌症护理定性研究。

IF 1.9 4区 医学 Q2 NURSING
Scandinavian Journal of Caring Sciences Pub Date : 2024-12-01 Epub Date: 2024-08-26 DOI:10.1111/scs.13294
Ingerd Irgens Hynnekleiv, Tove Giske, Kristin Heggdal
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引用次数: 0

摘要

背景:癌症等严重疾病使人们面临失去健康和生命的威胁。这可能会损害患者的精神健康。在护理工作中,解决患者的精神问题至关重要。因此,护理记录应反映、阐明并促成精神护理的跟进。目的:本研究旨在探讨癌症护理中护理记录如何表达精神护理:本研究采用诠释学方法和定性内容分析法,对挪威 43 名癌症住院患者的护理记录进行了探讨。研究获得了伦理批准,并根据适用法律保护了患者和医护人员的隐私:护理记录(即护理计划和进展记录)中很少有精神护理的报告。然而,在日常护理记录中却出现了精神护理的痕迹。分析中出现了四个主题:(1)减轻生命痛苦和减少损失;(2)促进信仰支持;(3)欢迎家人和朋友;(4)维持正常生活和分享快乐:本研究表明,癌症护理记录中很少表达有关患者生命痛苦、失落或信仰支持的精神护理。提高护士绘制、记录和关注灵性关怀的能力,以及克服记录系统的局限性,有助于满足癌症患者的灵性需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Traces of spiritual care in nursing records: A qualitative study of cancer care.

Background: Serious illnesses, such as cancer, bring the threat of loss of health and life closer. This may compromise spiritual well-being. Addressing patients' spirituality is essential in nursing care. Therefore, nursing records should reflect, clarify, and enable spiritual-care follow-up.

Aim: The aim of this study is to explore how spiritual care is expressed in nursing records in cancer care.

Method: This study adopted a hermeneutic approach, and a qualitative content analysis was used to explore the nursing records of 43 inpatients with cancer from Norway. Ethical approval was obtained, and the privacy of the patients and healthcare professionals was safeguarded in line with the applicable legislation.

Results: Spiritual care was rarely reported in the nursing records (i.e., the nursing care plans and the progress notes). However, traces of spiritual care appeared in the records of everyday nursing. Four themes emerged from the analysis: (1) relieving life pain and mitigating loss, (2) facilitating faith support, (3) welcoming family and friends, and (4) sustaining normality and sharing joy.

Conclusions: This study showed that the nursing records of cancer care seldom expressed spiritual care concerning patients' life pain, loss, or faith support. Increasing nurses' competencies in mapping, documenting, and attending to spiritual care, as well as overcoming the limitations of documentation systems, could help address the spiritual needs of cancer patients.

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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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