印度尼西亚重症监护病房医护人员提供姑息关怀的经验：现象学研究

IF 2.7 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Multidisciplinary Healthcare Pub Date : 2024-09-09 DOI:10.2147/jmdh.s486021

Henny Suzana Mediani, Fidy Randy Sada, Aan Nuraeni, Muhammad Arsyad Subu

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引用次数: 0

摘要

背景：在重症监护病房（ICU）中，对重症患者的症状进行细致的监测并彻底了解其治疗目标至关重要。这就凸显了在这种环境下整合姑息治疗的必要性。尽管姑息关怀具有潜在的优势，但在重症监护室有效整合姑息关怀仍存在一些障碍。目的：本研究旨在调查并阐明印尼医护人员（HCPs）在为ICU患者实施姑息关怀时的经验：本研究采用定性描述现象学方法。对在印度尼西亚一家医院工作的四名护士和三名医生进行了半结构化的深入访谈。采用科莱兹方法进行数据分析：分析从访谈中发现了六个主题，反映了医护人员在重症监护室提供姑息关怀的经验。这些主题是1) 提供专业关怀；2) 关怀与治疗合作；3) 高质量的强化沟通；4) 生命末期关怀；5) 控制情感；6) 提供整体关怀：为重症监护病房的患者提供护理不仅需要医护人员的专业知识，还需要同情心、沟通技巧以及对患者进行整体护理的方法。通过在重症监护病房提供全面的姑息关怀，医护人员可以满足患者及其家属的不同需求，促进舒适、尊重和改善整个疾病期间的生活质量。这种包容性的方法可以增强患者及其家属的体验，同时支持医护人员提供富有同情心的、以患者为中心的护理服务。建议印度尼西亚的医院制定相关政策，加强姑息关怀服务。

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Healthcare Professionals’ Experiences in Providing Palliative Care in an Intensive Care Unit in Indonesia: A Phenomenological Study

Background: In the Intensive Care Unit (ICU), it is vital to meticulously monitor symptoms and thoroughly understand the treatment objectives for critically ill patients. This highlights the necessity of integrating palliative care in this environment. Despite the potential advantages, several barriers impede the effective integration of palliative care in the ICU. Notably, many healthcare professionals (HCPs) in Indonesian ICUs have not fully leveraged the incorporation of palliative care.
Purpose: This study aimed to investigate and clarify the experiences of healthcare providers (HCPs) involved in administering palliative care to ICU patients in Indonesia.
Methods: This research employed a qualitative descriptive phenomenological approach. Semi-structured, in-depth individual interviews were conducted with four nurses and three doctors working in an Indonesian hospital. Colaizzi’s method was used for data analysis.
Results: The analysis identified six themes from the interviews, reflecting the experiences of healthcare professionals in delivering palliative care in the ICU. These themes are: 1) Provide Professional Caring, 2) Caring and curing collaboration, 3) Quality Intensive Communication, 4) End-of-Life Care, 5) Controlling Feelings, and 6) Provide Holistic Caring.
Conclusion: Providing care for ICU patients demands not only the expertise of HCPs but also compassion, communication skills, and a holistic approach to patient care. By offering comprehensive palliative care in the ICU, healthcare professionals can address the diverse needs of patients and their families, promoting comfort, respect, and an improved quality of life throughout the illness. This inclusive approach enhances the experience for both patients and their families while supporting healthcare providers in delivering empathetic and patient-centered care. It is recommended that hospitals develop policies to enhance palliative care services in Indonesia.

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来源期刊

Journal of Multidisciplinary Healthcare Nursing-General Nursing

CiteScore

4.60

自引率

3.00%

发文量

287

审稿时长

16 weeks

期刊介绍： The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.