临终关怀中的遗产:概念分析。

IF 2.4 Q1 NURSING
Carolina Timóteo, Joel Vitorino, Amira Mohammed Ali, Carlos Laranjeira
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引用次数: 0

摘要

理解遗产在生命末期(EoL)情况下的意义有助于姑息关怀专业人员为那些罹患危及生命疾病的患者及其家属提高以人为本的疗效。我们的目的是对临终关怀中的遗产进行概念分析。通过采用 Walker 和 Avant 的方法,我们确定了这一概念的定义特征。随后,我们确定了前因、后果和经验参照物。在对标题和摘要进行全面审查后,我们共分析了 30 篇出版物。这些文章来自 2002 年至 2023 年的三个数据库(CINAHL、Medline via PubMed 和 Scopus)。我们的分析确定了遗产的几个核心属性:(a) 留下超越死亡的有价值的东西;(b) 确定人们希望如何被记住;(c) 跨代建立和传承;(d) 通过 EoL 对话和共同决策整合预先护理规划;以及 (e) 制定维护尊严的护理策略。其结果与以下方面有关:改善精神和主观幸福感;应对不可避免的临终关怀存在问题;减少临终关怀的痛苦;激发自我意识、希望、感恩与和平;实现并维护尊严;创造美好回忆;促进相互建设性和变革性关系;以及促进丧亲者的适应。然而,还需要进一步努力,落实遗产的关键属性,这些属性是在遗属生活附近制定以遗产为导向的干预措施的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Legacy in End-of-Life Care: A Concept Analysis.

Comprehending the significance of legacy in end-of-life (EoL) situations helps palliative care professionals enhance person-centered outcomes for those with a life-threatening illness and their families. Our purpose was to conduct a concept analysis of legacy in EoL care. By employing Walker and Avant's approach, we identified the concept's defining characteristics. Subsequently, we established the antecedents, consequences, and empirical referents. After conducting a thorough review of titles and abstracts, a total of 30 publications were analyzed. These articles were sourced from three databases (CINAHL, Medline via PubMed, and Scopus) from 2002 to 2023. Our analysis identified several core attributes of legacy: (a) leave behind something of value that transcends death; (b) determine how people want to be remembered; (c) build and bestow across generations; (d) integrate advance care planning through EoL conversations and shared decision-making; and (e) develop strategies of dignity-conserving care. The consequences are related to improvements in spiritual and subjective well-being; coping with inevitable EoL existential issues; decreases in EoL suffering; engendering self-awareness, hope, gratitude, and peace; achieving and maintaining dignity; creating good memories; promoting mutually constructive and transformative relationships; and fostering the adjustment of bereaved people. Nevertheless, further effort is required to implement the key attributes of legacy that form the basis for creating legacy-oriented interventions near the EoL.

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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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