[提高重症监护护士临终关怀完整性的多方位策略]。

Q3 Nursing
Chuan-Yu Sun, Bo-Yu Wang, Yi-Dan Huang, Wen-Chuan Hsu
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引用次数: 0

摘要

背景与问题:近年来,台湾对安乐死的意识有了显著提升。入住重症监护病房(icu)的危重患者往往要忍受医疗干预的痛苦。因此,提供尊重病人尊严的全面临终关怀至关重要。通过情景分析发现,我院ICU缺乏规范的护理流程,ICU工作人员对姑息治疗团队的作用不明确,相关教育培训不足。进一步调查显示,ICU护士实施临终关怀的完成率为46.3%。目的:为提高临终关怀完成率至85.0%,制定并实施本项目。决议:建立临终关怀标准操作程序;设计印有“身心精神关怀”口号的小型便携提醒卡,帮助值班护士及时提醒;计划教育培训和跨团队研讨会,利用简单的桌面游戏来支持课程教学,提高参与度和互动性。结果:项目全面实施后,患者的临终关怀完成率为88.4%。结论:开发的项目有效提高了ICU护士临终关怀的完整性,减轻了临终患者的痛苦,提高了临终患者的尊严。该项目还帮助家属更沉着地面对悲伤的过程,提高我们icu提供的临终关怀的整体质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A Multifaceted Strategy to Improve the Hospice Care Completeness of Intensive Care Nurses].

Background & problems: In recent years, awareness of the need to facilitate death with dignity has advanced significantly in Taiwan. Critically ill patients admitted to intensive care units (ICUs) often endure the pain of medical interventions. Therefore, providing comprehensive end-of-life care that respects patient dignity is crucial. A situational analysis revealed that the ICUs in our hospital lacked standardized care procedures, that ICU staff were unclear about the role of the palliative care team, and that related educational training was deficient. Further investigation showed the completeness rate of ICU nurse implementation of end-of-life care to be 46.3%.

Purpose: This project was developed and executed to increase the end-of-life care completeness rate to 85.0%.

Resolutions: Establish end-of-life care standard operating procedures; design a small portable reminder card featuring the slogan "Physical, Mental, and Spiritual Care" to help prompt nurses while on duty; and plan educational training and cross-team workshops that utilize a simple tabletop game to support course teaching and increase engagement and interactivity.

Results: Result: After full project implementation, the rate of end-of-life care completion was 88.4%.

Conclusions: The developed project effectively improved the integrity of end-of-life care provided by ICU nurses, alleviating the suffering of terminally ill patients and enhancing their dignity. The project also helped families face the grieving process with greater composure, improving the overall quality of end-of-life care provided in our ICUs.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
14
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