护士、病人和家庭照顾者对爱尔兰的能源困难和姑息性家庭护理的看法：一种混合方法的检验。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2025-06-01 DOI:10.1016/j.soncn.2025.151893

Suzanne Denieffe , Margaret Denny , Martina Gooney , Patricia Hunt , Lannah Kent , Peter May , Mary Nevin , Muireann Prendergast , Mary Rabbitte , Pilar Luz Rodrigues , Colin Barry , Ashna Ephraim

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引用次数: 0

摘要

目的：探讨能源困难与家庭姑息治疗的关系。目的是探讨家庭护理护士、病人和家庭护理人员对能源困难的可能程度的看法，并提出明智的建议，以帮助减轻在家接受姑息治疗的人的能源困难。方法：本研究采用横截面混合方法设计，包括对姑息家庭护理护士进行在线调查，以及对接受姑息家庭护理的患者或其家庭护理人员进行半结构化的个人或团体访谈。结果：结果显示，夜间护士和姑息家庭护理护士在工作中普遍存在精力困难问题。研究中的患者和家庭护理人员证实，对他们中的许多人来说，保持家庭温暖是一个主要问题，能源成本和其他生活成本的上涨给一些参与者带来了挑战，并造成了巨大的压力。结论：能源困难加剧了患者和护理人员的健康问题，这与之前关于其有害影响的研究一致。解决能源困难问题需要采取多部门办法，包括加强政府、保健提供者和社区组织之间的协调，以确保弱势群体能够获得支助服务。需要进一步研究以更好地了解能源困难与健康之间的因果关系。对护理实践的影响：提高卫生保健人员对能源困难的认识至关重要，重点关注高危人群和现有干预措施。对工作人员的教育培训是帮助工作人员发现和解决能源困难的关键，将支持作为一项健康权。需要标准化的信息包和自我评估工具，护士应鼓励患者申请可能提供的支持，例如向能源供应商登记为医疗弱势群体。

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Nurses’, Patients’, and Family Carers’ Views of Energy Hardship and Palliative Home Care in Ireland: A Mixed-Methods Examination

Objectives

The authors aim to investigate energy hardship and palliative care at home. The objectives were to explore the views of home care nurses, patients, and family carers on the possible extent of energy hardship and to make informed recommendations, which could help alleviate energy hardship for people receiving palliative care at home.

Methods

This study used a cross-sectional mixed-methods design, including an online survey with palliative home care nurses and semistructured individual or group interviews with patients receiving palliative home care or their family carers.

Results

The results show that energy hardship is an issue witnessed by night nurses and palliative home care nurses in their line of work. Patients and family carers in the study confirmed that keeping their homes warm was a major issue for many of them, and the rising costs of energy, and other living costs, have posed challenges and caused significant stress to some participants.

Conclusions

Energy hardship worsens health issues for patients and carers, aligning with previous research on its detrimental effects. Addressing energy hardship requires a multisectoral approach, including better coordination between governments, health care providers, and community organizations to ensure vulnerable people have access to support services. Further research is needed to better understand the causal relationships between energy hardship and health.

Implications for Nursing Practice

Raising awareness of energy hardship among health care staff is crucial, focusing on at-risk populations and available interventions. Educational training for staff is key to help staff identify and address energy hardship, framing support as a health right. A standardized information pack and self-assessment tool are needed, and nurses should encourage patients to apply for support that may be available, such as registering as medically vulnerable with energy suppliers.

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.