PDF(Pubmed)
Abstract：
Many international studies have shown that the process of palliative sedation in an end-of-life context can be an adverse, even emotionally distressing experience for nurses. However, to the best of our knowledge, the experience of nurses working in palliative care in Switzerland has never been explored. The purpose of our study was, therefore, to understand and describe nurses\' experience with the process of palliative sedation in line with the Swiss guidelines developed in 2005. We opted for an exploratory qualitative monocentric study using comprehensive individual interviews to achieve this objective. A total of 10 nurses were approached, and nine agreed to take part. After the interviews were transcribed, eight were ultimately included in the analysis. This analysis shows that nurses\' attitudes toward the process of palliative sedation tended to be hesitant, resistant, or confident and that this was linked to the length of time they had worked in palliative care. These findings suggest that the 2005 Swiss guidelines do not protect nurses against the uncertainty related to process of palliative sedation. A national comprehensive multicentric study therefore needs to be developed to consolidate these results.
摘要：
许多国际研究表明，在临终前的情况下，姑息镇静的过程可能是不利的，甚至对护士来说是痛苦的经历。然而,据我们所知,在瑞士从事姑息治疗的护士的经验从未被探索过。我们研究的目的是,因此,根据2005年制定的瑞士指南，了解和描述护士在姑息镇静过程中的经验。我们选择了一项探索性的定性单中心研究，使用全面的个人访谈来实现这一目标。共接洽了10名护士,九人同意参加。采访被转录后，8人最终被纳入分析.这一分析表明，护士对姑息镇静过程的态度倾向于犹豫，抗性,或有信心，这与他们在姑息治疗中工作的时间长短有关。这些发现表明，2005年瑞士指南并未保护护士免受与姑息镇静过程相关的不确定性。因此，需要开展一项全国性的综合多中心研究，以巩固这些结果。
