Abstract：
Background: End-of-life dreams and visions (ELDVs) are a common phenomenon in which dying patients experience dreams/visions often of deceased loved ones before death. Past research has highlighted the need for education and awareness to improve clinical engagement at the bedside in response to ELDVs. Objectives: To explore the perspectives of multidisciplinary hospice care providers who are ELDV subject matter experts. Design/Methods: Semi-structured interviews with 13 multidisciplinary hospice providers were conducted and analyzed using thematic qualitative analysis. Results: Analysis revealed six themes: Normalization, Rapport Building, Active Listening, Individualized Meaning Making, Barriers, and Education. A secondary thematic analysis focused on defining/describing ELDVs and resulted in two themes: Natural Part of Dying and ELDV Properties. Conclusions: Findings identified facilitators and barriers encountered when caring for a patient with ELDVs. Based on this, an initial set of recommendations for meaningful clinical engagement regarding ELDVs and initial operationalized definition has been proposed.
摘要：
背景：临终梦想和愿景（ELDV）是一种常见的现象，其中垂死的患者在死前经常经历已故亲人的梦想/愿景。过去的研究强调了教育和意识的必要性，以改善床边对ELDV的临床参与。目标：探索作为ELDV主题专家的多学科临终关怀提供者的观点。设计/方法：对13个多学科的临终关怀提供者进行了半结构化访谈，并使用主题定性分析进行了分析。结果：分析揭示了六个主题：规范化，融洽的建筑,积极倾听,个性化的意义制作，屏障,和教育。次要主题分析侧重于定义/描述ELDV，并导致两个主题：死亡的自然部分和ELDV特性。结论：研究发现了护理ELDV患者时遇到的促进因素和障碍。基于此,针对ELDV的有意义的临床参与和初步的手术定义提出了一套初步建议.
