关键词: Terminal care aged family informal caregivers nursing

来  源:   DOI:10.1177/08445621241247862

Abstract:
BACKGROUND: A key role of nurses working in long-term care homes (LTCHs) is to promote the involvement of care partners in end-of-life (EOL) care. However, studies on the involvement of care partners in EOL care in LTCHs have focused on care planning and decision-making. While care partners can participate in other ways, it\'s unclear how they are currently involved in EOL care by staff.
OBJECTIVE: We aimed to explore the involvement of care partners in the EOL care of an older adult living in a LTCH.
METHODS: A qualitative case study was conducted. Data was collected from a sample of four nurses and three care partners, using sociodemographic questionnaires, individual semi-structured interviews, documents pertaining to the LTCH\'s philosophy for EOL care, and a field diary.
RESULTS: The results of a thematic analysis showed the broad scope of care partners\' possible involvement, including contributing to care, obtaining information, and being present. As there was some variation in care partners\' desire to be involved, nurses seemed to rely on them to convey their wishes. To promote this involvement, some strategies aimed at health professionals and managers were suggested.
CONCLUSIONS: These results can guide improvement in clinical practices and raise awareness on the EOL care experiences of care partners.
摘要:
背景:在长期护理院(LTCH)工作的护士的关键作用是促进护理伙伴参与临终(EOL)护理。然而,关于护理伙伴参与LTCHsEOL护理的研究侧重于护理计划和决策。虽然护理伙伴可以通过其他方式参与,目前还不清楚他们目前是如何参与EOL护理的。
目的:我们的目的是探讨护理伙伴参与LTCH中老年成人的EOL护理。
方法:进行了定性案例研究。数据是从四名护士和三名护理伙伴的样本中收集的,使用社会人口统计问卷,个人半结构化访谈,与LTCH的EOL护理哲学有关的文件,还有一本野外日记.
结果:主题分析的结果表明,护理合作伙伴可能参与的范围很广,包括为护理做出贡献,获取信息,和在场。由于护理伙伴参与的愿望有所不同,护士似乎依靠他们来表达他们的愿望。为了促进这种参与,针对卫生专业人员和管理人员提出了一些策略.
结论:这些结果可以指导临床实践的改进,并提高对护理伙伴的EOL护理体验的认识。
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