关键词: comfort context of care ethnography palliative care

来  源:   DOI:10.1177/26323524241258781   PDF(Pubmed)

Abstract:
UNASSIGNED: The context of care determines and organizes practices through its structures and guiding principles. It is sometimes a space that generates tension and multiple choices, variable in the provision of different care and uncertain in its duration. We can consider that the construction of the comfort process does not only depend on the will of its actors and the situation itself, but is also conditioned by the professional, cultural, and social context in which it is inserted. This article is part of a doctoral study in the field of comfort in a palliative care unit, and these are some of the partial results that emerged.
UNASSIGNED: Qualitative study using ethnographic approach.
UNASSIGNED: We conducted semistructured interviews with 18 patients at the end of life and their matched significant family members (18) and 21 health professionals. We also conducted a participant observation of care situations.
UNASSIGNED: The context of action, where meanings and practices are learned, is linked to a certain identity that is related to practical, contextual knowledge, linked to a collective and to a feeling of belonging. The relationship between the various factors that shape the Care Context in the palliative care unit studied, constitute the three domains of this topic, specifically: the integrative and inclusive environment, the conceptions of care, and the inclusive factors of organizational culture.
UNASSIGNED: The specific context was determinant as a supporting axis for comfort in this palliative care unit. The context of care, where objects and provisions support the construction of the comfort process as an entity that integrates culture, established conceptions of care, allowing the deepening of knowledge.
摘要:
护理的背景通过其结构和指导原则确定和组织实践。它有时是一个产生紧张和多种选择的空间,提供不同护理的变量和持续时间的不确定性。我们可以认为,舒适过程的构建不仅取决于其参与者的意愿和情况本身,但也受专业人士的制约,文化,以及插入它的社会背景。本文是姑息治疗单位舒适领域的博士研究的一部分,这些是出现的部分结果。
使用人种学方法进行定性研究。
我们对18位临终患者及其匹配的重要家庭成员(18位)和21位卫生专业人员进行了半结构化访谈。我们还对护理情况进行了参与者观察。
行动的上下文,在那里学习意义和实践,与某种与实际相关的身份联系在一起,上下文知识,与集体和归属感联系在一起。影响姑息治疗单位护理环境的各种因素之间的关系,构成本主题的三个领域,特别是:一体化和包容的环境,护理的概念,以及组织文化的包容性因素。
特定背景是该姑息治疗单元中舒适度的支撑轴。护理的背景,其中对象和规定支持将舒适过程构建为整合文化的实体,既定的护理概念,允许知识的深化。
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