PDF(Pubmed)
Abstract：
OBJECTIVE: To describe nurses\' experiences of ethical challenges in relation to thirst in terminally ill patients in specialist palliative care units.
METHODS: A qualitative, reflexive thematic design with an inductive analysis was used.
METHODS: Eighteen qualitative interviews with nurses working in six different specialist palliative care units in different hospitals in Sweden were conducted. The interviews were transcribed verbatim and analysed with a reflexive thematic analysis.
RESULTS: This study identified four themes that reflect ethical challenges experienced by nurses in the palliative care regarding thirst: Harmful infusions interfere with peaceful dying; conflict between tradition and personal experience; What is the right intervention to quench thirst? and; Lack of standard procedures, competence and interest among team members.
CONCLUSIONS: Palliative care nurses experience a number ethical challenges in relation to thirst in dying patients. The main challenge is the provision of fluids to dying patients via artificial infusions, which nurses struggle with, as they do not want to interfere with a peaceful dying process.
METHODS: A qualitative, reflexive thematic design with an inductive analysis was used.
METHODS: Eighteen qualitative interviews with nurses working in six different specialist palliative care units in different hospitals in Sweden were conducted. The interviews were transcribed verbatim and analysed with a reflexive thematic analysis.
RESULTS: This study identified four themes that reflect ethical challenges experienced by nurses in the palliative care regarding thirst: Harmful infusions interfere with peaceful dying; conflict between tradition and personal experience; What is the right intervention to quench thirst? and; Lack of standard procedures, competence and interest among team members.
CONCLUSIONS: Palliative care nurses experience a number ethical challenges in relation to thirst in dying patients. The main challenge is the provision of fluids to dying patients via artificial infusions, which nurses struggle with, as they do not want to interfere with a peaceful dying process.
摘要：
目的：描述专科姑息治疗单位中绝症患者的口渴相关的伦理挑战的护士经验。
方法：定性，使用了带有归纳分析的反身主题设计。
方法：对在瑞典不同医院的六个不同专科姑息治疗单位工作的护士进行了18次定性访谈。访谈被逐字转录，并通过反身主题分析进行分析。
结果：这项研究确定了四个主题，这些主题反映了护士在姑息治疗中对口渴的道德挑战：有害的输液干扰了和平的死亡；传统与个人经验之间的冲突；什么是止渴的正确干预措施？团队成员之间的能力和兴趣。
结论：姑息护理护士在临终患者口渴方面经历了许多伦理挑战。主要挑战是通过人工输液为垂死的患者提供液体，护士们正在与之抗争，因为他们不想干涉和平的死亡进程。
方法：定性，使用了带有归纳分析的反身主题设计。
方法：对在瑞典不同医院的六个不同专科姑息治疗单位工作的护士进行了18次定性访谈。访谈被逐字转录，并通过反身主题分析进行分析。
结果：这项研究确定了四个主题，这些主题反映了护士在姑息治疗中对口渴的道德挑战：有害的输液干扰了和平的死亡；传统与个人经验之间的冲突；什么是止渴的正确干预措施？团队成员之间的能力和兴趣。
结论：姑息护理护士在临终患者口渴方面经历了许多伦理挑战。主要挑战是通过人工输液为垂死的患者提供液体，护士们正在与之抗争，因为他们不想干涉和平的死亡进程。
