关键词: already dead dead on arrival emergency care emergency nursing moral stress palliative care sudden death

来  源:   DOI:10.1111/jan.16371

Abstract:
OBJECTIVE: To explore how emergency nurses experienced caring for brought-in-dead persons and their relatives, and what hindered or facilitated this care in an emergency setting.
METHODS: A qualitative study using Interpretive Description.
METHODS: Data were collected as individual interviews with 13 nurses at seven Danish emergency departments from February to June 2023.
RESULTS: Our analysis revealed the overarching theme \'Navigating the complexities of providing holistic care in a constrained environment\', covering five sub-themes: (1) An important yet not recognized nursing task; (2) Pending care needs of the living and the dead; (3) No physical or mental room for the brought-in-dead persons; (4) Utilizing personal experiences in the absence of formal education and training and (5) Navigating professionalism and empathy.
CONCLUSIONS: Emergency departments posed unique challenges in providing care to brought-in-dead persons and their relatives.
UNASSIGNED: The unrecognized nature of caring for brought-in-dead persons and their relatives suggests a universal undervaluation of this care in emergency departments.
CONCLUSIONS: Care for brought-in-dead persons and their relatives is neither recognized nor evidence-based. This study initiates a discussion of the circumstances for delivering care for persons brought-in-dead and has an impact on nurses and nursing leaders employed in emergency departments.
UNASSIGNED: The Consolidated Criteria for Reporting Qualitative Research (COREQ).
UNASSIGNED: None.
摘要:
目的:探讨急诊护士如何照顾死者及其亲属,以及在紧急情况下阻碍或促进这种护理的因素。
方法:使用解释性描述的定性研究。
方法:从2023年2月至6月收集数据,对丹麦7个急诊科的13名护士进行个别访谈。
结果:我们的分析揭示了总体主题“在有限的环境中导航提供整体护理的复杂性”,涵盖五个子主题:(1)一项重要但尚未得到认可的护理任务;(2)生者和死者的待定护理需求;(3)死者没有身心空间;(4)在没有正规教育和培训的情况下利用个人经历;(5)导航专业精神和同理心。
结论:急诊科在为死者及其亲属提供护理方面提出了独特的挑战。
照顾死者及其亲属的性质未被认可,这表明急诊科普遍低估了这种照顾。
结论:对死者及其亲属的护理既不被认可,也不以证据为基础。这项研究引发了对为死者提供护理的情况的讨论,并对急诊科雇用的护士和护理负责人产生了影响。
报告定性研究的综合标准(COREQ)。
无。
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