为肿瘤患者提供姑息治疗和临终关怀的护士的经验与实践:现象学研究。

Pub Date : 2023-04-01 DOI:10.5152/FNJN.2023.23042
Selma Durmuş Sarıkahya, Dilek Gelin, Sevil Çınar Özbay, Yalçın Kanbay
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摘要

目的:本研究旨在描述为肿瘤患者提供姑息治疗和临终关怀的护士的经验和做法,确定她们在这方面遇到的困难,以及她们如何应对这些困难:数据收集于 2022 年 12 月 10 日至 27 日在一家医院的姑息治疗门诊进行。本研究采用了描述性现象学方法,这是一种定性研究方法。研究样本由 12 名护士组成,她们在一家市立医院为肿瘤患者提供姑息治疗和临终关怀服务。研究数据通过护士描述表和半结构化访谈表收集。数据分析采用了描述性统计和主题内容分析法:结果:在对姑息病房为肿瘤患者提供姑息治疗和临终关怀的护士进行访谈后,得出的主题为 "各种学习经历"、"护理责任"、"护理实践"、"护士个人动力来源"、"困难 "和 "应对困难的经验":本研究确定,为肿瘤患者提供姑息治疗和临终关怀的护士因其职业经历而面临一些困难,此外,她们还有各种学习经历,其应对技巧是团队凝聚力和培训。根据研究结果,建议在毕业后组织姑息治疗在职培训,安排姑息治疗中心,并在确定需求时考虑所经历的问题。
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Experiences and Practices of Nurses Providing Palliative and End-of-Life Care to Oncology Patients: A Phenomenological Study.

Aim: The objective of this study was to describe the experiences and practices of nurses who provide palliative and end-of-life care to oncology patients, to determine the difficulties they encounter in this regard, and to determine how they cope with it.

Method: Data were collected between December 10 and 27, 2022, at a hospital's palliative care clinic. The descriptive phenomenological approach, which is a qualitative research method, was used in this study. The sample of the study consisted of 12 nurses who provided palliative and end-of-life care to oncology patients in a city hospital. The research data were collected with the nurse descriptive form and a semi-structured interview form. Descriptive statistics and the thematic content analysis method were used in the analysis of the data.

Results: The themes that emerged as a result of the interviews with nurses who provided palliative and end-of-life care to oncology patients in palliative units were "various learning experiences," "responsibilities in caregiving," "nursing care practices," "personal motivation sources for nurses," "difficulties," and "experience in coping with difficulties."

Conclusion: In this study, it was determined that nurses who provide palliative and end-of-life care to oncology patients are exposed to some difficulties as a result of their professional experience, that, in addition, they had various learning experiences, and that their coping skills were team cohesion and training. In line with the results of the study, it is recommended to structure palliative in-service training after graduation, to arrange for palliative care centers, and to consider the problems experienced in determining the needs.

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