护士姑息护理态度及其影响因素的质性研究

目的 了解护士照顾中晚期患者的态度及其影响因素.方法 采用质性研究中现象学分析法对8例个案进行深度访谈.结果 护士照顾中晚期患者态度的影响因素主要有4个方面:护士的各种不良情绪;不完善的医疗制度;专业机构和专业标准的缺乏;护士的工作特点.结论 今后应加强护士应对不良情绪的培训、死亡教育及同理心的培育;尽力争取社会支持,改善医疗保险制度;制定与姑息护理相配套的规范和标准;多形式、多渠道建立姑息护理机构;减轻护士工作负担,逐步提高护士的福利待遇.

Qualitative research of nurses' attitude about palliative care and its influence factors

Objective To know the attitude about palliative care and its influence factors in nurses.Methods Interviewed 8 nurses deeply by qualitative research to know their attitude about pallia-tive care.Results 4 theme,including 9 subtheme were found: nurses' negative emotion caused by job; imperfect of special organization and criterion; characteristics of nursing work.Conclusions Hospital managers should enhance training of nurses' coping capacity with bad feelings, death education and culti-vation of empathy; improve medicare system;develop palliative care routine ; establish palliative care orga-nizations, and relieve nurses' job burden and increase wages.