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首页> 外文期刊>Journal of advanced nursing >Towards a conceptual evaluation of transience in relation to palliative care.
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Towards a conceptual evaluation of transience in relation to palliative care.

机译：对与姑息治疗有关的短暂性进行概念性评估。

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AIM: This paper is a report of a concept evaluation of transience and its relevance to palliative care. BACKGROUND: A qualitative study into palliative care patients' experiences of transition revealed a gap between current definitions of transition and their expression of the palliative care experience. Transience appears to offer a better definition but remains conceptually weak, with limited definition in a healthcare context. METHODS: A qualitative conceptual evaluation of transience was undertaken using two case examples, interview data and the literature. Multiple sources were used to identify the literature (1966-2006), including a search on Cumulative Index to Nursing and Allied Health Literature Medline, and Ovid and Arts and Humanities Index using the keywords 'transience' and 'palliative care'. Thirty-one papers related to transience were retrieved. Analysis and synthesis formulated a theoretical definition of transience relative to palliative care. FINDINGS: Transience is a nascent concept.Preconditions and outcomes of transience appear contextually dependent, which may inhibit its conceptual development. Transience depicts a fragile emotional state related to sudden change and uncertainty at end-of-life, exhibited as a feeling of stasis. Defining attributes would seem to include fragility, suddenness, powerlessness, impermanence, time, space, uncertainty, separation and homelessness. CONCLUSIONS: Transience is potentially more meaningful for palliative care in understanding the impact of end-of-life experiences for patients than current conceptualizations of transition as a process towards resolution. As a nascent concept, it remains strongly encapsulated within a framework of transition and further conceptual development is needed to enhance its maturity and refinement.
机译：目的：本文是对短暂性及其与姑息治疗相关性的概念评估的报告。背景：对姑息治疗患者过渡经验的定性研究显示，当前的过渡定义与他们对姑息治疗经验的表达之间存在差距。瞬态似乎提供了更好的定义，但在概念上仍然很弱，在医疗保健方面的定义有限。方法：使用两个案例，即访谈数据和文献对定性进行了概念性评估。多种来源被用于识别文献（1966-2006年），包括使用关键词“短暂性”和“姑息治疗”对“护理和专职健康文献Medline累积索引”以及“ Ovid和艺术与人文索引”进行搜索。共检索到31篇有关瞬态的论文。分析和综合提出了有关姑息治疗的短暂性的理论定义。研究发现：瞬态是一个新生的概念，瞬态的前提条件和结果似乎取决于上下文，这可能会阻碍其概念的发展。短暂描绘了一种脆弱的情绪状态，与生命的突然改变和不确定性有关，表现为停滞感。定义属性似乎包括脆弱性，突发性，无能为力，无常，时间，空间，不确定性，分离和无家可归。结论：与当前将过渡作为解决过程的概念化相比，短暂性对于姑息治疗在理解临终经历对患者的影响方面可能更有意义。作为一个新生概念，它仍然牢固地封装在过渡框架内，需要进一步的概念发展以增强其成熟度和完善性。

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