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首页> 外文期刊>Journal of pediatric nursing >Maintaining Integrity: How Nurses Navigate Boundaries in Pediatric Palliative Care
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Maintaining Integrity: How Nurses Navigate Boundaries in Pediatric Palliative Care

机译：维护诚信：护士如何在儿科姑息治疗中导航边界

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Abstract Purpose To explore how nurses manage personal and professional boundaries in caring for seriously ill children and their families. Design and methods Using a constructivist grounded theory approach, a convenience sample of 18 registered nurses from four practice sites was interviewed using a semi-structured interview guide. Results Nurses across the sites engaged in a process of maintaining integrity whereby they integrated two competing, yet essential, aspects of their nursing role – behaving professionally and connecting personally . When skillful in both aspects, nurses were satisfied that they provided high-quality, family-centered care to children and families within a clearly defined therapeutic relationship. At times, tension existed between these two aspects and nurses attempted to mitigate the tension . Unsuccessful mitigation attempts led to compromised integrity characterized by specific behavioral and emotional indicators. Successfully mitigating the tension with strategies that prioritized their own needs and healing, nurses eventually restored integrity . Maintaining integrity involved a continuous effort to preserve completeness of both oneself and one's nursing practice. Conclusions Study findings provide a theoretical conceptualization to describe the process nurses use in navigating boundaries and contribute to an understanding for how this specialized area of care impacts health care providers. Practice Implications Work environments can better address the challenges of navigating boundaries through offering resources and support for nurses' emotional responses to caring for seriously ill children. Future research can further refine and expand the theoretical conceptualization of maintaining integrity presented in this paper and its potential applicability to other nursing specialties. Highlights ? This grounded theory study's aim was to explore how pediatric nurses perceived boundaries. ? Data analysis produced a theoretical conceptualization of an internally regulated process entitled, maintaining integrity . ? Findings have implications for supporting nurses caring for children with life-limiting illnesses and their families.
机译：摘要目的探索护士如何管理认真生病的儿童和家人的关怀个人和专业界限。使用建构主义接地理论方法的设计和方法，采访了来自四个实践网站的18个注册护士的便利样本进行了采访，采用半结构化访谈指南进行了采访。结果跨越遗址的护士从事一个维护完整性的过程，其中他们融入了两个竞争，但重要的方面的护理角色 - 表现专业并个人地联系在一起。当熟练在两个方面时，都对护士感到满意，他们在明确定义的治疗关系中为儿童和家庭提供了高质量的家庭中心护理。有时，在这两个方面和护士之间存在紧张，试图减轻张力。不成功的缓解试图导致妥协的完整性，以特定的行为和情绪指标为特征。在优先考虑自己需求和治疗的策略中成功减轻了紧张，护士最终恢复了诚信。保持诚信涉及不断努力，以保持自己和一个人的护理实践的完整性。结论研究结果提供了理论上的概念化，以描述在导航边界中使用的工艺护士，并有助于了解这一专业护理领域如何影响医疗保健提供者。实践影响工作环境可以更好地解决导航界限的挑战，通过为护士的情感反应提供资源和支持，以照顾严重的儿童。未来的研究可以进一步完善和扩大维护本文中诚信的理论概念化及其对其他护理专业的潜在适用性。强调 ？这种接地的理论研究的目的是探讨儿科护士如何感知界限。还数据分析产生了题为，维持完整性的内部监管过程的理论概念化。还调查结果对支持护士照顾患有生活限制性疾病及其家庭的儿童有影响。

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