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Practical care work and existential issues in palliative care: Experiences of nursing assistants

机译:姑息治疗中的实践护理工作和存在的问题:护理助手的经验

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Background: Despite increasing international interest in palliative care, little focus has been given to the role of nursing assistants, nor to research on existential issues. Aims and objectives: To investigate nursing assistants' experiences of existential issues in palliative care. Design: An explorative study using focus group discussions as data. Seven nursing assistants working in a palliative care unit and a nursing home participated on three occasions. Method: Data were analysed using a content analysis approach. Results: Two overlapping domains were extracted: practical care, interpreted in themes as meeting others, the patient's body and organisational boundaries; and existential issues, interpreted as the difficult part, the valuable part and death and dying. Communication seemed to be a theme central to both domains. Conclusions: The results indicate that nursing assistants may give existential support in addition to practical aspects of care. The intimate interactions inherent in practical aspects of personal care create opportunities for meaningful conversations. Such conversations may constitute existential support for patients and a meaningful task for staff. Implications for practice: It is important that nursing assistants are given an opportunity for further education and time for reflection. The simple intervention in the present study, that is, focus group discussions, gave them an opportunity to reflect upon their work. Education in gentle massage, for example, can also be suggested as it may improve non-verbal contact and be beneficial for dying patients.
机译:背景:尽管国际上对姑息治疗的兴趣日益增加,但很少关注护理助手的作用,也没有关注存在问题的研究。目的和目的:调查护理助理在姑息治疗中存在问题的经验。设计:使用焦点小组讨论作为数据的探索性研究。在姑息治疗科和疗养院工作的七名护理助手三度参加。方法:使用内容分析方法分析数据。结果:提取了两个重叠的领域:实际护理,主题解释为满足其他领域,患者的身体和组织界限;和存在的问题,被解释为困难的部分,有价值的部分以及死亡和垂死。交流似乎是这两个领域的中心主题。结论:研究结果表明,护理助理除了提供护理方面的实际帮助外,还可以提供生存支持。个人护理实践方面固有的亲密互动为有意义的对话创造了机会。这样的对话可能构成对患者的生存支持和对员工的有意义的任务。对实践的影响:重要的是给护理助理一个继续教育的机会和反思的时间。本研究的简单干预,即小组讨论,使他们有机会反思他们的工作。例如,还可以建议进行温和的按摩教育,因为这可以改善非语言接触,并有益于垂死的患者。

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