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护理学报 ›› 2019, Vol. 26 ›› Issue (5): 10-14.doi: 10.16460/j.issn1008-9969.2019.05.010

• 护理管理 • 上一篇    下一篇

基于扎根理论的肿瘤科护士临终关怀能力框架构建

张伟1, 朱虹1, 徐静1, 傅宇彤2, 任美芳2   

  1. 1.江苏大学医学院,江苏 镇江 212013;
    2.江苏大学附属金坛医院 科教科,江苏 常州 213200
  • 收稿日期:2018-09-14 发布日期:2020-07-14
  • 通讯作者: 任美芳（1968-）,女,江苏常州人,本科学历、副主任医师,科长。E-mail:mfren680823@163.com
  • 作者简介:张 伟（1970-）,女,山东青岛人,硕士,副教授。
  • 基金资助:
    江苏省教育科学“十三五”规划课题（2016-GH03011-00094）; 江苏大学医学临床科技发展基金项目（JLY20140092）

Construction of Grounded Theory-based Hospice Care Competence Framework for Oncology Nurses

ZHANG Wei1, ZHU Hong1, XU Jing1, FU Yu-tong2, Ren Mei-fang2   

  1. 1. School of Medicine, Jiangsu University, Zhenjiang 212013, China;
    2. Department of Science and Education, Affiliated Jintan Hospital of Jiangsu University, Changzhou 213200, China
  • Received:2018-09-14 Published:2020-07-14

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摘要： 目的 探索构建护士照护患肿瘤的临终患者应有的临终关怀能力框架,为护理专业教育及临床继续教育提供参考。方法 选取3所综合医院的肿瘤科内29名医务人员、患肿瘤的临终患者以及患者家属,采用扎根理论分析法对其进行面对面的半结构式访谈,并应用 Nvivo 11软件对获得的资料进行对比、分析。结果 最终确立基于“满足需求”的肿瘤科护士临终关怀能力框架,7项一级要素、16项二级要素。结论 以满足需求为基础的肿瘤科护士临终关怀能力框架由临终关怀知识、交流能力、教育能力、支持性照护、自我发展、个人特质、人际关系7个维度构成。

关键词: 扎根理论, 肿瘤科护士, 临终关怀, 能力框架

Abstract: Objective To construct a framework of hospice care ability of nurses, and to provide reference for nursing professional education and clinical continuing education. Methods Twenty-nine medical staff, dying patients with tumors and family members in oncology department from 3 general hospitals were selected. Face-to-face semi-structured interviews were conducted through grounded theory analysis, and the data obtained were compared using Nvivo.11 software. Results The constructed hospice care competence framework based on satisfying demands consisted of 7 primary and 16 secondary elements. Conclusion The hospice care competence framework for oncology nurses based on need satisfying demands is composed of 7 dimensions: hospice knowledge, communication skills, educational ability, supportive care, self-development, personal traits, and interpersonal relationships.

Key words: Grounded Theory, oncology nurse, hospice care, competence framework

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  • R48
[1] 桂欣钰,杨晶,杨丹,等.中国本土舒缓医学的发展现状和前景[J].医学与哲学,2016, 37(24):83-87.DOI:10.12014/j.issn.1002-0772.2016.12b.27.
[2] 杜冰莹,荀臻臻,芦方颖,等. 上海市临终关怀事业现状调查[J].中国医学伦理学,2016, 29(1):173-177.
[3] Connolly M, Charnley K, Regan J.A Review of Palliative Care Competence Frameworks: Prepared for the Palliative Care Competency Framework Development Project Steering Group[J].Clujul Medical,2012,86(2):117-120.
[4] 赵晓婕,杨逸,吴啊萍,等.晚期癌症患者对临终关怀需求的调查分析[J].护理学杂志,2015, 30(9):27-30.DOI:10.3870/hlxzz.2015.09.027.
[5] 苏永刚. 中英临终关怀比较研究[D].济南:山东大学, 2013.
[6] Edwardsjones A.Qualitative Data Analysis with NVivo[J]. J Psychiatr Ment Health Nurs,2010, 15(10):868-868.DOI:10.1111/j.1365-2850.2008.01257.x.
[7] 董奇. 心理与教育研究方法[M].北京:北京师范大学出版社,2004.
[8] 郭辉,李小惠,范爱飞,等.某院肿瘤相关科室医务人员临终关怀认知现状调查[J].护理学报, 2009, 16(6B):9-11.DOI:10.3969/j.issn.1008-9969.2009.12.004.
[9] 杨洪菊. 综合医院肿瘤科医务人员临终关怀认知的质性研究[J].全科护理, 2017,15(9):1118-1120.DOI:10.3969/j.issn.1674-4748.2017.09.038.
[10] Mcquellon R P, Cowan M A.Turning toward Death Together:Conversation in Mortal Time[J]. Am J Hosp Palliat Me,2000,17(5):312-318.DOI:10.1177/104990910001700508.
[11] Tsatali M.Book Review:Caregiver Stress and Staff Support in Illness,Dying and Bereavement[J]. Palliative Medicine,2013,27(1):94-95.DOI:10.1177/0269216312467276a.
[12] Heaston S, Beckstrand R L, Bond A E, et al.Emergency Nurses' Perceptions of Obstacles and Supportive Behaviors in End-of-life Care[J]. J Emerg Nurs,2006,32(6):477-485.DOI:10.4037/ajcc2009497.
[13] 孙向红,王晓芳. 综合医院临终关怀专业护理队伍的建设[J].护理学报,2018,25(2):14-17.DOI:10.16460/j.issn1008-9969.2018.02.014.
[14] 李永红,苏蕾,王章琴,等.死亡教育对晚期癌症患者生活质量的影响[J].重庆医学,2016, 45(30):4276-4279.DOI:10.3969/j.issn.1671-8348.2016.30.032.
[15] Tschann J M, Kaufman S R, Micco G P.Family Involvement in End-of-Life Hospital Care[J]. J Am Geriatr Soc,2003,51(6):835-840.DOI:10.1046/j.1365-2389.2003.51266.x.
[16] Libo-On I L, Nashwan A J.Oncology Nurses' Perceptions of End-of-Life Care in a Tertiary Cancer Centre in Qatar[J].Int J Palliat Nurs,2017, 23(2):66-73.DOI:10.12968/ijpn.2017.23.2.66.
[17] John Costello R N. Dying Well: Nurses'Experiences of‘Good and Bad'Deaths in Hospital[J]. J Adv Nurs, 2010, 54(5):594-601.DOI:10.1111/j.1365-2648.2006.03867.x.
[18] Steinhauser K E, Clipp E C, Mcneilly M, et al.In Search of a Good Death: Observations of Patients, Families, and Providers[J]. Ann Inter Med, 2000, 132(10):825-32.DOI:10.7326/0003-4819-132-10-200005160-00011.
[19] 周霜,王海容,程文玉,等.临终关怀立法现状及探索[J].医学与哲学,2017,38(11):57-60.DOI:10.12014/j.issn.1002-0772.2017.06a.15.
[20] 陈德芝.临终关怀:为临终患者提供生理和心理的全面照护—上海临终关怀(舒缓疗护)伦理与实践国际研讨会撷英[J].医学与哲学,2014,35(11):95-97.
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