Opinions of Nurses Working in the Palliative Care Unit on the Subject of Consultation Liaison Psychiatry: A Qualitative Study

Year 2024,

Mehtap Kızılkaya , Sema Toker , Özge Yılmaz

https://doi.org/10.17049/jnursology.1418611

Abstract

Objective: This research was conducted to examine the opinions of nurses working in the palliative care unit about consultation liaison psychiatry.
Methods: The research, which was conducted in accordance with the phenomenological design, which is one of the qualitative research designs, was conducted between May and July 2022 with 11 nurses working in the palliative unit of a hospital located in a province in the west of Turkey. "Semi-Structured Interview Form" was used to collect data. Interviews with participants were audio recorded. The analysis of the research data was evaluated using the descriptive analysis method.
Results: Three themes were reached in this qualitative research conducted with nurses working in the palliative care unit. These are feelings/thoughts about working in the palliative unit, difficulties experienced in the palliative care unit, and thoughts about consultation-liaison psychiatry.
Conclusion: As a result of the research, it was determined that nurses working in the palliative care unit felt helpless and close to death, but they felt productive and useful because they helped patients, they thought that the palliative care unit was the place where nursing care was best provided, and they experienced professional satisfaction. Nurses state that working conditions are difficult. It was determined that nurses did not have sufficient knowledge about consultation-liaison psychiatry. There is a need for the development of consultation and liaison psychiatry to improve the physical and mental health levels of nurses, patients and their relatives.

Keywords

palliative care, klp, qualıtative

Palyatif Bakım Biriminde Çalışan Hemşirelerin Konsültasyon Liyezon Psikiyatri Konusundaki Görüşleri: Nitel Bir Çalışma

Abstract

Amaç: Bu araştırma, palyatif bakım biriminde çalışan hemşirelerin konsültasyon liyezon psikiyatri konusundaki görüşlerini incelemek amacıyla yapılmıştır.
Yöntemler: Nitel araştırma desenlerinden olan fenomenolojik desene uygun olarak yapılan araştırma Mayıs- Temmuz 2022 tarihleri arasında Türkiye'nin batısındaki bir ilde yer alan hastanenin palyatif biriminde çalışan 11 hemşire ile yapılmıştır. Verilerin toplanmasında “Yarı Yapılandırılmış Görüşme Formu” kullanılmıştır. Katılımcılar ile yapılan görüşmeler ses kaydına alınmıştır. Araştırma verilerinin analizi, betimsel analiz yöntemi ile değerlendirilmiştir.
Bulgular: Palyatif bakım biriminde çalışan hemşirelerle yürütülmüş olan niteliksel olan bu araştırmada üç temaya ulaşılmıştır. Bunlar palyatif biriminde çalışmaya ilişkin duygular/düşünceler, palyatif bakım ünitesinde yaşanan güçlükler ve konsültasyon liyezon psikiyatrisi konusundaki düşünceler şeklindedir.
Sonuç: Araştırma sonucunda, palyatif bakım biriminde çalışan hemşirelerin çaresizlik, ölüme yakın hissettikleri ancak hastalara yardımcı oldukları için kendilerini verimli, işe yarar hissettikleri, palyatif bakım biriminin hemşirelik bakımının en iyi yapıldığı yer olduğunu düşündükleri ve mesleki doyum yaşadıkları belirlenmiştir. Hemşireler çalışma koşullarının zor olduğunu ifade etmektedirler. Hemşirelerin konsültasyon liyezon psikiyatrisi konusunda yeterli bilgiye sahip olmadıkları saptanmıştır. Hemşirelerin, hasta ve yakınlarının fiziksel ve ruhsal sağlık düzeylerini geliştirmek için konsültasyon ve liyezon psikiyatrisinin gelişmesine ihtiyaç duyulmaktadır.

Keywords

palyatif bakım, KLP, nitel

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