Palyatif Bakım Hemşirelerinin Acil Bakım Uygulamalarında Yaşadığı Zorluklar: Nitel Bir Araştırma

Year 2024, Volume: 9 Issue: 4, 357 - 364

Hatice İlhan , Tuğba Çınarlı , Asuman Şener

https://doi.org/10.26453/otjhs.1545546

Abstract

Amaç: Bu çalışmanın amacı, palyatif bakım hemşirelerinin acil bakım uygulamalarında yaşadığı zorlukların belirlenmesidir.
Materyal ve Metot: Bu çalışma, Şubat 2023 ile Mayıs 2023 tarihleri arasında bir kamu hastanesinin palyatif bakım ünitesinde çalışan 10 hemşirenin acil bakım uygulamalarına ilişkin deneyimlerini aktarmaktadır. Yarı yapılandırılmış görüşmeler ve içerik analizi ile nitel bir araştırma deseni kullanılmıştır.
Bulgular: Görüşme dokümanlarının analizi sonucunda: 1) acil durum karşısında hissedilenler, 2) acil hemşirelik uygulamalarını destekleyici faktörler, 3) acil hemşirelik uygulamalarını engelleyici faktörler, 4) acil bakım uygulamalarının geliştirilmesi olmak üzere dört tema belirlendi.
Sonuç: Palyatif bakım servisinde acil hemşirelik uygulamalarına engel olan en önemli faktörün personel yetersizliği olduğu, özellikle gece mesailerinde hemşire sayısının az olduğu, destek personelinin bulunmadığı ve olası kardiyopulmoner resüsitasyon gerekliliği durumunda diğer hastaların tedavisinin aksadığı belirlendi. Acil hemşirelik uygulamalarını destekleyen ve engelleyen faktörlerin belirlenmesi, palyatif bakım hemşirelerinin bütüncül bakım sunumunu olumlu yönde etkileyecek stratejilerin geliştirilmesine olanak sağlayacaktır.

Keywords

Acil bakım, hemşirelik, nitel araştırma, palyatif bakımın zorlukları

Ethical Statement

Our study was approved by the Social and Humanities Ethics Committee of a university (Date: 27.01.2023, decision no: 2023-1216).

Thanks

Thank you to the nurses who participated in the study.

Difficulties Experienced by Palliative Care Nurses in Emergency Care Practices: A Qualitative Study

Abstract

Objective: This study aimed to determine the difficulties experienced by palliative care nurses during emergency care practice.
Materials and Methods: This study reports the experiences of 10 nurses working in the palliative care unit of a public hospital between February 2023 and May 2023 regarding emergency care practices. A qualitative research design was used with semi-structured interviews and content analysis.
Results: Four themes were identified from the analysis of the interview documents: 1) feelings in the face of emergency, 2) factors that support emergency care practices, 3) factors that hinder emergency care practices, and 4) the development of emergency care practices.
Conclusions: The most important factor preventing emergency nursing practice in the palliative care service was insufficient staffing, especially during night shifts. The number of nurses was low, there was no support staff, and in case of possible cardiopulmonary resuscitation requirements, the treatment of other patients was interrupted. Identifying the factors that support and hinder emergency nursing practices will allow the development of strategies that will positively affect holistic care delivery by palliative care nurses.

Keywords

Difficulties of palliative care, emergency care, nursing, qualitative research

Ethical Statement

Our study was approved by the Social and Humanities Ethics Committee of a university (Date: 27.01.2023, decision no: 2023-1216).

Thanks

Thank you to the nurses who participated in the study.

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