基于扎根理论的肿瘤科护士临终关怀能力框架构建

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

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。

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.