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肿瘤内科护士参与安宁疗护工作驱动力的质性研究

袁鑫垚 李鹏芸 郝素娟 王芬 徐丹 李嘉禾 陈宣成 李惠玲

中国医学伦理学2026,Vol.39Issue(3):358-364,7.
中国医学伦理学2026,Vol.39Issue(3):358-364,7.DOI:10.12026/j.issn.1001-8565.2026.03.11

肿瘤内科护士参与安宁疗护工作驱动力的质性研究

A qualitative study on the driving forces for oncology nurses'participation in palliative care work

袁鑫垚 1李鹏芸 1郝素娟 2王芬 3徐丹 1李嘉禾 4陈宣成 1李惠玲1

作者信息

  • 1. 苏州大学苏州医学院护理学院,江苏 苏州 215006||苏州市老年智慧护理与康养重点实验室,江苏 苏州 215006
  • 2. 苏州市立医院肿瘤内科,江苏 苏州 215006
  • 3. 苏州大学第一附属医院肿瘤科,江苏 苏州 215006
  • 4. 苏州大学苏州医学院护理学院,江苏 苏州 215006
  • 折叠

摘要

Abstract

Objective:To explore the driving forces for oncology nurses'participation in palliative care work,thereby providing a theoretical basis for the improvement of education and training,incentive mechanisms,and other aspects of the palliative care nursing staff.Methods:Employing a qualitative research method,semi-structured interviews lasting 40-60 minutes were conducted with 14 nurses who had participated in palliative care work.The interview data were analyzed using the Colaizzi seven-step analysis method.Results:Internal positive driving forces were job interest,empathy,and a sense of professional responsibility,while the negative was low psychological resilience.External positive driving forces included high work support,professional identity,mutual benefits for nurses and patients,and positive patient attitudes,whereas negative driving forces comprised busy routine clinical work,lack of a reward and incentive system,and bland or negative patient attitudes.Conclusion:It is essential to provide a flexible platform for the enhancement of nurses'professional capabilities in palliative care,intensify the publicity of palliative care and death education;intervene and guide nurses'negative emotions,improve and implement relevant incentive systems,and standardize the job recognition and scope of responsibilities of palliative care nurses.

关键词

安宁疗护/肿瘤科护士/死亡教育

Key words

palliative care/oncology nurse/death education

分类

医药卫生

引用本文复制引用

袁鑫垚,李鹏芸,郝素娟,王芬,徐丹,李嘉禾,陈宣成,李惠玲..肿瘤内科护士参与安宁疗护工作驱动力的质性研究[J].中国医学伦理学,2026,39(3):358-364,7.

基金项目

国家自然科学基金委员会项目"基于长期护理保险制度的失能老人多元化'照护银行'管理机制研究"(72074164) (72074164)

中国医学伦理学

1001-8565

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