Death rattle: its impact on staff and volunteers in palliative care
Death rattle: its impact on staff and volunteers in palliative care
复制标题
临终遗言：对姑息治疗工作人员和志愿者的影响
DOI：
10.1177/0269216307087146
复制
发表时间：
2008
影响因子：
4.4
通讯作者：
S. Holgate
中科院分区：
文献类型：
--
作者：
B. Wee;P. Coleman;R. Hillier;S. Holgate
背景：临终关怀工作人员和志愿者经常听到死亡的嘎嘎声，并向亲属和其他病人提供解释和安慰。本文描述了我们对临终关怀工作人员和志愿者听到死亡摇铃声音的影响的研究，这是我们对死亡摇铃更广泛调查的一部分。方法：共召开7次焦点小组会议，涉及41名来自医疗、护理、牧师、家政和志愿者背景的参与者。对会议进行录音，并利用专题分析对会议记录进行分析。结果：大多数参与者对听到死亡摇铃的声音表现出负面情绪，并感到亲属也为此感到痛苦。医疗和护理参与者报告了他们对干预原因的不同看法。一些人承认他们自己的情绪反应对声音的影响。其他人则认为干预是他们职业角色的一部分，或者存在治疗选择，因此有必要进行干预。结论：临终之音对与临终病人打交道的工作人员和志愿者有负面影响。这种效应可能会影响他们在死亡嘎嘎声发生时进行干预的决定。医生和护士需要考虑他们干预的原因、时间和方式，以及干预的后果。
Background: Hospice staff and volunteers frequently hear the sound of death rattle and offer explanations and reassurance to relatives and other patients. This paper describes our study into the impact of hearing the sound of death rattle on hospice staff and volunteers, part of our wider investigation into death rattle. Methods: Seven focus group meetings were held, involving a total of 41 participants from medical, nursing, chaplaincy, housekeeping and volunteer backgrounds. Meetings were audio-taped and the transcripts analysed using thematic analysis. Results: Most participants expressed negative feelings about hearing the sound of death rattle and felt that relatives were also distressed by it. Medical and nursing participants reported diverse views on why they intervene. Some acknowledged the influence of their own emotional response to the sound. Others felt that intervention was part of their professional role or that the existence of a therapeutic option made it necessary to intervene. Conclusion: Death rattle has a negative impact on staff and volunteers who work with dying patients. This effect may influence their decision to intervene when death rattle occurs. Doctors and nurses need to consider why, when and how they intervene and the consequences of that intervention.