What affects District Nurses' provision of psychological support to palliative patients and their families?

本研究旨在透过伦理敏感性的医师民族志方法，了解护士为病人及其家属提供缓和疗护的心理支援的性质、背景和范围。提出了一个两阶段的方法——第一阶段涉及初步数据收集和分析，而第二阶段有更多的应用重点，并寻求通过利益相关者参与来完善临床应用的初步分析。多方法设计，结合DN家访的参与者观察，将有助于理解影响患者-护理人员-护士互动和整体实践提供的不同背景层。

Through an ethically sensitive, practitioner-ethnographer approach, this study aims to understand the nature, context and scope of DNs' provision of psychological support as part of palliative care for patients and their families. A two-staged approach is proposed - stage one involves preliminary data collection and analysis, whilst stage two has a more applied focus and seeks to refine preliminary analysis for clinical application, through stakeholder engagement.A multiple-method design, incorporating participant-observation of DN home visits will aid understanding of the different contextual layers affecting patient-carer-nurse interactions and overall practice provision.