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

通过一种伦理敏感的实践者-人种志方法，本研究旨在了解作为患者及其家人姑息治疗的一部分，DNS提供心理支持的性质、背景和范围。提出了一个两阶段的方法-第一阶段包括初步的数据收集和分析，而第二阶段有一个更实用的焦点，试图通过利益相关者的参与来完善临床应用的初步分析。多方法设计，结合参与者对糖尿病肾病家访的观察，将有助于理解影响患者-护理者-护士互动和整体实践提供的不同背景层次。

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.