한국간호과학회

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  • ANR (Asian Nursing Research)

ANR (Asian Nursing Research)

년도별 ‘권’과 ‘호’를 선택해 주세요 (ISSN 1598-2874(38권 4호까지), ISSN 2005-3673(38권 5호부터)

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제목 The Experience to Implement Palliative Care in Long-term Care Facilities: A Grounded Theory Study of Caregivers
저자 : Chiang Shu-Wan; Wu Shu-Chen; Peng Tai-Chu 게시일 : 2021년 02월 페이지 : p15~p22
저자 Chiang Shu-Wan; Wu Shu-Chen; Peng Tai-Chu 게시일 2021년 02월 페이지 p15~p22 인쇄
파일 15(1)-3.pdf
키워드 caregivers; grounded theory; hospices; long-term care; palliative care
Purpose: The purpose of this study was to explore the experiences of caregivers in long-term care facilities as they implement palliative care. Although palliative care has been available in Taiwan for more than 30 years, it is often provided in hospitals, few models in the long-term care facilities.
Methods: Semi-structured interviews using grounded theory methodology and purposive sampling. Two small long-term care facilities that had performed well in palliative care were selected from eastern Taiwan. A total of 12 caregivers participated in in-depth semi-structured face-to-face interviews.
Results: Four major stages in the implementation of palliative care were identified: (1) feeling insecure, (2) clarifying challenges, (3) adapting to and overcoming the challenges, and (4) comprehending the meaning of palliative care. The core category of these caregivers as “the guardians at the end of life” reflects the spirit of palliative care.
Conclusion: This study demonstrates that successful palliative care implementation would benefit from three conditions. First, the institution requires a manager who is enthusiastic about nursing care and who sincerely promotes a palliative care model. Second, the institution should own caregivers who possess personality traits reflective of enthusiasm for excellence, unusual ambition, and a true sense of mission. Third, early in the implementation phase of the hospice program, the institution must have the consistent support of a high-quality hospice team.