کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2645215 1138480 2014 7 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Taiwanese Parents' Experience of Making a “Do Not Resuscitate” Decision for Their Child in Pediatric Intensive Care Unit
ترجمه فارسی عنوان
تجربه والدین تایوانی از تصمیم گیری "دیانآر" برای فرزندشان در بخش مراقبت های ویژه کودکان
کلمات کلیدی
واحدهای مراقبت های ویژه والدین؛ اطفال؛ سفارشات احیا؛ مراقبت ترمینال
intensive care units; parents; pediatrics; resuscitation orders; terminal care
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

SummaryPurposeThe purpose of this project was to explore the parental experience of making a “do not resuscitate” (DNR) decision for their child who is or was cared for in a pediatric intensive care unit in Taiwan.MethodsA descriptive qualitative study was conducted following parental signing of a standard hospital DNR form on behalf of their critically ill child. Sixteen Taiwanese parents of 11 children aged 1 month to 18 years were interviewed. Interviews were recorded, transcribed, analyzed and sorted into themes by the sole interviewer plus other researchers.ResultsThree major themes were identified: (a) “convincing points to sign”, (b) “feelings immediately after signing”, and (c) “postsigning relief or regret”. Feelings following signing the DNR form were mixed and included “frustration”, “guilt”, and “conflicting hope”. Parents adjusted their attitudes to thoughts such as “I have done my best,” and “the child's life is beyond my control.” Some parents whose child had died before the time of the interview expressed among other things “regret not having enough time to be with and talk to my child”.ConclusionOpen family visiting hours plus staff sensitivity and communication skills training are needed. To help parents with this difficult signing process, nurses and other professionals in the pediatric intensive care unit need education on initiating the conversation, guiding the parents in expressing their fears, and providing continuing support to parents and children throughout the child's end of life process.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Nursing Research - Volume 8, Issue 1, March 2014, Pages 29–35
نویسندگان
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