作者: Rosanna Kay Frank
DOI: 10.12968/BJON.2009.18.10.42466
关键词: Nursing 、 Population 、 Systematic review 、 Qualitative research 、 MEDLINE 、 Medicine 、 Spirituality 、 End-of-life care 、 Patient participation 、 Chronic disease
摘要: Currently, 'shared decision making', which involves the multi-disciplinary team, i.e. patient, nurse and doctor making joint decisions is advocated in many governing policies to improve care of dying patient. The UK population ageing at an ever-increasing rate, means that more people are experiencing a progressive death typical associated with chronic disease. These patients suitable for participation end life due pre-existing knowledge impending death. Health-care professionals can assist patient achieve 'good death' based on patient's preferences, wishes needs. aim literature review discussed this article was identify extent shared currently exists during acute/hospice setting. Particular attention paid participation, nurse's role, doctor/nurse relationship - factors may facilitate or prevent making. Eighteen qualitative research papers published between 1997-2007 were reviewed analysed, demonstrated strong link death'. However, identified although exist within care, there number reasons why not being achieved throughout secondary