Advance Care Planning Support of Experienced Nurses for Patients With Chronic Respiratory Disease in Transitional Stage

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  • 慢性呼吸器疾患患者の病期移行期のAdvance Care Planningを支援する熟練看護師の実践

Abstract

<p>Objective: The purpose of this study was to reveal how expert nurses involved in recuperative assistance for patients with chronic respiratory disease support ACP during the transitional period.</p><p>Method: Semi-structured interviews were conducted with expert nurses who assisted patients with chronic respiratory disease. The interviews were analyzed qualitatively and inductively.</p><p>Results: By “listening particularly to their everyday life while building a relationship of trust,” they built an uninterrupted relationship. This led to support for “creating a foundation for patients and their families to choose.” Moreover, in order to be able to “know the timing of ACP intervention,” nurses “assessed the changing situation and provided support.” They built a supportive environment that allowed the “building of trust as a team and making progress.”</p><p>Conclusion: In the trajectory of going back and forth from a stable to an unstable period, continuous assistance was provided to support patients as a team, so that they could make choices and decisions based on their lifestyle background and values.</p>

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