肿瘤内科护士参与安宁疗护工作驱动力的质性研究

打开文本图片集

[关键词]安宁疗护；肿瘤科护士；死亡教育

[中图分类号]R192 [文献标志码]A [文章编号]1001-8565（2026）03-0358-07

DOI：10.12026/j.issn.1001-8565.2026.03.11

A qualitative study on the driving forces for oncology nurses’participation in palliative care work

YUAN Xinyao1，²，LI Pengyun1，²，HAO Sujuan³，WANGFen4，XU Dan1，²， LI Jiahe’，CHEN Xuancheng1，²，LI Huiling1.2

（1. School ofNursing， Suzhou Medical College ofSoochow University， Suzhou 2150o6，China; 2.Suzhou Key Laboratory of Geriatric Intelligent Nursing and Health Preseruation，Suzhou 215OO6，China;3.Department ofMedical Oncology，Suzhou Municipal Hospital， Suzhou 215O06，China; 4.Departmentof Oncology，the First Affiliated Hospital of Soochow University， Suzhou 2150O6， China）

Abstract： Objective： To explore the driving forces for oncology nurses’ participation in palliative care work，thereby providing a theoretical basis for the improvement of education and training，incentive mechanisms，and other aspects of the paliative care nursing staff.Methods：Employing a qualitative research method，semi-structured interviews lasting 40-6O minutes were conducted with 14 nurses who had participated in paliative care work.The interview data were analyzed using the Colaizzi seven-step analysis method. Results： Internal positive driving forces were job interest，empathy，and a sense of professional responsibility， while the negative was low psychological resilience.External positive driving forces included high work support，professional identity，mutual benefits for nurses and patients，and positive patient attitudes，whereas negative driving forces comprised busy routine clinical work，lack of areward and incentive system，and bland or negative patient atitudes.Conclusion： It is essential to provide a flexible platform for the enhancement of nurses‘professional capabilities in palliative care，intensify the publicity ofpalliative care and death education; intervene and guide nurses’negative emotions，improve and implement relevant incentive systems，and standardize the job recognition and scope of responsibilities of palliative care nurses.

Keywords：palliativecare；oncologynurse；death education

安宁疗护是指为生命终末期的患者提供身心、社会等方面的照护服务，从而减轻患者的不适，使患者能够平静、安详、有尊严地离世[1。（剩余10729字）