Factors Facilitating and Inhibiting Good Use of Medication-Kits as a Tool in Symptom Management for Home-Dwelling Patients in the Terminal Phase: The Perspectives of Home Care Nurses, 2017

The purpose of the study was to develop new knowledge on home care nurses' experiences with the medication-kit as a tool in symptom management for home-dwelling patients in the terminal phase. Data were generated through two focus-group interviews with four subsequent in-depth interviews. The nurses reported that planning and clear instructions regarding the use of the medication-kit gave security and facilitated the use of the medication-kit. Good collaboration with the primary physician, accessibility and clarifying meetings in particular were necessary. Low continuity in the use of the medication-kit hindered its use. The nurses were often alone with the responsibility for assessing the patient and administering the medications. This frequently created professionally untenable situations, particularly on the night shift.

本研究旨在针对以用药包（medication-kit）作为症状管理工具的终末期居家患者，拓展居家护理护士相关使用体验的研究新知。研究数据通过两组焦点小组访谈及后续四次深度访谈采集获得。受访护士反馈，针对用药包使用的规划与清晰指引，可提升护理安全感并助力用药包的规范使用。尤为关键的是，与主治医生的良好协作、沟通渠道的便捷性以及释疑会议，是保障该工具有效落地的必要条件。用药包使用的低连续性则对其推广应用形成阻碍。护士往往需独立承担患者病情评估与给药操作的全部责任，此类情况常引发专业层面难以应对的执业困境，夜班场景下该问题尤为突出。