BACKGROUND:Preservation of a dying person's dignity in the emergency department (ED) is fundamental for the patient, his/her relatives and healthcare professionals. The aim of this study was to explore and interpret physicians' and nurses' experiences regarding conservation of dignity in end-of-life care in dying patients in the ED. METHODS:A qualitative study based on the hermeneutic phenomenological approach, was carried out in the emergency department of two general hospitals. A total of 16 nurses and 10 physicians participated in the study. Data collection included 12 individual in-depth interviews and 2 focus groups. RESULTS:The findings revealed that two themes represent the practices and proposals for the conservation of dignity in the emergency department: dignified care in hostile surroundings and the design of a system focused on the person's dignity. CONCLUSION:Dignifying treatment, redesigning environmental conditions, and reorienting the healthcare system can contribute to maintaining dignity in end-of-life care in the ED.

译文

背景:在急诊科(ED)中维护垂死者的尊严对患者,其亲属和医疗保健专业人员至关重要。这项研究的目的是探索和解释医师和护士在急诊急诊患者临终关怀中维护尊严的经验。
方法:在两家综合医院的急诊科进行了基于诠释学现象学方法的定性研究。共有16位护士和10位医生参加了该研究。数据收集包括12个单独的深度访谈和2个焦点小组。
结果:调查结果表明,有两个主题代表了急诊部门维护尊严的做法和建议:在敌对环境中进行有尊严的护理以及以人的尊严为重点的系统设计。
结论:有针对性的治疗,重新设计环境条件以及调整医疗保健系统的方向可以有助于维持急诊室临终护理的尊严。

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