護理人員的比例在醫療系統裡屬最大宗，是不可或缺的一群。自從西元1995年開始實施全民健保後，各個醫療機構為了降低醫療人事成本而刪減護理人力，造成病房護理人力嚴重不足。護理人員處在人力不足的窘境下還要實現『好的護理』，有著現實艱難的困境，因此能夠成為一位資深又有熱情的護理人員是不容易的事。一位認真的護理人員能夠讓病人及家屬因疾病受苦時而感到溫暖，在陌生的醫療中得到關懷，然而這些照護在整體之護理研究上還不足。因此，本研究旨要探討資深優良護理人員探究生命關照意涵之護理經驗，透過五位研究參與者進行深度訪談與平所觀察到的言行舉止進行資料收集。以詮釋現象學研究方法，了解護理現象本質，開展其照護經驗脈絡探討。研究結果發現，這群護理人員之護理專業成長經驗，從新手階段到蛻變過程，曾有重大衝擊和困境，甚至出現離開護理的想法，卻在不同轉折處選擇留下，讓自己向上成長。資深的她們，所展現的照顧內涵，以護理倫理作為準則，真誠對待病人實踐身心靈層面照護，做到陪伴及關懷真實意涵，是全人照護的精神，表現出專業好的護理。這些嫻熟的護理專業核心照顧，能讓好的護理繼續綿延。因為護理人員時刻處在多變的醫療工作情境裡，能夠學會自我照顧以維持個人內在對護理的熱情和動力，這是重要的傳承。若所有護理人員能夠堅持在崗位上，這樣豐厚的照護經驗才不至於出現斷層，是社會與國家之福。期望本研究作為未來學校、醫療院所與國家進行培育護理專業人員之參考。 Nursing staffs are the largest part and indispensable in the medical care system. Since 1995, health care insurance was implemented, each medical institution eliminates the number of nurses in order to reduce the cost of personnel. It has become the serious shortage of nurses in the wards. And it is difficult to provide ”good care” without sufficient nurses and difficult to be a senior nurse with passion. A serious nursing staff can make patients and their families feel warm when they suffer from the illness.This study aims to explore the embedded meaning of caring for life: an example of nursing experience of senior nurses through five participants whom were conducted in-depth interviews and observed behaviors for data collection. Phenomenological research method was applied to interpret and understand the essence of nursing phenomena and their care experiences. Research results found that professional development of these five nurses, they had experienced many impacts and difficultities from rookie to mentor, even intend to leave, but still choose to stay and make themselves stronger. Senior nurses perform professional” good care” which is based on nursing ethics.They treat patients honestly, practice of body, mind and soul care, companionship and care for the true meaning and spirit in a whole-person care. These core skilled nursing care can give great care to be continued.Because nurses are working on the diverse medical environment, it is an important inheritance to keep the passion and power of nursing.That will be luck for the society and country if all the nurses can stay on their profession.This research can be the references for the schools and hospitals to educate the professional nurses in the future.
