榮民醫院內科病房護理人員置身處境之探討

NHUIR > College of Humanities > Department of Life-and-Death Studies > Disserations and Theses(M. A. Program in Life-and-Death Studies) > Item 987654321/17810

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Title:	榮民醫院內科病房護理人員置身處境之探討
Other Titles:	A Study on the surrounding situation of Veterans Hospital internal medicine nursing staff
Authors:	張慶榕 Chang, Ching-jung
Contributors:	生死學系游金潾 Jin-lin You
Keywords:	內科護理人員;置身處境;榮民醫院 internal medicine nursing staff;Veterans Hospital;surrounding situation
Date:	2012
Issue Date:	2015-01-06 15:01:59 (UTC+8)
Abstract:	本研究旨在探討榮民醫院內科病房護理人員的照護經驗，透過深度訪談5位研究參與者以及田野觀察蒐集資料，再由現象學研究法了解護理人員的置身處境包含工作中所遭遇的困境和其因應。　　　本研究結果發現護理人員所在榮民醫院性質較為特殊，病人群多為單身榮民，形成對護理人員不同的意涵，沿襲軍事管理的科層制度，處在制度化的管理之中，護理人員置身處境由外在開始承載多重角色，有護理人員、替代的家人、學姐以及照顧服務員。　　　而處在內科病房臨床照護工作，更深一層的置身處境的壓力則是：病患急救、死亡碰觸自身親人死亡的經驗，進而引發身為學姐被究責的壓力，在如此循環的歷程之中，護理人員學會更加珍惜與親人、同伴以及病患的相處，建構出自身更多的愛與慈悲心，最後，本研究者提出相關建議，以提供醫療院所及相關醫護專業做為省思。　　This study is intended to investigate the care giving experiences of the internal medicine nursing staff at the Veterans Hospital. The methods used included interviewing five participants as well as field studies and am in depth analysis of the situations that the staff encounters at work.　　　The study indicates that the nursing staff at the Veterans Hospital is unique to other hospitals in the aspect of patients. When most of their patients are single veterans, managing patient take on a more structured and military-like style. The staff itself started to take on different roles that included health care taker, family member replacement, and source of affection.　　　With the Internal Medicine unit, another layer of added stress is the hands on resuscitation of dying patients and sometimes the death of their own family members happening in front of them. In the case of a patient’s death, more mental stress is placed on the staff member directly involved. As the years of experience grows for the staff, the staff members learned to cherish their time spent with their patients, with their colleagues and their family. This allows the staff to offer more compassion and care when it comes to future patients. In the end, this study would also like to point out certain suggestions for hospitals and medical care centers everywhere.
Appears in Collections:	[Department of Life-and-Death Studies] Disserations and Theses(M. A. Program in Life-and-Death Studies)

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