加護病房護理人員的照顧經驗研究：以生死觀的敘說為焦點

NHUIR > College of Humanities > Department of Life-and-Death Studies > Disserations and Theses(M. A. Program in Life-and-Death Studies) > Item 987654321/17814

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Title:	加護病房護理人員的照顧經驗研究：以生死觀的敘說為焦點
Other Titles:	A Study on the Caring Experience of ICU Nurses: Focusing on the Narrative of Life-and-Death Viewpoints
Authors:	廖家梨 Liao, Chia-li
Contributors:	生死學系蔡昌雄 Chiang-hsiung Tsai
Keywords:	生死觀;照顧經驗;加護病房護理人員 nursing experience;perceptions of life and death;intensive care unit (ICU) nursing staff
Date:	2012
Issue Date:	2015-01-06 15:02:03 (UTC+8)
Abstract:	本研究旨要探討加護病房護理人員的照謢經驗，透過深度訪談5位研究參與者及田野參與觀察收集資料，再以詮釋現象學研究法了解護理人員在護理歷程中的置身處境、死亡焦慮、生死觀。　　　本研究發現照顧經驗深切影響加護病房護理人員的生死觀。加護病房護理人員的生死觀普遍呈現ㄧ種痛苦、消逝不見、不確定性、無奈、無常、死亡是ㄧ種非人性化的過程等觀點，而隨著這份痛苦的加深讓加護病房護理人員普遍期望自身面對死亡是可以準備的Good death。而這種觀念也展現在照顧經驗上，對瀕死病人的痛苦護理人員會期望能夠減輕其痛苦，有尊嚴的面對死亡，當病人的痛苦得到妥善控制後，對於護理人員來說自身的心靈亦得到適當的安撫。　　　加護病房護理人員在經過生死照顧體驗反思後面對臨床工作的壓力，調適方式多為自我觀念的轉化，尋找內在力量，從忙碌的夾縫中找出對自我工作的認同及鼓勵。生死照顧體驗反思後的護理關懷傾向最基本的人的關懷、尊重與陪伴。　　　研究者從觸動中發現加護病房護理人員的照顧經驗，可以提供醫療人員相關主管對加護病房護理人員的關懷實務，以及後續研究發展。　　The aim of the research was to explore ICU nursing staff’s nursing experience. Data were generated from in-depth interviews with five participants and clinical field observations. The process of data analysis was guided by hermeneutic phenomenological approach to understand nursing staff’s situations, death anxiety, and perceptions of life and death.　　　The research found that nursing experience has a profound influence on ICU nursing staff’s perceptions of life and death. They commonly perceive life and death as suffering, passing away, uncertain, helpless, impermanent, and an inhuman process. As the suffering is aggravated, ICU nursing staff generally wishes to make preparation for a “good death” while facing their own mortality. This perspective is also shown in nursing experience. In regard to dying patients’ pain and suffering, nursing staff hopes to relieve their pain and facilitate dying with dignity. For ICU nursing staff, it can comfort and heal theirs souls when patients’ pain is well managed. 　　　Through experience with end-of-life (EOL) care, ICU nursing staff adopts a variety of coping strategies to adapt to stress in clinical workplace. Mostly, they transform their own conceptions, seek their inner force, identify personal work values and find motivation in the rush and bustle of daily working life. Nursing care after having introspection on EOL care experience tends to provide an essential human care, respect and company. 　　　It is also found that ICU nursing staff’s experience not only can provide relevant medical superintendents with practice examples in supporting ICU nursing staff, but can be reference for follow-up studies.
Appears in Collections:	[Department of Life-and-Death Studies] Disserations and Theses(M. A. Program in Life-and-Death Studies)

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