關懷的功課—安寧護理人員的自我照顧

南華大學機構典藏系統 > 人文學院 > 生死學系(生死學系碩士班,哲學與生命教育碩士班) > 博碩士論文-生死學系碩士班 > Item 987654321/21899

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題名:	關懷的功課—安寧護理人員的自我照顧
其他題名:	The Life Lessons of Self--Caring for Hospice Nurses
作者:	蔡淑玲 Tsai, Shu-ling
貢獻者:	生死學研究所蔡昌雄 Chang-hsiung Tsai
關鍵詞:	臨終關懷;死亡焦慮;自我照顧;安寧護理人員;存在挫折 death anxiety;self-care;existential frustration;hospice nurses;terminal care
日期:	2005
上傳時間:	2015-07-06 14:57:39 (UTC+8)
摘要:	本研究以安寧護理人員之自我照顧為主題。透過詮釋現象學方法的引導，從病房參與觀察及十一位研究參與者的深度訪談，取得文本資料，並進行視域化的綜合分析工作。研究結果部份，分別針對安寧護理人員的臨終照顧處境、壓力及回應等次題，進行經驗構面的深描與詮釋，以此呈現安寧護理人員自我照顧經驗的具體意涵。　　　本研究發現安寧護理人員的自我照顧課題，可以從「做」與「在」兩種模式進行解釋。前者是透過具體作為、管道或方式，把自我和死亡焦慮來源隔絕，以便讓自我的照顧壓力緩解，但有其侷限性；後者則與特定的作為、方式或管道無關，而是涉及讓原初自我現身的存在態度調整，其中包括兩大課題：(1)與存在挫折和焦慮共處；(2)透過反思歷程，達成自我存在的超越。　　　整體而言，自我照顧的深化，將為護理人員帶來個人態度，以及臨終陪伴關係質變的效應。此外，本研究並建議規劃安寧護理人員的在場支持系統，強化自我照顧的在職課程訓練，以及在護理養成教育中，將自我覺察及反思能力的培養，延伸至自我照顧的部份。　　The thesis of this research is on the self-caring of hospice nurses. Guided by the hermeneutic-phenomenological method, the researcher collects the empirical data mainly through the field participation in the hospice ward of a local hospital and the depth-interviews on the 11 research participants therein. The result of the text-analysis is delineated and interpreted by the three aspects: (1) the situations of the caring work, (2) the nurses’ pressures, and (3) their responses. The embodied experiences of self-caring of those caregivers are thus presented.　　　To interpret the self-caring, the researcher develops a framework of two-mode self-caring; i.e., the mode of “doing” and that of “being.” The former refers to any practical efforts, ways or means adopted by the nurses that intend to separate the self from the death anxiety by the death bed, so as to reduce the caring pressures. However, such efforts have limitations. As for the latter, it does not necessarily involve specific efforts, ways or means of self-caring, but an existential attitude change of nurses in the process of facilitating the presence of the “primordial self.” It includes two main subjects: (1) to come to terms with frustrations and anxieties, (2) to attain existential transcendence by way of a self-reflective process.　　　In general, the research finds that the deepening of the self-caring work will bring about an attitude change conducive to improving the quality of nurses’ dying care. It also suggests developing an on-site support system, a self-caring curriculum for hospice nurses, and accommodating the reflective training of self-caring into the nursing school education.
顯示於類別:	[生死學系(生死學系碩士班,哲學與生命教育碩士班)] 博碩士論文-生死學系碩士班

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