Brysiewicz Petra
School of Nursing, University of KwaZulu-Natal, Durban 4041, South Africa.
Accid Emerg Nurs. 2007 Apr;15(2):88-93. doi: 10.1016/j.aaen.2007.03.001. Epub 2007 Apr 23.
A four year action research study was undertaken in an attempt to foster change in the current management of sudden deaths in the Accident and Emergency Departments in South Africa. During the phase of interviewing bereaved families and health professionals it became apparent that there was a need to involve mortuary staff as victims of sudden deaths have to undergo an autopsy. The researcher chose an interpretive hermeneutic phenomenological research approach to explore the lived experience of working in a mortuary. The mortuary is a place of mystery, sadness, grief or repulsion and we all hope, while we are alive, we will never need to visit. For families who have lost a loved one to a sudden death, this becomes a reality. Working in a mortuary is an extremely stressful experience which is made worse in South Africa due to the large number of people dying sudden violent deaths due to trauma. The themes which emerged from the interviews with mortuary staff were; secondary trauma for families, delays by health professionals and dehumanised mortuary staff. There is a need for a change in the way bereaved families are being managed as well as revision of the environment for the staff working in mortuaries.
开展了一项为期四年的行动研究,试图推动南非急诊科当前猝死管理方式的变革。在对死者家属和医护人员进行访谈的阶段,很明显有必要让停尸房工作人员参与进来,因为猝死受害者必须接受尸检。研究人员选择了诠释学现象学研究方法,以探究在停尸房工作的实际体验。停尸房是一个神秘、悲伤、悲痛或令人厌恶的地方,我们活着的时候都希望永远不必去。对于因猝死失去亲人的家庭来说,这却成了现实。在停尸房工作是一种压力极大的经历,在南非,由于大量人员因创伤突然暴力死亡,这种压力变得更大。从对停尸房工作人员的访谈中浮现出的主题有:家属的二次创伤、医护人员的延误以及停尸房工作人员的非人性化。有必要改变对待死者家属的方式,同时修订停尸房工作人员的工作环境。