Volker Deborah L, Limerick Michael
University of Texas at Austin School of Nursing, Austin, TX, USA.
Clin Nurse Spec. 2007 Sep-Oct;21(5):241-7; quiz 248-9. doi: 10.1097/01.NUR.0000289749.77866.7c.
The purpose of this study was to explore the concept of dignified dying from the perspective of oncology advanced practice nurses.
A naturalistic, hermeneutic approach was used to interview the study participants. A sample of 19 oncology advanced practice nurses was obtained by combining data sets from 2 larger studies of patient control and end-of-life care. Audiotaped interviews of the nurses were transcribed verbatim and were analyzed using a phenomenological approach.
The analysis revealed that dignified dying is an experience that includes the following themes: going in peace, maintaining bodily integrity, and dying on their own terms.
Advanced practice nurses lend an important perspective that expands understanding of the concept of dignified dying. Future studies of patient and family perceptions will enhance knowledge of their needs and lead to intervention studies to promote an end-of-life experience that is consistent with patient priorities and values.
本研究旨在从肿瘤学高级实践护士的角度探讨尊严死亡的概念。
采用自然主义的诠释学方法对研究参与者进行访谈。通过合并两项关于患者控制和临终关怀的较大规模研究的数据集，获得了19名肿瘤学高级实践护士的样本。对护士的访谈录音进行逐字转录，并采用现象学方法进行分析。
分析表明，尊严死亡是一种包含以下主题的体验：平静离世、保持身体完整性以及按照自己的方式死亡。
高级实践护士提供了一个重要的视角，扩展了对尊严死亡概念的理解。未来关于患者和家属认知的研究将增进对他们需求的了解，并引发干预性研究，以促进符合患者优先事项和价值观的临终体验。
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