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同伴支持的叙事疗法对悲伤的儿科肿瘤护士的作用

Peer-supported storytelling for grieving pediatric oncology nurses.

作者信息

Macpherson Catherine Fiona

机构信息

Children's Hospital and Regional Medical Center, University of Washington School of Nursing, Seattle, Washington, USA.

出版信息

J Pediatr Oncol Nurs. 2008 May-Jun;25(3):148-63. doi: 10.1177/1043454208317236. Epub 2008 Apr 15.

Abstract

Telling stories about deceased patients to supportive peers is frequently mentioned as an activity used for meaning-making in anecdotal reports of clinical practice and the literature addressing nurses' experiences caring for dying children. This study examines peer-supported storytelling for grieving pediatric oncology nurses using a mixed methods single-group descriptive repeated measures design. Participants were 6 registered nurses from a tertiary care pediatric hospital inpatient oncology unit who self-identified as experiencing grief. Participants met in self-selected dyads for 2 storytelling sessions. Questionnaires were completed at baseline, midpoint, and study end. Sessions were audio-recorded. Participants reported (1) receiving and providing support during sessions; (2) that sessions had an impact on their grief; (3) that sessions had an impact on their meaning-making, and the explicit session focus on making sense of and identifying benefit in their experiences was particularly helpful. There was a significant positive correlation between participant report of number of special patient deaths during career and impact of sessions on grief.

摘要

在临床实践的轶事报告以及关于护士照顾临终儿童经历的文献中,经常提到向有支持力的同行讲述已故患者的故事是一种用于赋予意义的活动。本研究采用混合方法单组描述性重复测量设计,考察同伴支持的讲故事对悲伤的儿科肿瘤护士的作用。参与者是来自一家三级护理儿科医院住院肿瘤病房的6名注册护士,她们自我认定正在经历悲伤。参与者自行组成对子,进行了2次讲故事环节。在基线、中点和研究结束时完成问卷调查。环节进行了录音。参与者报告称:(1)在环节中得到并提供了支持;(2)这些环节对他们的悲伤产生了影响;(3)这些环节对他们赋予意义的过程产生了影响,而且环节明确聚焦于理解并识别自身经历中的益处特别有帮助。参与者报告的职业生涯中特殊患者死亡数量与环节对悲伤的影响之间存在显著正相关。

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