Dalgaard Karen Marie, Delmar Charlotte
Clinical Nursing, Aalborg Hospital Science and Innovation Centre, Aalborg Hostpial, Denmark.
Int J Palliat Nurs. 2008 Oct;14(10):472-6. doi: 10.12968/ijpn.2008.14.10.31490.
This article describes time as a contextual factor in palliative caring practices and contributes to an understanding of the connections between time and the quality of palliative care. The article is based on an explorative and qualitative research study inspired by grounded theory. The empirical data of the study were obtained through field studies and interview. The interpretation is indebted to a philosophical interpretation that assumes time to be consciously organised into two categories: an objective clock time and a subjective personal time. Two scenarios are presented: one in which clock time is insufficient and another in which clock time is sufficient. Each scenario outlines how nurses relate to time in different ways according to whether clock time is insufficient or sufficient, respectively. It is found that the two scenarios have different implications for palliative care, nurses' personal time, and nurses' opportunities for reflection and professional development.
本文将时间描述为姑息治疗实践中的一个背景因素，并有助于理解时间与姑息治疗质量之间的联系。本文基于一项受扎根理论启发的探索性定性研究。该研究的实证数据通过实地研究和访谈获得。该解释得益于一种哲学解释，该解释假定时间被有意识地组织为两类：客观的时钟时间和主观的个人时间。文中呈现了两种情形：一种是时钟时间不足的情形，另一种是时钟时间充足的情形。每种情形都概述了护士如何根据时钟时间是否充足而以不同方式与时间相关联。研究发现，这两种情形对姑息治疗、护士的个人时间以及护士的反思和专业发展机会具有不同的影响。
