James Inger, Andershed Birgitta, Ternestedt Britt-Marie
Orebro University, Orebro, Sweden.
Qual Health Res. 2009 Feb;19(2):258-71. doi: 10.1177/1049732308329309. Epub 2008 Dec 17.
The purpose of this study was to obtain and describe in-depth knowledge about family carers' experiences of the encounter, in a hospital, between informal and professional care at the end of life. A hermeneutic approach was chosen, and we conducted interviews with 27 family carers 6 to 8 months after their loved one's death. In the encounter, the family carers made their own assessment of their loved one's condition and situation. The professionals' attitudes could both promote and impede the interaction between the two forms of care. Family carers' care actions were characterized by struggling to get treatment, being left behind, being partners, keeping the illness at a distance, hovering beside their loved one, waiting for death, and being experts and protectors. The main interpretation of the findings is that family carers possess practical knowledge about what care is the best, or least harmful, for their loved one. This can be linked to what Aristotle called phronesis.
本研究的目的是获取并深入描述家庭照顾者对于亲人临终时在医院里非正式照护与专业照护相遇情形的体验。我们采用了解释学方法,在其亲人去世6至8个月后,对27位家庭照顾者进行了访谈。在这种相遇情形中,家庭照顾者对其亲人的状况和情形做出了自己的评估。专业人员的态度既能促进也会阻碍两种照护形式之间的互动。家庭照顾者的照护行为特点包括努力争取治疗、被忽视、成为伙伴、与疾病保持距离、在亲人身边徘徊、等待死亡以及成为专家和保护者。对研究结果的主要解读是,家庭照顾者拥有关于何种照护对其亲人是最佳的或危害最小的实践知识。这可以与亚里士多德所称的实践智慧联系起来。