Seno Virginia L
School of Nursing, University of Lousiville, Lousiville, KY, USA.
Am J Hosp Palliat Care. 2010 Sep;27(6):377-86. doi: 10.1177/1049909109359628. Epub 2010 May 3.
Families and their dying members have notably unmet needs. This is in large part due to health professionals being unprepared to be authentic (emotionally appropriate, purposive, and responsible) in end-of-life encounters. Martin Heidegger's interpretive phenomenology informed this study, providing background, structures, language, and metaphors to interpret narratives for patterns of authentic being-with dying among nurses who attend to dying. Semistructured interviews elicited tacit knowledge imbedded in the experiences of those nurses and showed how they comfort themselves in end-of-life situations. Patterns emerged in a presence of authentic being-with dying, which assisted persons in their transitions toward a peaceful death. Patterns are explicated in a 5-point framework, which paralleled Heidegger's structures of authentic being-toward-death.
家庭及其濒死成员有着显著未被满足的需求。这在很大程度上是因为医护人员在临终关怀中没有准备好展现出本真（情感恰当、目的明确且负责）。马丁·海德格尔的诠释现象学为这项研究提供了信息，为解读叙事提供背景、结构、语言和隐喻，以探寻照顾濒死者的护士们本真的与濒死者相处的模式。半结构化访谈引出了这些护士经历中所蕴含的隐性知识，并展示了她们在临终情境中如何自我慰藉。本真的与濒死者相处的模式得以浮现，这有助于人们向安详死亡过渡。这些模式在一个五点框架中得以阐释，该框架与海德格尔本真的向死而生的结构相平行。
