University of Kansas School of Nursing, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
J Nurs Scholarsh. 2010 Jun;42(2):122-9. doi: 10.1111/j.1547-5069.2010.01343.x.
To describe the lived experience of nurses surrounding the death of their patients.
A qualitative phenomenologic approach was used for the interview and analysis framework. Methods to ensure trustworthiness and rigor were incorporated into the design.
Using semistructured interviews and phenomenologic concepts, the investigators interviewed 11 registered nurses where data was analyzed using methods of Heideggerian hermeneutical analysis and van Manen's progression of reflection, description, writing, and rewriting.
Four themes were identified: (a) Reciprocal relationship transcends professional relationship; (b) initial patient death events are formative; (c) nurses' coping responses incorporate spiritual worldviews and caring rituals; and (d) remaining "professional" requires compartmentalizing of experience.
Nurses create a curtain of protection to mitigate the grieving process and allow them to continue to provide supportive nursing care.
By developing understanding of the grieving and coping processes, nursing faculty, administrators, and leaders can provide better learning opportunities and more supportive practice environments for the professional nurse.
描述护士在患者死亡时的亲身经历。
采用定性现象学方法进行访谈和分析框架。设计中纳入了确保可信度和严谨性的方法。
调查人员使用半结构化访谈和现象学概念，对 11 名注册护士进行了访谈，使用海德格尔解释学分析和范马嫩的反思、描述、写作和重写的递进方法对数据进行了分析。
确定了四个主题：（a）互惠关系超越了专业关系；（b）最初的患者死亡事件是形成性的；（c）护士的应对反应包含精神世界观和关怀仪式；（d）保持“专业”需要对经验进行划分。
护士会设置一道保护的帷幕，以减轻悲伤的过程，并允许他们继续提供支持性的护理。
通过了解悲伤和应对的过程，护理教师、管理人员和领导者可以为专业护士提供更好的学习机会和更支持性的实践环境。
